scholarly journals O impacto da polifarmácia na qualidade de vida de idosos

2019 ◽  
Vol 13 (3) ◽  
pp. 773
Author(s):  
Pedro Paulo Corrêa Santana ◽  
Ana Dayse Viana Ramos ◽  
Carolina Estrela Campos ◽  
Marilda Andrade ◽  
Harlon França Menezes ◽  
...  

RESUMOObjetivo: objetivou-se analisar o impacto da polifarmácia na qualidade de vida dos idosos a partir das produções científicas. Método: trata-se de estudo bibliográfico, tipo revisão integrativa de literatura. Realizou-se a coleta de dados nas bases de dados Medline, LILACS e Biblioteca Scielo, entre o período de 2006 e 2016, nos idiomas inglês, espanhol e português, submetendo-se à Técnica de Análise de Conteúdo na Modalidade Análise de Conteúdo Temática. Resultados: evidenciou-se que a polimedicação pode levar ao desenvolvimento, no idoso, de uma série de complicações por conta dos efeitos adversos dos fármacos, afetando a qualidade de vida e a realização das suas atividades diárias. Defende-se que o cuidado com a interação medicamentosa, o aprazamento e a educação em saúde são de grande relevância no contexto do envelhecimento, comprometendo os aspectos fisiológicos do paciente. Conclusão: observa-se que a atuação do enfermeiro é indispensável pelo conhecimento teórico de Farmacologia e do processo de envelhecimento, pois contribui para a vigilância medicamentosa e dos efeitos colaterais em relação aos idosos que, muitas vezes, fazem uso de medicamentos sem prescrição médica. Descritores: Idoso; Preparações Farmacêuticas; Qualidade de Vida; Cuidados de Enfermagem; Saúde do Idoso; Enfermagem.ABSTRACTObjective: to analyze the impact of polypharmacy on the quality of life of the older adults from the scientific productions. Method: this is a bibliographical study, integrative literature review type. Data collection was carried out in the Medline, LILACS and Scielo databases between 2006 and 2016, in English, Spanish and Portuguese, submitted to the Content Analysis Technique in the Thematic Content Analysis Mode. Results: the polymedication can lead to the development of a series of complications for the older adult due to the adverse effects of the drugs, affecting the quality of life and the performance of their daily activities. Care with medication interaction, the time of taking the medication and education in health are of great relevance in the context of aging, compromising the physiological aspects of the patient. Conclusion: the nurses´ performance is indispensable by the theoretical knowledge of Pharmacology and the aging process since it contributes to drug surveillance and side effects for the elderly people, who often use medications without a medical prescription. Descriptors: Aged; Pharmaceutical Preparations; Quality of Life; Nursing Care; Health of the Elderly; Nursing.RESUMENObjetivo: analizar el impacto de la polifarmacia en la calidad de vida de los ancianos a partir de las producciones científicas. Método: se trata de un estudio bibliográfico, tipo revisión integradora de la literatura. Se realizó la recolección de datos en las bases de datos Medline, LILACS y Biblioteca Scielo, entre el período de 2006 a 2016, en los idiomas inglés, español y portugués, submetiéndose a la Técnica de Análisis de Contenido en la Modalidad Análisis de Contenido Temático. Resultados: se observó que la polimedicación puede llevar al desarrollo de una serie de complicaciones al anciano por cuenta de los efectos adversos de los fármacos, afectando la calidad de vida y la realización de sus actividades diarias. Se defiende que el cuidado con la interacción medicamentosa, el tempo de tomar la medicación y la educación en salud son de grande relevancia en el contexto del envejecimiento, comprometiendo los aspectos fisiológicos del paciente. Conclusión: se observa que la actuación del enfermero es indispensable por el conocimiento teórico de Farmacología y del proceso de envejecimiento, pues contribuye para la vigilancia medicamentosa y de los efectos colaterales en relación a los adultos mayores que muchas veces usan medicamentos sin prescripción médica. Descriptores: Anciano; Preparaciones Farmacéuticas; Calidad de Vida; Atención de Enfermería; Salud del Anciano; Enfermería.

Author(s):  
Thiago José Nascimento de Souza ◽  
José Júnior Bezerra da Silva ◽  
Ana Elizabeth Santos Lins

Este estudo teve como objetivo conhecer a percepção dos idosos participantes de uma Universidade Aberta à Terceira Idade sobre o envelhecimento. Trata-se de um estudo exploratório, de campo, com abordagem qualitativa, em que os resultados foram categorizados à luz da análise de conteúdo na modalidade temática, emergiram quatro grandes categorias. Os resultados apresentaram que a percepção do idoso sobre o envelhecimento está relacionada com um momento de ganhos e perdas. Observou-se por meio do discurso dos idosos a necessidade de estarem realizando suas atividades cotidianas de maneira independente, e que a oportunidade de escolha influencia diretamente na qualidade de vida. Os pesquisados percebem que são excluídos pelos jovens e essa atitude repercute de forma negativa em suas vidas. E ainda não se sentem contemplados com as políticas públicas.Descritores: Envelhecimento, Idoso, Enfermagem. Perception of elderly people about aging in an extensionist projectAbstract: This study aimed to know the perception of aging participants in an Open University for the Elderly about aging. It is an exploratory, field study, with a qualitative approach, in which the results were categorized in the light of content analysis in the thematic modality, four major categories emerged. The results showed that the elderly's perception of aging is related to a moment of gains and losses. It was observed through the speech of the elderly the need to be carrying out their daily activities independently, and that the opportunity to choose directly influences the quality of life. Respondents perceive that they are excluded by young people and this attitude has a negative impact on their lives. And they still do not feel contemplated with public policies.Descriptors: Aging, Elderly, Nursing. Percepción de personas mayores sobre el envejecimiento en un proyecto extensionistaResumen: Este estudio tuvo como objetivo conocer la percepción de los participantes mayores en una Universidad Abierta para Personas Mayores sobre el envejecimiento. Es un estudio exploratorio de campo, con un enfoque cualitativo, en el que los resultados se clasificaron a la luz del análisis de contenido en la modalidad temática, surgieron cuatro categorías principales. Los resultados mostraron que la percepción del envejecimiento de los ancianos está relacionada con un momento de ganancias y pérdidas. A través del discurso de los ancianos se observó la necesidad de llevar a cabo sus actividades diarias de forma independiente, y que la oportunidad de elegir influye directamente en la calidad de vida. Los encuestados perciben que los jóvenes los excluyen y esta actitud tiene un impacto negativo en sus vidas. Y todavía no se sienten contemplados con las políticas públicas.Descriptores: Envejecimiento, Ancianos, Enfermería.


2020 ◽  
Vol 20 (2) ◽  
pp. 174-188
Author(s):  
Rómulo Jacobo González-garcía ◽  
Paloma Escamilla-Fajardo ◽  
Samuel López-Carril ◽  
Juan Nuñez-Pomar

El sector del turismo deportivo recibe cada vez una mayor atención por parte de los distintos agentes sociales, teniendo un alto impacto en distintas esferas de la sociedad. El turismo no sólo afecta a las actitudes de los residentes hacia su desarrollo, sino también a su calidad de vida en general. Una vez que una comunidad o población se convierte en un destino turístico, la calidad de vida de los residentes locales se ve afectada por el desarrollo del mismo. Por consiguiente, es relevante conocer cuáles son las percepciones de los residentes respecto al impacto que causa el turismo deportivo. Por ello, el objetivo del presente estudio es analizar las percepciones de los residentes de Gran Canaria hacia los efectos del turismo deportivo, en ámbitos como su impacto, la calidad de vida y el apoyo al sector. Los resultados del estudio indican que, a mayores niveles de percepción positivos de los residentes sobre los impactos sociales, culturales, ambientales y económicos, hay un mayor apoyo hacia el desarrollo del turismo. Por otra parte, también se produce un efecto mediador significativo de la variable calidad de vida de los residentes, entre la relación de impactos percibidos y el apoyo al desarrollo del turismo activo y deportivo en Gran Canaria. Estos resultados posibilitan un mejor entendimiento de la perspectiva que los residentes tienen hacía el sector turístico deportivo, algo que puede ayudar a orientar futuras decisiones sobre la práctica, desarrollo y planificación del turismo deportivo. The sports tourism sector is receiving increasing attention from different social actors, having a high impact on different spheres of society. Tourism not only affects residents' attitudes towards their development, but also their quality of life in general. Once a community or population becomes a tourist destination, the quality of life of local residents is affected by its development. It is therefore important to know what residents' perceptions are of the impact of sports tourism. Therefore, the aim of this study is to analyse the perceptions of the residents of Gran Canaria towards the effects of sports tourism, in areas such as its impact, quality of life and support for the sector. The results of the study indicate that, at higher levels of positive perception by residents of the social, cultural, environmental and economic impacts, there is greater support for the development of tourism. On the other hand, there is also a significant mediating effect of the variable quality of life of the residents, between the relationship of perceived impacts and the support for the development of active and sports tourism in Gran Canaria. These results make it possible to better understand the perspective that residents have towards the sports tourism sector, something that can help guide future decisions on the practice, development and planning of sports tourism. O sector do turismo desportivo está a receber cada vez mais atenção por parte de diferentes actores sociais, tendo um elevado impacto em diferentes esferas da sociedade. O turismo não afecta apenas as atitudes dos residentes em relação ao seu desenvolvimento, mas também a sua qualidade de vida em geral. Uma vez que uma comunidade ou população se torna um destino turístico, a qualidade de vida dos residentes locais é afectada pelo seu desenvolvimento. Por conseguinte, é importante conhecer a percepção que os residentes têm do impacto do turismo desportivo. Portanto, o objectivo deste estudo é analisar as percepções dos residentes da Gran Canária sobre os efeitos do turismo desportivo, em áreas como o seu impacto, qualidade de vida e apoio ao sector. Os resultados do estudo indicam que, em níveis mais elevados de percepção positiva dos residentes sobre os impactos sociais, culturais, ambientais e econômicos, há maior apoio para o desenvolvimento do turismo. Por outro lado, existe também um efeito mediador significativo da variável qualidade de vida dos residentes, entre a relação de impactos percebidos e o apoio ao desenvolvimento do turismo ativo e desportivo na Gran Canária. Estes resultados permitem compreender melhor a perspectiva que os residentes têm em relação ao sector do turismo desportivo, algo que pode ajudar a orientar futuras decisões sobre a prática, desenvolvimento e planeamento do turismo desportivo. Il settore del turismo sportivo sta ricevendo un'attenzione crescente da parte di diversi attori sociali, con un forte impatto sulle diverse sfere della società. Il turismo influenza non solo l'atteggiamento dei residenti nei confronti del loro sviluppo, ma anche la loro qualità di vita in generale. Una volta che una comunità o una popolazione diventa una destinazione turistica, la qualità della vita dei residenti locali è influenzata dal suo sviluppo. È quindi importante sapere quali sono le percezioni dei residenti sull'impatto del turismo sportivo. Pertanto, l'obiettivo di questo studio è quello di analizzare le percezioni degli abitanti di Gran Canaria nei confronti degli effetti del turismo sportivo, in settori quali l'impatto, la qualità della vita e il sostegno al settore. I risultati dello studio indicano che, a livelli più elevati di percezione positiva da parte dei residenti degli impatti sociali, culturali, ambientali ed economici, vi è un maggiore sostegno allo sviluppo del turismo. D'altra parte, c'è anche un significativo effetto mediatore della variabile qualità della vita dei residenti, tra la relazione degli impatti percepiti e il sostegno allo sviluppo del turismo attivo e sportivo a Gran Canaria. Questi risultati permettono di comprendere meglio la prospettiva che i residenti hanno nei confronti del settore del turismo sportivo, cosa che può aiutare a guidare le future decisioni sulla pratica, lo sviluppo e la pianificazione del turismo sportivo.


Author(s):  
Chia-Jung Lee ◽  
Yen Hsu

This study explored the technology learning model of the elderly in a senior learning center under the impact of the COVID-19 pandemic. Many senior learning centers were closed during the pandemic, and many of them adopted the mode of online education. However, problems such as decreased motivation and a lack of peer interaction still exist. To solve these problems, this study used the easy-to-implement calligraphy AR approach and E-book approach to conduct a quasi-experiment on the elderly of a calligraphy course offered by a senior learning center. The results show a higher learning motivation among the elderly who use calligraphy AR. The learning effectiveness and technology acceptance of the elderly in the E-book learning group were higher than those in the calligraphy AR group. The elderly mentioned that the E-book learning approach is more user-friendly. In general, in the face of the COVID-19 pandemic affecting the suspension of classes in senior centers, education through the development of technology has stimulated the growth of education in advanced learning centers. Through this kind of scientific and technological learning method, it will bring a whole new experience to the elderly. It can improve the stress relief methods, mental health, and quality of life of the elderly during the COVID-19 emergency shutdown, and provide a novel calligraphy technique learning experience for the elderly. Therefore, we believe that the calligraphy AR learning approach and the calligraphy E-book learning approach are practical and may promote quality of life and mental health of the elderly during the emergency closures due to COVID-19, providing elderly attendees with a novel calligraphy technology learning experience.


Author(s):  
Jiyoung Song ◽  
Eunwon Lee

This study aimed to describe the health-related quality of life of elderly women with experience in fall treatment as well as to prepare basic data for the development of interventions to improve the quality of life for this group. The study was based on raw data from the 2019 Korea Community Health Survey. Using the SPSS program, the characteristics of the subjects were tested by frequency, percentage, and chi-square test. To establish the impact of fall experience on the health-related quality of life of elderly women, the OR and 95% CI were calculated using multiple logistic regression analysis. Of the 4260 people surveyed, 44.7% of the elderly women said they had a high quality of life, whereas 55.3% of the elderly women said they had a low quality of life. A younger age was associated with a better-rated health-related quality of life. Those who lived in a city and had a high level of education tended to describe a high quality of life. The quality of life was considered high by those who exercised, but low by those who were obese or diabetic. The results of this study can lead to a better understanding of the experiences of elderly women who have experienced falls, and they can be used as basic data for the development of related health programs.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Nesreen Fathi Mahmoud ◽  
Huda Zahran ◽  
Sherif Abdelmonam

Abstract Background This study focuses on the self-perception of the voice in the elderly as assessed by the Voice-Related Quality of Life (V-RQOL) questionnaire. This work aimed to compare differences in the voice-related quality of life outcomes between (1) elderly with and without voice disorders, (2) female and male elderly with voice disorders, and (3) different types of voice disorders, and to explore the correlation between the V-RQOL and perceptual analysis done by the clinician. Forty-three dysphonic and 44 non-dysphonic elderly filled out the Voice-Related Quality of Life (V-RQOL) protocol that analyzes the impact of dysphonia on life quality. Vocal perceptual assessment of each subject with dysphonia was made by three voice therapists, followed by a flexible nasofibrolaryngoscope. Results A significant statistical difference was found between the means of total V-RQOL scores and its subdomains for each group (dysphonic and non-dysphonic). No significant differences were found between male and female elderly with dysphonia. The statistical analysis showed a significant correlation with the vocal assessment made by the clinicians and the V-RQOL self-assessment made by the subjects. Conclusions This study provides valuable information regarding the risk factors that contribute to vocal quality in the elderly population. Our results revealed that different types of voice disorders are common among the elderly population with significant negative effects on quality of life. It was observed that the poorest score on the V-RQOL was for functional voice disorders, followed by neoplastic lesions, whereas MAPLs had the best score on the V-RQOL.


Author(s):  
Raditya Wratsangka ◽  
Rully Ayu Nirmalasari Haryadi Putri

Anemia is a global health problem with an extremely high prevalence and occurring in nearly 25% of the world population, particularly in the elderly group. Currently Indonesia is facing a rapid growth of the elderly population, with around 21 million elderly (8.2% of the total population), that is projected to increase to 33.7 million (11.8%) in the year 2025. Anemia in the elderly is frequently neglected, although the facts show that low hemoglobin concentration is an important marker of physiological decline and functional limitations. Although the factor of intrinsic aging may cause low hemoglobin concentration, anemia in the elderly is known to have a wide range w88ith regard to etiology, underlying disorders, and  possible mechanisms, such that it should be clinically followed up. Whatever its causes or underlying pathophysiological, anemia in the elderly has been proven to play a role in their morbidity and mortality, and may decrease their quality of life, that comprises all aspects of physical, mental, and social health, known as health-related quality of life (HRQoL). The impact of anemia on HRQoL has been studied in various populations, and most studies report the presence of an association between HRQoL and anemia in elderly individuals, which on the subscale level is particularly associated with physical health. Early diagnosis of anemia is important to prevent aggravation of the condition, to retard the progress of the disease, and to improve the health-related quality of life (HRQoL) of the patient. Prior to determining the treatment plan, the primary diagnosis and the comorbidities, especially treatable disorders, had better be identified first. The available data show that the overall prognosis will improve for anemia in patients with well-managed and corrected chronic disorders.


2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Bianca de Oliveira Lemos ◽  
Ana Marcia Rodrigues da Cunha ◽  
Claudia Bernardi Cesarino ◽  
Marielza Regina Ismael Martins

2019 ◽  
Vol 53 (3) ◽  
pp. 86-94
Author(s):  
Milena Despotović ◽  
Dragana Ristić-Ignjatović ◽  
Gorica Sbutega-Milošević ◽  
Mile Despotović ◽  
Ljiljana Antić

2017 ◽  
Vol 20 (5) ◽  
pp. 713-721 ◽  
Author(s):  
Roberta de Miranda Henriques Freire ◽  
Nivaldo Carneiro Junior

Abstract Objective: To analyze Brazilian scientific production on housing for autonomous elderly persons. Method: A descriptive, analytical integrative review type study was carried out. The following guiding question was defined: what is the Brazilian scientific production relating to housing for autonomous elderly persons in indexed on-line periodicals from 2000 to 2015? Results: Thirty-three articles were identified in total, of which only 13 met the inclusion criterion. Using the Content Analysis technique, the following categories were formed: Modalities of housing for the elderly; Public housing policies for the elderly and Housing and quality of life. Conclusion: Most of the studies discussed types of housing for the elderly, falling into the category "Modalities of housing for the elderly", and identifying a tendency towards one-person dwellings. In relation to the category "Public housing policies for the elderly", the articles reflected on the rights and the guarantees of the elderly in relation to a suitable home. The "Housing and quality of life" category aimed to compare the quality of life of elderly people living alone or with a partner, as well as their perception of exclusive condominium developments for this population. There is a need for research on the issue in question, since there is an increase in the number of elderly people without housing, making it necessary for the state to meet this demand.


2017 ◽  
Vol 54 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Émerson Soares PONTES ◽  
Ana Karênina de Freitas Jordão do AMARAL ◽  
Flávia Luiza Costa do RÊGO ◽  
Elma Heitmann Mares AZEVEDO ◽  
Priscila Oliveira Costa SILVA

ABSTRACT BACKGROUND The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. OBJECTIVE Characterize the life quality of the elderly swallowing affected by stroke. METHODS Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. RESULTS The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). CONCLUSION Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing.


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