scholarly journals Estado mental dos idosos em hemodiálise no serviço de nefrologia

2019 ◽  
Vol 13 (5) ◽  
pp. 1192
Author(s):  
Alexandre Lins Werneck ◽  
Rita de Cássia Helu Mendonça Ribeiro ◽  
Claudia Beranardi Cesarino ◽  
Daniele Alcalá Pompeo ◽  
Daniela Comelis Bertolin ◽  
...  
Keyword(s):  
Mental State ◽  
Cognitive Aging ◽  
Cognitive Deficit ◽  
Treatment Time ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Clinical Aspects ◽  
Status Change ◽  
Cross Sectional ◽  
Significant Difference

RESUMO Objetivo: caracterizar os aspectos sociodemográficos, econômicos e clínicos e analisar o estado mental dos idosos em hemodiálise. Método: trata-se de um estudo quantitativo, analítico, descritivo, transversal. Compôs-se a amostra por 94 pacientes idosos, com 65 anos ou mais, em tratamento no serviço de hemodiálise. Realizou-se o estudo por meio de instrumento de caracterização dos sujeitos e questionário miniexame do estado mental. Testou-se, na análise estatística, a diferença entre o número de indivíduos com e sem alteração do estado mental por meio de teste binomial, utilizado o critério de Akaike (AIC) e a regressão logística. Apresentaram-se os resultados em forma de tabelas e figuras. Resultados: ressalta-se que destes, 78% apresentaram deficit cognitivo, demonstrando diferença significativa (p<0.01). Apresentaram-se as variáveis “idade” e “origem” (urbana ou rural) relevância com a presença e a ausência de deficit cognitivo. Verificou-se que a idade apresentou aumento de 62% nas chances de deficit para cada um ano de idade do paciente. Conclusão: concluiu-se que a maioria dos idosos apresentou deficit cognitivo independente do tempo de tratamento, o que pode ser um indício de efeito momentâneo da hemodiálise nos pacientes. Descritores: Geriatria; Envelhecimento Cognitivo; Hemodiálise; Cognição; Doença Renal Crônica; Enfermagem.ABSTRACT Objective: to characterize sociodemographic, economic and clinical aspects and to analyze the mental state of the elderly on hemodialysis. Method: this is a quantitative, analytical, descriptive, cross-sectional study. The sample was composed of 94 elderly patients, aged 65 years or more, undergoing treatment at the hemodialysis service. The study was carried out by means of an instrument of characterization of the subjects and miniexame questionnaire of the mental state. In the statistical analysis, the difference between the number of individuals with and without mental status change was tested using a binomial test, using the Akaike criterion (AIC) and logistic regression. Results were presented in the form of tables and figures. Results: 78% presented cognitive deficits, showing a significant difference (p <0.01). We presented the variables "age" and "origin" (urban or rural) relevance with the presence and absence of cognitive deficit. It was verified that the age presented a 62% increase in the chances of deficit for each one year of age of the patient. Conclusion: it was concluded that the majority of the elderly presented cognitive deficit independent of treatment time, which may be an indication of momentary effect of hemodialysis in patients. Descriptors: Geriatrics; Cognitive Aging; Hemodialysis; Cognition; Chronic Kidney Disease; Nursing.RESUMEN Objetivo: caracterizar los aspectos sociodemográficos, económicos y clínicos y analizar el estado mental de los ancianos en hemodiálisis. Método: se trata de un estudio cuantitativo, analítico, descriptivo, transversal. Se compuso la muestra por 94 pacientes ancianos, con 65 años o más, en tratamiento en el servicio de hemodiálisis. Se realizó el estudio por medio de instrumento de caracterización de los sujetos y cuestionario mini examen del estado mental. En el análisis estadístico se probó la diferencia entre el número de individuos con y sin alteración del estado mental por medio de la prueba binomial, utilizado el criterio de Akaike (AIC) y la regresión logística. Se presentaron los resultados en forma de tablas y figuras. Resultados: se resalta que de éstos, 78% presentaron déficit cognitivo, demostrando diferencia significativa (p <0.01). Se presentaron las variables "edad" y "origen" (urbana o rural) relevancia con la presencia y la ausencia de déficit cognitivo. Se verificó que la edad presentó un aumento de 62% en las posibilidades de déficit por cada año de edad del paciente. Conclusión: se concluyó que la mayoría de los ancianos presentó déficit cognitivo independiente del tiempo de tratamiento, lo que puede ser un indicio de efecto momentáneo de la hemodiálisis en los pacientes. Descriptores: Geriatría; Envejecimiento Cognitivo; Diálisis Renal; Cognición; Insuficiência Renal Crônica; Enfermería.

scholarly journals Assessment of caregiver burden with elderly having cognitive deficit

2012 ◽  
Vol 25 (6) ◽  
pp. 908-913 ◽  
Author(s):  
Aline Cristina Martins Gratao ◽  
Luana Flávia da Silva Talmelli ◽  
Vanderlei José Haas ◽  
Sueli Marques ◽  
Luciana Kusumota ◽  
...  
Keyword(s):  
Caregiver Burden ◽  
Cognitive Deficit ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cognitive Capacity ◽  
Cross Sectional ◽  
Caregiver Health ◽  
Burden Scale ◽  
Double Entry ◽  
Self Reporting Questionnaire

To characterize the elderly with cognitive déficit, and family caregivers who live in the urban communit,y and to identify the caregiver burden. METHODS: An observational, cross-sectional study, conducted between January and July 2009. Seventy elderly (aged 65 and older) were assessed for cognitive deficit using the Mini Mental State Examination (MMSE); their 70 caregivers were evaluated by the Zarit Burden Scale (ZBS) and the Self Reporting Questionnaire (SRQ). The data were entered and validated by double entry in the MS Excel Program, and were analyzed using SPSS software, version 15.0. RESULTS: Of the caregivers, 47.1% were children. We obtained a mean for the ZBS of 30.3 (± 17.3) and 6.2 (± 3.2) for the SRQ, p <0.05, correlating lower scores of the MMSE with high scores on ZBS and SRQ. CONCLUSIONS: Cognitive deficit of the elderly was a predictive factor for burden and emotional distress of caregivers. Knowing the reduction of cognitive capacity related to caregiver burden is essential for preserving caregiver health.

The Evaluation of the Awareness, Attitude and Practice of the Elderly Toward Self-Medication: A Cross-Sectional Study

Drug Research ◽  
2018 ◽  
Vol 68 (08) ◽  
pp. 475-480
Author(s):  
Mohammad Heidari ◽  
Mansureh Borujeni ◽  
Mansour Ghafourifard ◽  
Rahim Sheikhi
Keyword(s):  
Rural Areas ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Average Score ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Age Related ◽  
Significant Difference ◽  
Urban And Rural Areas

Abstract Introduction The prevalence of various diseases in the elderly has increased the use of drugs, which is coupled with age-related physiological changes and places the elderly at risk for multiple side effects. The present study aimed to determine awareness, attitudes and practices of elderly towards self-medication. Materials and Methods The sample included 300 participants over 60 years under any of the health centers in urban and rural areas of Abadeh city, who were selected based on stratified random sampling method. In order to collect data, the questionnaire including demographic information, awareness, attitude and performance of the elderly and the checklist of drug intractable consumption. Results Based on the results, 76% of the elderly reported drug consumption. Regarding lifestyle, the average score of the elderly’s awareness for the elderly who lived with and without families were 78.6±14.2 and 69.2±13.6, respectively. In other words, a significant difference was observed between these two groups. In addition, there was a significant between the elderly’s performance score with and without family members about the self-medication (p=0.001). Conclusion Considering the increase in self-medication among the elderly, adherence to prescription criteria for drug among this age group is recommended. Finally, designing and implementing various educational programs in health education center is necessary for the elderly and their families for the purpose of improving awareness and practice.

scholarly journals Malnutrition in free-living elderly in rural south India: prevalence and risk factors

2009 ◽  
Vol 13 (9) ◽  
pp. 1328-1332 ◽  
Author(s):  
Aditya Vedantam ◽  
Vijay Subramanian ◽  
Nicholas Vijay Rao ◽  
KR John
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Free Living ◽  
Cross Sectional ◽  
Significant Difference

AbstractObjectiveTo estimate the prevalence of malnutrition among free-living elderly in a rural population of south India.DesignCross-sectional study. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) questionnaire, which is an eighteen-item nutritional screening instrument used in the elderly.SettingKaniyambadi block, a rural development block in the state of Tamil Nadu, south India.SubjectsCommunity-dwelling elderly (aged 60 years and above).ResultsAs evaluated by the MNA, 14 % of the 227 subjects were malnourished and 49 % were at risk of malnourishment. No significant difference was found between men and women. The majority of the elderly were living with their children, had no income and consumed three meals per day. Older age (P < 0·001), decreased food intake (P < 0·001) and consuming fewer meals (P < 0·001) were independently associated with lower MNA scores.ConclusionsMore than 60 % of the subjects had low MNA scores (<23·5) indicating that deficient protein–energy intake is common among rural elderly of south India and requires more attention.

scholarly journals Predictors of nursing workload in elderly patients admitted to intensive care units

2008 ◽  
Vol 16 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Cleber Ricardo de Sousa ◽  
Leilane Andrade Gonçalves ◽  
Maria Cecília Toffoleto ◽  
Karine Leão ◽  
Kátia Grillo Padilha
Keyword(s):  
Intensive Care ◽  
Elderly Patients ◽  
The Elderly ◽  
Simplified Acute Physiology Score ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Significant Difference ◽  
Surgical Icu ◽  
Independent Risk Factors

The age of patients is a controversial issue in admission to intensive care unit (ICU). The aim of this study was to compare severity and nursing workload of elderly patients with 60-69, 70-79, and e"80 years of age and to identify predictors of nursing workload in elderly patients. A cross sectional study was performed with a sample of 71 elderly patients admitted to three ICU in the city of Sao Paulo, Brazil from October to November 2004. Data were prospectively collected using Nursing Activities Score (NAS) and Simplified Acute Physiology Score II (SAPS II). There was no significant difference in nursing workload among the elderly patients age subgroups (p=0.84). Multiple regression analysis indicated that the independent risk factors of high nursing workload were severity, age e"70 years, and to be a surgical ICU patient. Age as an isolated factor should not be discriminative for elderly patients admission to ICU.

scholarly journals Severity-dependent variations of the neutrophil to lymphocyte ratio (NLR) in peripheral vestibular vertigo

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Andi Kurnia Bintang ◽  
Eva Iin Magasingan
Keyword(s):  
Inflammatory Marker ◽  
Cost Effective ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Neutrophil To Lymphocyte Ratio ◽  
University Teaching ◽  
Cross Sectional ◽  
Lymphocyte Ratio ◽  
Significant Difference ◽  
Vestibular Vertigo

Abstract Background Peripheral vestibular vertigo is a common cause of vertigo especially in the elderly. The neutrophil to lymphocyte ratio (NLR) is a rapid and cost-effective inflammatory marker that has been assessed previously in peripheral vestibular disorders. However, its relation to the severity of peripheral vertigo has not been previously investigated. The aim of this study is to assess the levels of NLR in peripheral vestibular vertigo of various severity categories. This was a cross-sectional study at the Wahidin Sudirohusodo Hospital and Hasanuddin University Teaching Hospital in Makassar. The NLR was measured among subjects with periphel vestibular vertigo with severity categorised using the Dizziness Handicap Inventory (DHI) questionnaire. Results A total of 39 participants with peripheral vestibular vertigo were recruited. A statistically significant difference was found (p = 0.002, Kruskal–Wallis ANOVA) between the mean NLR for the mild, moderate, and severe DHI categories were 2.47 ± 1.66, 2.64 ± 0.96, and 5.15 ± 2.59 respectively. Conclusion A significant difference in the NLR was found between the three different vertigo severity groups, wherein NLR values rise with increase in vertigo severity. This warrants further exploration on the role of inflammatory biomarkers in vertigo pathophysiology and clinical assessment.

scholarly journals Investigating Speech Tempo, Speaking Rate, and the Related Factors in the Iranian Elderly Women Talking with Tehrani and Semnani Accents

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Maryam Mokhlesin ◽  
Mehran Choubineh ◽  
Alireza Ghasemi ◽  
Zahra Ahmadizadeh ◽  
Fatemeh Kasbi
Keyword(s):  
Verbal Fluency ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Speaking Rate ◽  
Related Factors ◽  
Cross Sectional ◽  
Level Of Education ◽  
Significant Difference ◽  
Convenience Sampling

Background: Some variables, such as age, gender, regional and dialectical differences influence speech tempo. Men and younger individuals speak faster than women and the elderly. Therefore, these variations should be considered when assessing speaking rate. Objectives: Since different accents influence speaking rates and there is no previous study investigated speech tempo with respect to regional and accent differences in Iran, and given that the elderly are more prone to problems influencing speaking rate, the present study was done to compare speech tempo and speaking rate in two different accents, namely Tehrani and Semnani, and to investigate some related factors. Methods: This cross-sectional study was performed on 200 elderly women selected via convenience sampling method. Speech tempo, speaking rate, verbal fluency, and cognition scores were compared using an independent-samples t-test. Pearson’s correlation coefficient test was used to assess correlations between speaking rate and level of education, Montreal cognitive assessment (MoCA), and verbal fluency scores. Results: No significant difference was found in speech tempo between the studied accents (P = 0.13). Speaking rate was significantly slower in the Tehrani accent than the Semnani one (P = 0.04). The Tehrani elderly obtained significantly less scores in verbal fluency and MoCA ((P ≤ 0.001) and (P = 0.04), respectively. In both groups, speaking rate had a significant correlation with verbal fluency and MoCA scores but not with level of education. Conclusions: Although, our results showed no difference in speech tempo between the studied accents, the Tehrani elderly unexpectedly spoke more slowly meaning that they paused more while speaking. There was a relationship between faster speaking, better verbal fluency, and cognitive performance.

scholarly journals PULMONARY TUBERCULOSIS

2011 ◽  
Vol 18 (01) ◽  
pp. 89-92
Author(s):  
NAVEED SHARIF ◽  
NAZIR AHMED ◽  
FAWAD HAMEED ◽  
Nosheen Rehan ◽  
Jawad Khan
Keyword(s):  
Pulmonary Tuberculosis ◽  
Radiological Finding ◽  
The Elderly ◽  
Cross Sectional Study ◽  
P Value ◽  
Lower Zone ◽  
Cross Sectional ◽  
Age Related ◽  
Significant Difference ◽  
Group 2

Objective: To study the age related radiological finding in pulmonary tuberculosis. Study design: A cross sectional study. Place and duration of study: From January 2009 to December 2009 pulmonary department of Bahawal Victoria Hospital Bahawal Pur. Patients and method: The cases diagnosed as pulmonary tuberculosis of either gender above age of 12 years were included in the study. Patients suffering from extra pulmonary tuberculosis, treatment failure, relapse, drug resistant tuberculosis and HIV sero-positive patients were excluded from the study. Patients were divided into groups according to the age. Group 1 consist of patients having age ≥ 50years while group 2 consist of patients having <50 years. Data was recorded on the Proforma and was analyzed statistically on SPSS 11. Results: this study consists of 106 patients and divided into two groups. It has been found that apical zone of lung involvement was more common in patients younger than 50 years while involvement of lower zone was more common in patients with age ≥50years. No significant difference was found regarding the involvement of middle zone, multiple zones and the type of lesions as the p-value was >0.05. Conclusions: the elderly patients with pulmonary tuberculosis have predominant involvement of lower zones. So, lower zone involvement of radiological lesions should be evaluated for pulmonary tuberculosis to start the treatment earlier and to minimize the risk of missing the diagnosis.

scholarly journals The best predictor of anxiety, stress, and depression among institutionalized elderly

2019 ◽  
Vol 8 (4) ◽  
pp. 419
Author(s):  
Ni Putu Wulan Purnama Sari ◽  
Maria Manungkalit
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Intervention Development ◽  
Community Setting ◽  
The Elderly ◽  
Psychological Problem ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Elderly Living

Anxiety, stress, and depression are the three most common negative emotional constructs found in the elderly. Evidences available worldwide about how psychological problem could be resulted in mental disorder, and there is significant difference in the context of living in the nursing home and in community setting. This study aimed to determine the best predictor of anxiety, stress, and depression in elderly living in the nursing home, useful for future modification and intervention development. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. HARS, SPST-20, and GDS were used in data collection. Linear regression and one way ANOVA tests were used in data analysis (α&lt;0.05). Results showed that mostly in old individuals, mild anxiety and stress, and undepressed state were found. Sensory problems and concentration difficulties were the best predictor of anxiety and stress respectively, which were accounted for 61.2% and 65.6% variances of anxiety and stress in nursing home residents respectively. Spirits, life energy, happiness, and feeling wonderful to be alive could not predict depression significantly. Feeling inferior to others is the best predictor of depression, which was accounted for 25.9% variance of depression in this population. Low self-esteem leads to depression in nursing home residents.

scholarly journals Diagnósticos de enfermagem para idosos frágeis institucionalizados

2019 ◽  
Vol 13 (4) ◽  
pp. 966
Author(s):  
Bruna Karen Cavalcante Fernandes ◽  
Abna Gomes Soares ◽  
Brena Valdivino Melo ◽  
Willan Nogueira Lima ◽  
Cintia Lira Borges ◽  
...  
Keyword(s):  
Statistical Significance ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Dry Skin ◽  
Cross Sectional ◽  
Term Care ◽  
Impaired Vision ◽  
Significant Difference ◽  
Nursing Diagnoses

RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 53 idosos em uma Instituição de Longa Permanência para Idosos. Utilizaram-se a escala de fragilidade de Edmonton e um instrumento de coleta de dados baseado em Henderson. Fundamentaram-se os diagnósticos na CIPE®, versão 2015. Analisaram-se os dados nos softwares SPSS e Stata apresentando-os em tabela. Resultados: elaboraram-se 178 diagnósticos de Enfermagem dos quais prevaleceram 15 em mais de 20% da amostra. Destacaram-se “Risco de Queda” (84,9%), “Visão prejudicada” (49,1%), “Marcha prejudicada” (37,7%), “Insônia” (28,3 %), “Sono prejudicado” (26,4%), “Humor deprimido” (24,5%) e “Pele seca” (24,5%). Obteve-se significância estatística entre “Risco de queda” (p = 0,008) e “Pele seca” (p= 0,021) e o nível de fragilidade. Houve, ainda, significância entre o número de diagnósticos e o nível de fragilidade (p<0,001) de modo que, quanto maior o nível de fragilidade, mais diagnósticos. Conclusão: elaborou-se 178 diagnósticos de Enfermagem, dos quais prevaleceram 15, sendo o “Risco de queda” o mais prevalente. Contribuir-se á com esse estudo para divulgar a linguagem diagnóstica CIPE® e sensibilizar os enfermeiros acerca da importância de seu uso.  Descritores: Enfermagem; Terminologia; Diagnóstico de Enfermagem; Idoso; Instituição de longa permanência para idosos; Fragilidade.ABSTRACT Objective: to elaborate nursing diagnoses for institutionalized frail elderly. Method: this is a quantitative, descriptive, cross-sectional study with 53 elderly people in a Long-Term Care Institution for the Elderly. The Edmonton Frailty Scale and a Henderson-based data collection instrument were used. The diagnoses were based on CIPE®, version 2015. Data was analyzed in the SPSS and Stata software and presented in a table. Results: 178 Nursing diagnoses were elaborated, of which 15 were prevalent in more than 20% of the sample. "Impaired vision" (49.9%), "impaired vision" (37.7%), "insomnia" (28.3%), "impaired sleep" "(26.4%)," depressed mood "(24.5%) and" dry skin "(24.5%). Statistical significance was obtained between "Risk for falls" (p = 0.008) and "Dry skin" (p = 0.021) and the level of frailty. There was also a significant difference between the number of diagnoses and the level of frailty (p <0.001), so that the higher the level of frailty, the more diagnoses. Conclusion: 178 Nursing diagnoses were elaborated, of which 15 prevailed, being the "Risk for fallsing" the most prevalent. It will contribute to this study to disseminate the diagnostic language ICNP® and to make nurses aware of the importance of its use. Descriptors: Nursing; Terminology; Nursing diagnosis; Old man; Long-term institution for the elderly; Frailty.RESUMEN Objetivo: elaborar diagnósticos de enfermería para ancianos frágiles institucionalizados. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 53 ancianos en una Institución de Larga Permanencia para ancianos. Se utilizaron la escala de fragilidad de Edmonton y un instrumento de recolección de datos basado en Henderson. Se fundamentaron los diagnósticos en la CIPE®, versión 2015. Se analizaron los datos en el software SPSS y Stata presentándolos en tabla. Resultados: se elaboraron 178 diagnósticos de Enfermería de los cuales prevalecieron 15 en más del 20% de la muestra. Se destacaron “Riesgo de Caída” (84,9%), “Visión perjudicada” (49,1%), “Marcha perjudicada” (37,7%), “Insomnio” (28,3%), “Sueño perjudicado” (26,4%), "Humor deprimido" (24,5%) y "Piel seca" (24,5%). Se obtuvo significancia estadística entre "Riesgo de caída" (p = 0,008) y "Piel seca" (p = 0,021) y el nivel de fragilidad. Se observó una correlación entre el número de diagnósticos y el nivel de fragilidad (p <0,001), de modo que, cuanto mayor sea el nivel de fragilidad, más diagnósticos. Conclusión: se elaboraron 178 diagnósticos de Enfermería, de los cuales prevalecieron 15, siendo el "Riesgo de caída" el más prevalente. Se contribuirá con este estudio para divulgar el lenguaje diagnóstico CIPE® y sensibilizar a los enfermeros acerca de la importancia de su uso. Descriptores: Enfermería; Terminología; Diagnóstico de Enfermería; Anciano; Hogares para Ancianos; Fragilidad.

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