Quality of life and functional disability among elderly enrolled in the family health strategy
Main Article Content
Abstract
Introduction: The compromise of elderly functionality has harmful consequences to family, community and the health system. Objective: To estimate the occurrence of low quality of life (QOL) among elderly, as well as to verify its association with functional disability, personal characteristics, health behaviors and subjective oral health conditions. Methods: Epidemiological study with 361 elderly individuals aged equal or higher 60 years registered in the three Family Health Units from the city of Ibiaí-MG. QOL was measured by the WHOQOL-bref questionnaire and the independent variables were personal characteristics, health behaviors, subjective oral health conditions and functional disability. Logistic regressions were made to estimate the multiple models and the final model was adjusted, maintaining the variables associated with p <0.05. Results: In the physical domain, there was a lower chance of low QOL among elderly consuming alcohol, and a higher chance among those using medication, who reported bad/terrible perception of teeth and gums appearance and among those with functional disability. In the psychological domain, there was a lower chance of low QOL among men, and a higher chance among elderly who reported bad/terrible perception of oral health and those with functional disability. In the social domain, there was a higher chance of low QOL among the elderly who reported bad/terrible perception of the teeth and gums appearance and who presented functional disability. Conclusion: There was a high occurrence of low QOL among elderly and the relation between low QOL and functional disability was evidenced.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
Torres GV, Reis LA, Reis LA. Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil. Arq Neuropsiquiatr. 2010;68(1):39-42.http://dx.doi.org/10.1590/S0004-282X2010000100009
Del Duca GF, Silva MC, Hallal PC. Disability relating to basic and instrumental activities of daily living among elderly subjects. Rev Saúde Pública.2009;43(5):796-805. http://dx.doi.org/10.1590/S0034-89102009005000057
Santos RL, Virtuoso Júnior JS. Confiabilidade da versão brasileira da Escala de atividades instrumentais da vida diária. RBPS. 2008; 21(4):290-6.
Sposito G, D’Elboux MJ, Neri AL, Guariento ME. A satisfação com a vida e a funcionalidade em idosos atendidos em um ambulatório de geriatria. Ciênc Saúde Coletiva. 2013;18(12):3475-82. http://dx.doi.org/10.1590/S1413-81232013001200004
VitorinoLM, Paskulin LMG, Vianna LAC. Quality of life among older adults resident in long-stay care facilities. Rev Latino-Am Enfermagem. 2012;20(6):1186-95. http://dx.doi.org/10.1590/S0104-11692012000600022
Somrongthong R, Wongchalee S, Ramakrishnan C, Hongthong D, Yodmai K, Wongtongkam N. Influence of socioeconomic factors on daily life activities and Quality of Life of Thai Elderly. J Public Health Res. 2017;6(1):862. http://dx.doi.org/10.4081/jphr.2017.862
Motta LB, Aguiar AC, Caldas CP. Estratégia Saúde da Família e a atenção ao idoso: experiências em três municípios brasileiros. Cad Saúde Pública. 2011;27(4):779-86. http://dx.doi.org/10.1590/S0102-311X2011000400017
Costa MFBNA, Ciosak SI. Atenção integral na saúde do idoso no Programa Saúde da família: visão dos profissionais de saúde. Rev Esc Enferm USP. 2010;44(2):437-44. http://dx.doi.org/10.1590/S0080-62342010000200028
Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saúde Pública. 2000;34(2):178-83. http://dx.doi.org/10.1590/S0034-89102000000200012
Harper A, Power M. Steps for checking and cleaning data and computing domain scores for the WHOQOL-bref. Disponível em: http://www.ufrgs.br/psiquiatria/psiq/sintaxe.pdf. Acesso em: 01 set. 2013.
World Health Organization (OMS). Quality os life Assessment (WHOQOL): position paper from the World Health Organization. Social Science and medicine. 1995; 41(10):403-9.
Barbosa BR, Almeida JM, Barbosa MR, Rossi-Barbosa LAR. Avaliação da capacidade funcional dos idosos e fatores associados à incapacidade. Ciênc Saúde Coletiva. 2014;19(8):3317-25. http://dx.doi.org/10.1590/1413-81232014198.06322013
Alves LC, Leite IC, Machado CJ. Conceituando e mensurando a incapacidade funcional da população idosa: uma revisão de literatura. Ciênc Saúde Coletiva. 2008; 13(4):1199-1207. http://dx.doi.org/ 10.1590/S1413-81232008000400016
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963;185(12):914-9.http://dx.doi.org/10.1001/jama.1963.03060120024016
Lino VTS, Pereira SEM, Camacho LAB, Ribeiro Filho ST, Buksman S. Adaptação transcultural da escala de independência em atividades da vida diária (Escala de Katz). Cad Saúde Pública 2008;24(1):103-12.http://dx.doi.org/10.1590/S0102-311X2008000100010
Brasil. Ministério da Saúde. Departamento de Atenção Básica, Secretaria de Atenção à Saúde. Envelhecimento e saúde da pessoa idosa. Brasília: Ministério da Saúde; 2007.
Rubenstein LZ, Wieland D, English P, Josephson K, Sayre JA, Abrass IB. The Sepulveda VA Geriatric Evaluation Unit: data on four-year outcomes and predictors of improved patient outcomes. J Am Geriatr Soc. 1984;32(7):503-12.http://dx.doi.org/10.1111/j.1532-5415.1984.tb02235.x
Lenardt MH, Carneiro NHK, Binotto MA, Willig MH, Lourenco TM, Albino J. Fragilidade e qualidade de vida de idosos usuários da atenção básica de saúde. Rev Bras Enferm. 2016;69(3):478-83. http://dx.doi.org/10.1590/0034-7167.2016690309i
Rauchbach R, Wendling NM. Evolução da construção de um instrumento de avaliação do nível de atividade física para idosos Curitibativa. FIEP Bull. 2009;79(Esp):543-7.
Oliveira AC, Oliveira NMD, Arantes PMM, Alencar MA. Quality of life in elderly people who practice physical activity - a systematic review. Rev Bras Geriatr Gerontol. 2010;13(2):301-12. http://dx.doi.org/10.1590/S1809-98232010000200014
Locker D, Quinõnez C. To what extent do oral disorders compromise the quality of life? Community Dent Oral Epidemiol. 2011;39(1):3-11.http://dx.doi.org/10.1111/j.1600-0528.2010.00597.x
Fuhrmann AC, Bierhals CCBK, Santos NO, Paskulin LMG. Associação entre a capacidade funcional de idosos dependentes e a sobrecarga do cuidador familiar. Rev Gaúcha Enferm. 2015;36(1):14-20. http://dx.doi.org/10.1590/1983-1447.2015.01.49163
Buurman BM, Van Munster BC, Korevaar JC, Haan RJ, Rooij SE. Variability in measuring (instrumental) activities of daily living functioning and functional decline in hospitalized older medical patients: a systematic review. J Clin Epidemiol. 2011; 64(6):619-27.http://dx.doi.org/10.1016/j.jclinepi.2010.07.005
Brasil. Ministério da Saúde. Coordenação Nacional de Saúde Bucal. Projeto SB Brasil 2010: pesquisa nacional de saúde bucal: resultados principais. Brasília: Ministério da Saúde; 2011.
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist.1969;9(3):179-86. https://doi.org/10.1093/geront/9.3_Part_1.179
Freitas CV, Sarges ESNF, Moreira KECS, Carneiro SR. Avaliação de fragilidade, capacidade funcional e qualidade de vidados idosos atendidos no ambulatório de geriatria de um hospital universitário. Rev Bras Geriatr Gerontol. 2016;19(1): 119-28. http://dx.doi.org/10.1590/1809-9823.2016.14244
Cornejo M, Pérez G, de Lima KC, Casals-Peidro E, Borrell C. Oral health-related quality of life in institutionalized elderly in Barcelona (Spain). Med Oral Patol Oral Cir Bucal. 2013;18(2):285-92.http://dx.doi.org/10.4317/medoral.18280
Vasconcelos LCA, Prado Júnior RR, Teles JBM, Mendes RF. Self-perceived oral health among elderly individuals in a medium-sized city in Northeast Brazil. Cad Saúde Pública. 2012;28(6):1101-10.http://dx.doi.org/10.1590/S0102-311X2012000600009
Lima BM, Araújo FA, Scattolin FAA. Qualidade de vida e independência funcional de idosos frequentadores do clube do idoso do município de Sorocaba. ABCS Health Sci. 2016;41(3):168-75. http://dx.doi.org/10.7322/abcshs.v41i3.907
Duarte YAO, Andrade CL, Lebrão ML. O Índex de Katz na avaliação da funcionalidade dos idosos. Rev Esc Enferm USP. 2007;41(2):317-25.http://dx.doi.org/10.1590/S0080-62342007000200021
Oliveira DAS, Nascimento Júnior JRA, Bertolini SMMG, Oliveira DV. Participação de idosas em grupos sociais: qualidade de vida e capacidade funcional. Rev Rene. 2016; 17(2):278-84. http://dx.doi.org/10.15253/2175-6783.2016000200016
César CC, Mambrini JVM, Ferreira FR, Lima-Costa MF. Capacidade funcional de idosos: análise das questões de mobilidade, atividades básicas e instrumentais da vida diária via Teoria de Resposta ao Item. Cad Saúde Pública. 2015;31(5):931-45. http://dx.doi.org/10.1590/0102-311X00093214
Camara FM, Gerez AG, Miranda MLJ, Velardi M. Capacidade funcional do idoso: formas de avaliação e tendências. Acta Fisiatr. 2008;15(4):249-56.
Paiva MHP, Pegorari MS, Nascimento JS, Santos AS. Fatores associados à qualidade de vida de idosos comunitários da macrorregião do Triângulo do Sul, Minas Gerais, Brasil. Ciênc Saúde Coletiva. 2016; 21(11):3347-56. http://dx.doi.org/10.1590/1413- 812320152111.14822015
Giacomin KC, Peixoto SV, Uchoa E, Lima-Costa MF.A population-based study on factors associated with functional disability among older adults in the Great Metropolitan Belo Horizonte, Minas Gerais State, Brazil. Cad Saúde Pública. 2008; 24(6):1260-70. http://dx.doi.org/10.1590/S0102-311X2008000600007
Campos ACV, Ferreira EF, Vargas AMD. Determinantes do envelhecimento ativo segundo a qualidade de vida e gênero. Ciênc Saúde Coletiva. 2015; 20(7):2221-37. http://dx.doi.org/10.1590/1413-81232015207.14072014
Coluci MZO, Alexandre NMC, Milani D. Construction of measurement instruments in the area of health. Ciênc Saúde Coletiva. 2015;20(3):925-36. http://dx.doi.org/10.1590/1413-81232015203.04332013