scholarly journals The influence of institutionalization on the perception of autonomy and quality of life in old people

2014 ◽  
Vol 48 (6) ◽  
pp. 1013-1019 ◽  
Author(s):  
Carmen María Sarabia Cobo

Objective To evaluate the influence exercised by institutionalization on the autonomy and perception of quality of life among the institutionalized elderly. Method The study is quasi-experimental (interrupted time series) and longitudinal. The sample is composed for 104 elderly people who went into a three nursing home in Santander, Spain. To assess the quality of life and dependence two scales were used: the Barthel Index and Lawton Index. Results There was an important relationship between autonomy and independence and their deterioration due to their institutionalisation, such as the physical and social aspects. Conclusion It´s important to point out that the dependence of the elderly is a complex phenomenon, which admits many types of intervention, including the customary ones referring to more classic welfare actions which tend to supplant the absence of autonomy in everyday life by facilitating services and attention to make up for this need, without having to resort to institutionalization.

Author(s):  
Ana Raquel Ortega ◽  
Encarnación Ramírez ◽  
Alberto Chamorro

Background. Research has shown that happiness and well-being play a critical role in the health of the elderly. Therefore programs based on positive psychology include any of these variables to improve their quality of life by preventing and reducing the occurrence of emotional disorders. Objectives. Prove if an intervention based on Autobiographical Memory, Forgiveness, Gratitude and Sense of Humor will increase the quality of life in institutionalized elderly. Method. A quasi-experimental design with pre and post intervention measures were used. Participants. Twenty institutionalized people aged 65 years. Instruments. Measures were taken for depression, anxiety, happiness, life satisfaction, autobiographical memory and cognitive impairment by administering questionnaires. Procedure. After obtained informed consent, questionnaires were administered in an individual interview and the purpose of the intervention was explained. The duration of the program was eleven weeks and once completed, were reevaluated participants. Results. The intervention has been effective in producing an increase in the welfare of the elderly. Conclusions. The proposed intervention is revealed as one effective new tool easy to use and inexpensive to allow to improve the quality of life and emotional disorders of the elderly.


2018 ◽  
Vol 12 (8) ◽  
pp. 2146
Author(s):  
Leides Barroso Azevedo Moura ◽  
Andréa Mathes Faustino ◽  
Ana Beatriz Duarte Vieira ◽  
Vanessa Mara Alves da Silva Noronha

RESUMOObjetivo: descrever as experiências de violências e a autopercepção da qualidade de vida e saúde após os 60 anos de idade. Método: estudo quantitativo, transversal e descritivo desenvolvido com 100 idosos comunitários. Utilizaram-se, para a coleta de dados, os instrumentos Qualidade de Vida (WHOQOL-BREEF), Avaliação do Estado Mental e questionário sobre a ocorrência de violências. Resultado: constatou-se uma maior frequência de idosos do sexo feminino (62%), com ensino fundamental incompleto (43%) e renda familiar de até um salário mínimo (46%). Mais da metade dos idosos (62%) declarou não ter uma boa qualidade de vida e 38% descreveram sentimentos compatíveis com o desespero, a ansiedade e a depressão. Observou-se que 73% sofreram algum tipo de violência destacando-se o insulto e a discriminação (40% e 35%, respectivamente), o abandono (31%), o abuso financeiro (15%) e a agressão física (12%). Não se observou relação entre sofrer violência e autopercepção de saúde e qualidade de vida (p-valor de 0,5587). Conclusão: destaca-se a importância da identificação e magnitude das violências nesse segmento populacional, pois as intervenções interdisciplinares e intersetoriais precisam estar articuladas com o setor saúde e, assim, favorecer o protagonismo do idoso no enfrentamento às violências. Descritores: Violência; Idoso; Qualidade de Vida; Exposição à Violência; Autoimagem; Determinantes sociais de Saúde.ABSTRACT Objective: to describe experiences of violence and self-perception of quality of life and health after 60 years of age. Method: quantitative, cross - sectional and descriptive study developed with 100 elderly. Data collection was used for the Quality of Life (WHOQOL-BREEF), Mental State Assessment and questionnaire on the occurrence of violence. Results: there was a higher frequency of female elderly (62%), incomplete primary education (43%) and family income up to a minimum wage (46%). More than half of the elderly (62%) reported not having a good quality of life, and 38% described feelings compatible with despair, anxiety and depression. It was observed that 73% suffered some form of violence, including insult and discrimination (40% and 35% respectively), abandonment (31%), financial abuse (15%) and physical aggression (12%). There was no relation between suffering violence and self-perception of health and quality of life (p-value 0.5587). Conclusion: the importance of the identification and magnitude of violence in this population segment is highlighted, since interdisciplinary and intersectoral interventions need to be articulated with the health sector and, thus, to favor the protagonism of the elderly in confronting violence. Descriptors: Violence; Aged; Quality of Life; Exposure to Violence; Self Concept; Social Determinants of Health.RESUMEN Objetivo: describir las experiencias de violencias y la autopercepción de la calidad de vida y la salud después de los 60 años de edad. Método: estudio cuantitativo, transversal y descriptivo desarrollado con 100 ancianos comunitarios. Se utilizaron los siguientes instrumentos para la recolección de datos: Calidad de Vida (WHOQOL-BREEF), Evaluación del Estado Mental y cuestionario sobre la ocurrencia de violencias. Resultados: se constató una mayor frecuencia de ancianos del sexo femenino (62%), con enseñanza básica incompleta (43%) y renta familiar de hasta un salario mínimo (46%). Más de la mitad de los ancianos (62%) declaró no tener una buena calidad de vida y 38% describieron sentimientos compatibles con la desesperación, la ansiedad y la depresión. Se observó que el 73% sufrieron algún tipo de violencia, destacándose el insulto y la discriminación (40% y 35%, respectivamente), el abandono (31%), el abuso financiero (15%) y la agresión física (12%). No se observó relación entre sufrir violencia y autopercepción de salud y calidad de vida (p-valor de 0,5587). Conclusión: se destaca la importancia de la identificación y magnitud de las violencias en ese segmento poblacional, pues las intervenciones interdisciplinares e intersectoriales necesitan estar articuladas con el sector salud y, así favorecer el protagonismo del anciano en el enfrentamiento a las violencias. Descriptores: Violencia; Anciano; Calidad de Vida; Exposición a la Violencia; Autoimagem; Determinantes Sociales de la Salud.


Aquichan ◽  
2020 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Edison Vitório de Souza Júnior ◽  
Cristiane dos Santos Silva ◽  
Poliana Souza Lapa ◽  
Laís Emily Souza Trindade ◽  
Benedito Fernandes da Silva Filho ◽  
...  

Objective: this work sought to inquire on the influence of sexuality on the health of the elderly during dementia. Materials and Methods: this was an integrative review. A careful search was conducted in nine databases; however, only five databases provided articles fulfilling the scope of the study: Medline, Lilacs, BDENF, Scopus, and Web of Science (WoS). The health science descriptors (DeCS) were adopted: “sexualidad”, “demencia” and “anciano”, and the descriptors cataloged in the Medical Subject Headings (MeSH): “sexuality”, “dementia” and “aged”. After applying the inclusion criteria, eight articles were selected to comprise the study sample. Results: the practice of sexuality influences upon the health of the elderly with dementia with some beneficial effects, given that it provides, especially, better perception of quality of life and wellbeing. Nevertheless, it cannot be generalized due to methodological insufficiency evidenced in the studies found to construct this review. Conclusions: due to the limitation of studies addressing the theme and the methodological insufficiency of those included in this review, it is necessary to conduct research that shows in depth the influence of sexuality on this population, given that it can be constituted as another approach for the promotion and protection of health in the elderly with dementia.


2017 ◽  
Vol 6 (12) ◽  
Author(s):  
Dragana Vilić

This paper analyzes the causes and consequences of the increasedtrend of population aging in contemporary society expressed in severalprevious decades. This refers to increasing the share of the populationaged between 60 and 65 years and over (chronological criteriaare defined in the modern age in relation to age in which the workingactivity stops, they can not be applied to African countries), thatis the share of the elderly population of 7 (and more) percent of thetotal population. As a result, we have the increased number of demographicallyold societies. Aging is a biological process, but also a socialconstruct, because at different times and in different societies are differentlyset boundaries of age, attitude towards aging, status of elderlypeople and the like. The most important demographic characteristicsthat cause aging of the population in modern society are: lower fertility,lower mortality (especially the older groups) and migrations.Accelerated aging of the population undermines the economic and socialbalance in the society in which it is expressed (increased pressureon funds of social, health and pension protection) it requires the increasedinvestment effort to deal with this problem and its resolution,but there are consequences for individuals (loss of autonomy , loneliness,illness, etc.). In recent years, the attitude towards old people andthe experience of aging have changed due to an improvement of theoverall quality of life (working and living conditions, progress in thefield of medicine), which gives an opportunity to the people of this ageto lead a full life of different activities (travel, education , acquisitionof new skills and the like.). Although progress was made in terms ofhuman rights, quality of life and the situation of old people in society,there are still various problems that they face (social exclusion, poverty,violence, etc.). In contemporary society have beeb undertakenvarious activities which aim to promote a positive attitude towardsthe old (er) people and to prevent discrimination based on age.


2007 ◽  
Author(s):  
Luci Fuscaldi Teixeira-Salmela ◽  
Christina D. C. M. Faria ◽  
Fatima R. de Paula Goulart ◽  
Janine G. Cassiano

2014 ◽  
Vol 35 (1) ◽  
pp. 124-130 ◽  
Author(s):  
Elen Ferraz TESTON ◽  
Sonia Silva MARCON

The aim of the study was to understand how residents of a condominium Aging realize the quality and conditions of life in this new housing modality. This is an exploratory qualitative study of 20 elderly residents of the condominium Maringá . Data were collected in February 2012 in the household were semistructured and subjected to content analysis interviews. The results indicate the factors valued by the elderly in their perception of quality of life such as independence, autonomy, having an occupation, developing leisure and acceptance of the aging process activities. Also valued the structure and characteristics of this housing method due to the possibility of social interaction. We conclude that the identification of these aspects allows the planning of strategies for integrated care for the elderly and it is suggested that nurses recognize and value the aspects highlighted in the planning of care with elderly people in general.


Author(s):  
Ana Fajreldines ◽  
Marisa Bazzano ◽  
Belen Beldarrain ◽  
Stefanía Barberis ◽  
Marcelo Pellizzari

Older or elderly adults represent a population exposed to potentially inappropriate prescriptions, since medication is the most widely used intervention. The objective of this work is to analyze the type of medication schemes of the elderly and the relationship with their states of psychological well-being. It is a cross-sectional study. Results: inappropriate prescription is of the order of 16% and the perception of quality of life was 56.8, finding an association between inappropriate prescription and perception of quality of life. Conclusions: The results showed that inappropriate prescription is highly frequent in these patients and that psychological well-being states would be related to this inappropriate prescription.


2020 ◽  
Vol 14 ◽  
Author(s):  
Patricia Coelho Mendes de Britto Haddad ◽  
Zamir Calamita

Objetivo: analisar as características do idoso institucionalizado apontando correlações. Método: trata-se de um estudo quantitativo, descritivo, analítico, tipo exploratório, com idosos que vivem em instituições de longa permanência para idosos. Empregaram-se questionários: sociodemográfico; Mini Mental; índice de Barthel; avaliação autorreferida de fragilidade em idosos; Family Apgar e Perfil de Saúde de Nothingham. Resultados: revela-se que as seis instituições avaliadas eram de caráter filantrópico; foram estudados 135 idosos; a média de idade foi de 76,4 anos e o tempo médio de institucionalização, de quatro anos; de acordo com os questionários, a maioria apresentou pontuação que sugere declínio cognitivo e fragilidade, era independente para as atividades básicas de vida diária, possuía acentuada disfunção familiar e apresentou perceptível perda da sensação da qualidade de vida; a maior parte dos entrevistados mudou para a instituição sem vontade própria. Constatou-se que a preservação da cognição e o maior grau de instrução se correlacionam a uma menor satisfação e percepção de qualidade de vida. Conclusão: apresentaram-se, por este estudo, alguns aspectos próprios do idoso institucionalizado e sua percepção de saúde. Descritores: Saúde do Idoso; Idoso; Fatores Socioeconômicos; Condições de Vida; Condições de Saúde; Qualidade de Vida.AbstractObjective: to analyze the characteristics of the institutionalized elderly by pointing out correlations. Method: this is a quantitative, descriptive, analytical, exploratory study with elderly people living in long-term care facilities for the elderly. The following questionnaires were used: sociodemographic; Mini Mental; Barthel index; self-reported assessment of frailty in the elderly; Family Apgar and Nothingham Health Profile. Results: it is revealed that the six institutions evaluated were philanthropic; 135 elderly people were studied; the average age was 76.4 years and the average institutionalization time was four years; According to the questionnaires, most had scores that suggest cognitive decline and frailty, were independent for basic activities of daily living, had marked family dysfunction and showed a noticeable loss of quality of life sensation; Most respondents moved to the institution without their own will. It was found that the preservation of cognition and the higher level of education correlate with lower satisfaction and perception of quality of life. Conclusion: this study presented some aspects of the institutionalized elderly and their perception of health. Descriptors: Elderly Health; Elderly; Socioeconomic Factors; Life Conditions; Health Conditions; Quality of Life.ResumenObjetivo: analizar las características de los ancianos institucionalizados señalando correlaciones. Método: este es un estudio cuantitativo, descriptivo, analítico y exploratorio con personas mayores que viven en centros de atención a largo plazo para personas mayores. Se utilizaron cuestionarios: sociodemográficos; Mini Mental; Índice de Barthel; evaluación autoinformada de fragilidad en ancianos; Perfil de salud de la familia Apgar y Nothingham. Resultados: se revela que las seis instituciones evaluadas eran filantrópicas; se estudiaron 135 personas mayores; la edad promedio fue de 76.4 años y el tiempo promedio de institucionalización fue de cuatro años; según los cuestionarios, la mayoría tenía puntuaciones que sugerían deterioro cognitivo y fragilidad, eran independientes para las actividades básicas de la vida diaria, tenían una disfunción familiar marcada y mostraban una pérdida notable de la sensación de calidad de vida; la mayoría de los encuestados se mudaron a la institución sin su propia voluntad. Se comprobó que la preservación de la cognición y el mayor nivel de educación se correlacionan con una menor satisfacción y percepción de la calidad de vida. Conclusión: este estudio presenta algunos aspectos de los ancianos institucionalizados y su percepción de la salud. Descriptores: Salud de los Ancianos; Ancianos; Factores Socioeconómicos; Condiciones de Vida; Condiciones de Salud; Calidad de Vida.


2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Marcela Alves De Oliveira ◽  
Hemellen Ferreira Ribeiro ◽  
Nádia Pinheiro Da Costa

Objetivo: avaliar a qualidade de vida de idosos participantes de um grupo de convivência; verificar o perfil sociodemográfico. Metodologia: Trata-se de um estudo com abordagem quantitativa do tipo descritiva, onde foi aplicado um questionário sociodemográfico e o instrumento Whoqol-Bref para avaliar a qualidade de vida de 103 idosos de um centro de convivência de Belém do Pará. Resultados: a maioria são idosas (90,29%), possuem faixa etária entre 70-75 anos (31,07%), escolaridade 8 anos ou mais (75,73%), aposentado (a) ou pensionista (89%). Em relação ao instrumento Whoqol-bref os idosos apresentaram maior escore no domínio de percepção da qualidade de vida (µ = 4.15 ± 0.61) e relações sociais (µ = 4.05 ± 0.46). Conclusão: Os idosos participantes do grupo de convivência possuem boa qualidade de vida. QUALITY OF LIFE OF AMAZONIAN ELDERLY WHO PARTICIPATE IN A CO-EXISTENCE GROUPObjective: to evaluate the quality of life of elderly participants of a coexistence group; verify the sociodemographic profile. Methodology: This is a descriptive quantitative study, where a sociodemographic questionnaire and the Whoqol-Bref instrument were used to evaluate the quality of life of 103 elderly people from a community center in Belém do Pará. Results: most of them are elderly with age range between 70-75 years, schooling 8 years or more, pen-sioned/retired. In relation to the Whoqol-bref instrument, the elderly presented a higher score in the domain of perception of quality of life and social relations, followed respectively by physical, psychological, health satisfaction and ambient environment. Conclusion: Most retired elderly women demonstrated to have a good quality of life, highlighted for the domain of this perception and social relations.Descriptors: Elderly; Quality of life; Nursing.CALIDAD DE VIDA DE ANCIANOS AMAZÓNICOS QUE PARTICIPAN EN UN GRUPO DE CONVIVENCIAObjetivo: evaluar la calidad de vida de los ancianos participantes de un grupo de convivencia; verificar el perfil sociodemográfico. Metodología: Se trata de un estudio con abordaje cuanti-tativo del tipo descriptivo, donde se aplicó un cuestionario sociodemográfico y el instrumento Whoqol-Bref para evaluar la calidad de vida de 103 ancianos de un centro de convivencia de Belém do Pará. Resultados: la mayoría son mujeres, tienen rango de edad entre 70-75 años, escolaridad 8 años o más, pensionista/jubilado. En cuanto al instrumento Whoqol-bref, los ancianos presentaron mayor puntuación en el dominio de percepción de la calidad de vida y relaciones sociales seguido respectivamente por la satisfacción física, psicológica, de salud y, por último, el medio ambiente. Conclusión: La mayoría de las mujeres ancionas fueran jubi-ladas demostraron tener una buena calidad de vida, destacada por el dominio de esta percep-ción y las relaciones sociales.Descriptores: Ancianos; Calidad de vida;Enfermería.


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