scholarly journals Desempenho cognitivo de idosos atendidos por acidente de trânsito

2019 ◽  
Vol 13 ◽  
Author(s):  
Mônica Neris de Lima ◽  
Marielle Maria Oliveira Barros ◽  
Ana Maria Ribeiro dos Santos ◽  
Adélia Dalva Da Silva Oliveira ◽  
Francisca Cecilia Viana Rocha

Objetivo: avaliar o desempenho cognitivo de idosos atendidos por acidente de trânsito. Método: trata-se de um estudo quantitativo, descritivo, observacional, transversal, em um hospital público. Compôs-se a amostra por 250 idosos. Utilizou-se a variável dependente do estudo a função cognitiva definida por meio do Mini Exame do Estado Mental e um formulário sociodemográfico elaborado pelos pesquisadores do estudo e processado estatisticamente. Resultados: caracterizou-se que a maioria dos idosos era do sexo masculino; com idades de 60 a 79 anos; estado civil casado; renda abaixo de um salário mínimo e natural de Teresina. Evidenciou-se, que a maioria dos idosos era apta cognitivamente, observando-se relação estatisticamente significativa entre a função cognitiva, faixa etária, escolaridade, estado civil e renda mensal. Revela-se que o tipo de acidente de trânsito que mais acometeu os idosos foi o atropelamento. Conclusão: manteve-se o desempenho cognitivo dos idosos acidentados preservado, no entanto, observaram-se fatores que mostraram relação como a idade mais avançada, a ausência de alfabetização, a viuvez e o nível econômico mais baixo. Descritores: Idoso; Acidentes de Trânsito; Enfermagem Geriátrica; Prevenção de Acidentes; Saúde do Idoso; Causas Externas.AbstractObjective: to evaluate the cognitive performance of elderly people treated by traffic accident. Method: this is a quantitative, descriptive, observational, cross-sectional study in a public hospital. The sample was composed by 250 elderly. The dependent variable of the study was the cognitive function defined through the Mini Mental State Examination and a sociodemographic form elaborated by the study researchers and processed statistically. Results: it was characterized that most of the elderly were male; aged 60 to 79 years; married marital status; income below a minimum wage and Teresina natural. Most of the elderly were cognitively fit, with a statistically significant relationship between cognitive function, age, education, marital status and monthly income. It is revealed that the type of traffic accident that most affected the elderly was being run over. Conclusion: the cognitive performance of the injured elderly was preserved, however, there were factors that showed a relationship such as older age, lack of literacy, widowhood and lower economic level. Descriptors: Aged Accidents; Traffic; Geriatric Nursing; Accident Prevention; Health of the Elderly; External Causes.ResumenObjetivo: evaluar el desempeño cognitivo de ancianos atendidos por accidente de tránsito. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal en un hospital público. La muestra estuvo compuesta por 250 ancianos. La variable dependiente del estudio fue la función cognitiva definida a través del Mini Examen del Estado Mental y una forma sociodemográfica elaborada por los investigadores del estudio y procesada estadísticamente. Resultados: se caracterizó que la mayoría de los ancianos eran varones; de 60 a 79 años de edad; estado civil: Casado; ingresos inferiores a un salario mínimo y natural de la ciudad de Teresina. La mayoría de los ancianos tenían un estado cognitivo adecuado, con una relación estadísticamente significativa entre la función cognitiva, la edad, la educación, el estado civil y el ingreso mensual. Se revela que el tipo de accidente de tránsito que más afectó a los ancianos fue atropellamiento. Conclusión: se conservó el rendimiento cognitivo de los ancianos lesionados, sin embargo, hubo factores que mostraron una relación como la edad avanzada, la falta de alfabetización, la viudez y el bajo nivel económico. Descriptores: Anciano; Accidentes de Tránsito; Enfermería Geriátrica; Prevención de Accidentes; Salud del Anciano; Causas Externas.

2008 ◽  
Vol 66 (4) ◽  
pp. 809-813 ◽  
Author(s):  
Keithlen Cruz Moreira de Castro ◽  
Ricardo Oliveira Guerra

Functional incapacity and cognitive impairment are conditions related to the process of human aging. Cognitive impairment is considered an important predicitve factor for functional impairment in elderly populations. This cross-sectional study analyzes the association between cognitive performance and functional capacity in an elderly population sample in Natal, Brazil. A total of 213 elderly persons were assessed by the BOAS Multidimensional Questionnaire (Brazil Old Age Schedule) and the Mini-Mental State Examination (MMSE). The results of multivariate analysis and linear regression showed that age and schooling level are factors associated with cognitive performance in the elderly of this study. The final explicative model, elaborated by logistic regression, found that cognitive performance was the only predicitve variable of functional incapacity for the activities of daily living even when adjusted for sociodemographic variables.


2021 ◽  
pp. 1-11
Author(s):  
Yongjie Chen ◽  
Yue Du ◽  
Zhuoyu Sun ◽  
Qian Liu ◽  
Changqing Sun ◽  
...  

Background: Handgrip strength (HGS) and serum folate and homocysteine (Hcy) levels were associated with cognitive function. However, little was known whether there were interactions between HGS and serum folate and Hcy levels on cognitive function. Objective: To examine the interactions between HGS and serum folate and Hcy levels on cognitive function. Methods: This study analyzed the baseline data of the Tianjin Elderly Nutrition and Cognition Cohort study. All participants aged ≥60 years were potential eligible. HGS was measured using a grip strength dynamometer. Serum folate and Hcy levels were assayed using standard laboratory protocol. A Mini-Mental State Examination was used to assess cognitive function. Linear regressions were employed to examine the interactions between HGS and serum folate and Hcy levels on cognitive function. Results: 4,484 participants were included in this study. There were interactions between HGS and serum folate and Hcy levels on cognitive function. Furthermore, subjects with strong HGS and sufficient folate level had the best cognitive function (β= 2.018), sequentially followed by those with strong HGS and insufficient folate level (β= 1.698) and with poor HGS and sufficient folate level (β= 0.873). Similarly, cognitive function was ranked in the descending order of subjects with strong HGS and normal Hcy level (β= 1.971), strong HGS and high Hcy level (β= 1.467), and poor HGS and normal Hcy level (β= 0.657). Conclusion: There were interactions between HGS and serum folate and Hcy levels on cognitive function. However, the temporal associations cannot be examined in a cross-sectional study. Further cohort study should be conducted to confirm these associations in the future.


2017 ◽  
Vol 5 (1) ◽  
pp. 23 ◽  
Author(s):  
Daniela Fernandes Tonholi ◽  
Gisele Oltramari

Aims: To determine the prevalence, cognitive performance and functionality of elderly people with Alzheimer's disease in long-stay institutions for the elderlyin the city of Bento Gonçalves. Methods: Cross-sectional study including 24 elderly residents in long-stay institutions for the elderly, sociodemographic datawere obtained, and the elderly were subjected to functional evaluation by the Functional Independence Measure and evaluation of cognitive performancethrough the mental state the Mini (MMSE). Results: Most of the residents were female (83%), as 54.2% schooling had completed junior high school, mostof the elderly (70.8%) was admitted by the will of the family, 100% of the elderly showed cognitive performance bad, and the smaller the more dependentcognitive performance was the individual. Conclusion: institutionalized elderly with Alzheimer's disease had negative results on cognitive performance,as well as deficits in their ability to perform activities of daily living, thus altering their functionality.Keywords: aging; functionality; cognition; Alzheimer Disease; long-stay institutions.


Author(s):  
Ingrid Alves Ribeiro ◽  
Luciano Ramos de Lima ◽  
Cris Renata Grou Volpe ◽  
Silvana Schwerz Funghetto ◽  
Tânia Cristina Maria Santa Barbara Rehem ◽  
...  

ABSTRACT Objective: To evaluate the frailty syndrome in the elderly nursing diagnosis in elderly with chronic diseases of a health district of the Federal District. Method: A quantitative, descriptive, cross-sectional study was conducted with elderly patients served at the Basic Health Units, who presented arterial hypertension and/or diabetes mellitus. The following were used: a sociodemographic questionnaire, the Mini-Mental State Examination, anthropometric data, evaluation of sarcopenia (measured by body composition), muscle strength and functional capacity, and the identification of NANDA-I nursing diagnosis. A statistical software was used for data analysis. Results: Participation of 78 elderly people, of which 93.6% of had Impaired memory, 93.6% had Impaired physical mobility, 82.1% had Fatigue, 76.9% had Impaired ambulation, 53.8% had Dressing self-care deficit, 43.6% had Activity Intolerance, 35.9% had Social Isolation, 30.8% had Hopelessness, 29.5% had Feeding self-care deficit, 29.5% had Bathing self-care deficit, 12.8% had Toileting self-care deficit, and 10.3% had Decreased cardiac output. Conclusion: The nursing diagnosis Frailty Syndrome in the Elderly allows a multidimensional view of the elderly. Since one factor can cause health problems in several health fields, nurses must intervene early, plan and implement actions in the short and long term.


2016 ◽  
Vol 118 (7) ◽  
pp. 1568-1578 ◽  
Author(s):  
Oyepeju Mary Onifade ◽  
Jesse Abiodun Otegbayo ◽  
Joshua Odunayo Akinyemi ◽  
Titus Ayodeji Oyedele ◽  
Ademola Richard Akinlade

Purpose – Improving the health of children under the age of five is one of the main objectives of primary healthcare services in most developing countries. The purpose of this paper is to identify the nutritional status of children under the age of five and its impact on cognitive function. Design/methodology/approach – The cross-sectional study was carried out in a semi-urban community in south-western Nigeria. The sample consisted of 220 school children under the age of five. Anthropometric measurements including weight, height and mid arm circumference were carried out to determine the nutritional status of the children. Cognitive function of the children was assessed using a developmental checklist developed by the American Academy of Pediatrics and their performance was graded as good, fair and poor. Findings – The overall prevalence of malnutrition in this study was low with stunting, underweight and wasting recording 8.2, 6.8 and 1.8 percent, respectively thereby making stunting the most common malnutrition indicator in this study. A large proportion of the children (88.6 percent) had good cognitive performance while 11.4 and 5.5 percent had fair and poor cognitive performance, respectively. Among the various malnutrition indicators measured in this study, stunting was found to have a statistically significant association with cognitive development (p=0.005).Stunted children have multiple functional disadvantages that persist throughout childhood and poor nutrition almost certainly plays a role. This paper calls for a need for the Nigerian Government to intervene by ensuring that policies are implemented that will ensure that health and nutritional needs of preschool children are guaranteed right from conception. Originality/value – In view of the importance of nutrition for cognition in children, this research has shown that the cognitive function of preschool children can be affected by stunting and it has contributed to global data on nutrition and cognition particularly in South-Western Nigeria.


2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 777-785 ◽  
Author(s):  
Vivian Carla de Castro ◽  
Leidyani Karina Rissardo ◽  
Lígia Carreira

ABSTRACT Objective: to identify the prevalence of physical aggression and neglect and abandonment in the hospitalizations of Brazilian elderly people for violence and assault from 2008 to 2013 and the association of these causes with socio-demographic variables related to hospitalization. Method: quantitative, descriptive, cross-sectional study with elderlies hospitalized for assault. Inclusion criteria: to be 60 years old or over, to have been hospitalized in the Unified Health System (SUS) for assault or neglect and abandonment, between 2008 and 2013. The data were collected in February 2016, in Datasus database and descriptive and inferentially, using the Chi-square distribution, in the Epi Info 3.5.4 program. Results: the prevalence of hospitalizations due to assaults and violence prevailed among 60 and 69 years old men in the public sector. For abandonment and neglect, there was a higher prevalence in women, over 80 years old, in the public sector. Conclusion: nurses must be able to identify and prevent violence against the elderly.


2018 ◽  
Vol 12 (3) ◽  
pp. 692
Author(s):  
Aires Garcia Dos Santos Junior ◽  
Jasmine De Oliveira Pedro ◽  
Mayara Chaves De Oliveira ◽  
Mara Cristina Ribeiro Furlan ◽  
Francielle Garcia Nascimento ◽  
...  

RESUMOObjetivo: descrever as características sociodemográficas e a autopercepção das condições de saúde de idosos. Método: estudo quantitativo, descritivo, de corte transversal, realizado com idosos de um Centro de Convivência. Para a análise dos dados, optou-se pela realização de dupla digitação em banco de dados para a codificação, permitindo a elaboração de um dicionário de códigos em planilha do Excel. Resultados: dos 106 (100%) entrevistados, a sua maioria é do sexo feminino, 67 (63,20%). Sobre a autopercepção de saúde, os idosos relataram em sua maioria ser “BOA” com 63 (59,42%). Em relação aos problemas de saúde, 78 (73,58%) idosos confirmaram ter algum tipo de doença: Hipertensão Arterial, 29 (27,35%); doenças osteomusculares, 17 (16,03%); e Diabetes Mellitus, 13 (12,26%). Conclusão: a maioria foi do sexo feminino, com faixa etária em maior índice entre os 60 e 69 anos. Entre os idosos entrevistados, a maioria referiu possuir uma boa percepção de saúde, 63 (59,42%). A importância para a enfermagem de se criar um perfil sociodemográfico e conhecer a autopercepção de saúde dos idosos colabora com o desenvolvimento assertivo de ações a essa população. Descritores: Idoso; Saúde do Idoso; Longevidade; Perfil de Saúde; Autoimagem.ABSTRACT Objective: to describe the sociodemographic characteristics and the self-perception of the health conditions of the elderly population. Method: this is a quantitative, descriptive, cross-sectional study carried out with elderly people from a Living Center. For the analysis of the data, it was chosen to perform double digitalization in the database for coding, allowing the elaboration of a code dictionary in Excel spreadsheet. Results: of the 106 (100%) interviewed, most of them were female, 67 (63.20%). Regarding self-perception of health, the elderly reported mostly being “GOOD” with 63 (59.42%). Regarding health problems, 78 (73.58%) elderly confirmed having some type of disease: Hypertension, 29 (27.35%); osteomuscular diseases, 17 (16.03%); and Diabetes Mellitus, 13 (12.26%). Conclusion: most were female, with the highest age group between 60 and 69 years old. Among the elderly interviewed, most of them reported having a good health perception, 63 (59.42%). The importance of the nursing of creating a sociodemographic profile and knowing the self-perception of the health of the elderly collaborates with the assertive development of actions to this population. Descriptors: Aged; Health of the Elderly; Longevity; Health Profile; Self Concept.RESUMEN Objetivo: describir las caracteríticas sociodemográficas y la autopercepción de las condiciones de salud de ancianos. Método: estudio cuantitativo, descriptivo, de cohorte transversal, realizado con ancianos de un Centro de Convivencia. Para el análisis de los datos, se optó por la realización de doble digitación en banco de datos para la codificación, permitiendo la elaboración de un diccionario de códigos en planilla de Excel. Resultados: de los 106 (100%) entrevistados, su mayoría es del sexo femenino, 67 (63,20%). Sobre la autopercepción de salud, los ancianos relataron en su mayoría ser “BUENA” con 63 (59,42%). En relación a los problemas de salud, 78 (73,58%) ancianos confirmaron tener algún tipo de enfermedad: Hipertensión Arterial, 29 (27,35%); enfermedades osteomusculares, 17 (16,03%); y Diabetes Mellitus, 13 (12,26%). Conclusión: la mayoría fue del sexo femenino, com edad en mayor índice entre los 60 y 69 años. Entre los ancianos entrevistados, la mayoría dijo poseer una buena percepción de salud, 63 (59,42%). La importancia para la enfermería de criarse un perfíl sociodemográfico y conocer la autopercepción de salud de los ancianos colabora con el desarrollo asertivo de acciones a esa población. Descriptores: Anciano; Salud del Anciano; Longevidad; Perfil de Salud; Autoimagen.


2019 ◽  
Vol 13 ◽  
Author(s):  
Carolina De Araújo Sampaio ◽  
Darliane Ribeiro da Silva ◽  
Flávia Luiza da Silva Almeida ◽  
Anderson Reis de Sousa ◽  
Thiago Da Silva Santana ◽  
...  

Objetivo: caracterizar o atendimento pré-hospitalar prestados a homens vítimas de acidentes de trânsito. Método: trata-se de um estudo quantitativo, descritivo, transversal, numa sede do Serviço de Atendimento Móvel de Urgência, compondo-se a amostra por 2.365 registros de atendimentos documentados em prontuários de homens que sofreram acidentes por causas externas. Apresentaram-se os resultados em tabelas. Resultados: identificou-se um elevado índice de acidentes de trânsito envolvendo motocicletas com homens jovens em idade produtiva, onde a grande maioria dos atendimentos foi realizada por USB e o turno de maior incidência foi o noturno. Conclusão: verificou-se, por meio do estudo, a indispensabilidade de medidas de ações preventivas, educativas e de fiscalização no trânsito por parte de órgãos. Descritores: Masculinidades; Saúde do Homem; Causas Externas; Acidentes de Trânsito Acidente de Tráfego, Traumatismos; Assistência de Ambulatorial.AbstractObjective: to characterize the prehospital care provided to men victims of traffic accidents. Method: this is a quantitative, descriptive, cross-sectional study at a Mobile Emergency Service Headquarters, comprising a sample of 2,365 records of care documented in medical records of men who suffered accidents due to external causes. Results were presented in tables. Results: a high rate of traffic accidents involving motorcycles with young men of productive age was identified, where most of the attendance was performed by BSU and the shift with the highest incidence was nocturnal. Conclusion: it was verified, through the study, the indispensability of preventive, educational and inspection measures in the transit by organs. Descriptors: Masculinities; Human Health; External Causes; Traffic-Accidents. Traffic Accident. Injuries. Ambulatory Care.ResumenObjetivo: caracterizar la atención pre hospitalaria prestada a hombres víctimas de accidentes de tránsito. Método: se trata de un estudio cuantitativo, descriptivo, transversal, en una sede del Servicio de Atención Móvil de Urgencia, con muestra compuesta por 2.365 registros de atendimientos documentados en prontuarios de hombres que sufrieron accidentes por causas externas. Se presentaron los resultados en tablas. Resultados: se identificó un elevado índice de accidentes de tránsito involucrando motocicletas con hombres jóvenes en edad productiva, donde la gran mayoría de las atenciones fue realizada por USB y el turno de mayor incidencia fue el nocturno. Conclusión: se verificó, por medio del estudio, la indispensable de medidas de acciones preventivas, educativas y de fiscalización en el tránsito por parte de órganos. Descriptores: Masculinidades; Salud del Hombre; Causas Externas; Accidentes de Tráfico Accidente de Tráfico, Traumatismos; Atención Ambulatoria.


2021 ◽  
Author(s):  
Sohyae Lee ◽  
Jin-Young Min ◽  
Kyoung-Bok Min

Abstract Background Chloroform is a water disinfection by-product associated with hepatic, renal and neurotoxicity. High concentrations of chloroform are known to cause central nervous system depression; however, the association between blood chloroform levels and cognitive function in the general elderly population is unknown. In this study, we investigated the association between blood chloroform levels and cognitive function in the elderly US population (n=782). Methods We analyzed blood chloroform levels and cognitive function, as measured by the digit symbol substitution test (DSST), from the 2011-2012 and 2013-2014 National Health and Nutrition Examination Surveys (NHANES) for participants aged 60 years and older. Blood chloroform levels were measured using capillary gas chromatography and mass spectrometry with selected-ion monitoring detection and istotope-dilution. Results After adjusting for all covariates, increases in log-transformed blood chloroform levels were significantly associated with decreased DSST scores (β = -1.56, SE = 0.57, p-value 0.010). Compared with individuals in the lowest quartile of blood chloroform, the regression coefficients were significantly lower among those in the second and third tertile (tertile 2 β = -3.00 (SE = 1.25, p-value 0.022); tertile 3 β = -4.05 (SE = 1.22, p-value 0.002)). After stratification by obesity status, increases in log-transformed chloroform levels showed borderline significant associations with decreased DSST scores among the obese (β = -1.71, SE = 0.85, p-value 0.052). Conclusions Our finding suggest a possible link between blood chloroform levels and cognitive function in the US elderly population.


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