Prevalência e fatores associados à percepção negativa de autocuidado em idosos brasileiros residentes na comunidade / Prevalence of negative perception of self-care among Brazilian older adults living in the community and associated factors

OBJETIVO: Descrever e identificar fatores de natureza sociodemográfica e de comportamentos em saúde associados à percepção negativa de autocuidado em idosos residentes na comunidade de sete cidades brasileiras. MÉTODOS: Trata-se de um estudo transversal com dados do Estudo sobre Fragilidade em Idosos Brasileiros. Foram selecionadas características sociodemográficas, de comportamentos relacionados à saúde e de percepção de autocuidado em saúde. Para as análises, foram estimadas as distribuições percentuais e os respectivos intervalos de confiança de 95%, com nível de significância de 5%. Foi utilizada a análise de regressão logística univariada e multivariada, com critério stepwise de seleção de variáveis. RESULTADOS: Da amostra total de 2.552 idosos, a maioria foi de mulheres (65,8%), com idade média de 72,3 ± 5,5 anos. A pior percepção de autocuidado foi associada à não utilização de serviço odontológico (OR = 1,48; p < 0,001), faixa de renda de 1,1 a 3 salários mínimos (OR = 1,46; p = 0,049), tabagismo (OR = 1,41; p = 0,030), sedentarismo (OR = 1,32; p = 0,003) e sexo masculino (OR = 1,24; p = 0,023). CONCLUSÃO: Embora não tenham sido encontradas altas frequências de comportamentos negativos em saúde, destaca-se a associação com fatores modificáveis, como o sedentarismo e o tabagismo. A ausência de busca por serviços odontológicos continua sendo aspecto desafiador entre idosos. Os resultados apontam para um potencial indicador subjetivo nos levantamentos clínicos e de pesquisa em saúde ao longo do envelhecimento.

OBJECTIVE: To describe and identify sociodemographic factors and health behaviors associated with a negative perception of self-care in community-resident older adults in seven Brazilian cities. METHODS: This is a cross-sectional analysis of data from the Frailty in Brazilian Older Adults (FIBRA) study. Sociodemographic characteristics, health-related behaviors, and perception of self-care in health were assessed. For analysis, percentage distributions and respective 95% confidence intervals were estimated, at a significance level of 5%. Univariate and multivariate logistic regression analyses were carried out, with stepwise variable selection. RESULTS: Of 2,552 older adults in the overall sample, most (65.8%) were women, with a mean age of 72.3 ± 5.5 years. The worst perception of self-care was associated with non-use of dental care services (OR = 1.48, p < 0.001), income range from 1.1 to 3 times the minimum wage (OR = 1.46, p = 0.049), smoking (OR = 1.41, p = 0.030), sedentary lifestyle (OR = 1.32, p = 0.003), and male gender (OR = 1.24, p = 0.023). CONCLUSION: Although no high frequencies of negative health behaviors were found, the association of poor perception of self-care with modifiable factors, such as sedentary lifestyle and smoking, stands out. Failure to seek dental care continues to be a challenging aspect among the elderly. These results point to a potential subjective indicator for clinical and health research surveys throughout the aging process.

Investigation of state-trait anxiety and behavior life style in patients with abrupt deafness before hyperbaric oxygen therapy / 中国实用护理杂志

Objective To study the state-trait anxiety and behavior life style in patients with abrupt deafness before hyperbaric oxygen therapy and analyze the cause of abrupt deafness and untoward behavior life style for treatment. Methods Patients with abrupt deafness (60 cases) were investigated about their condition of state-trait anxiety and behavior life style by state-trait anxiety inventory (S-AI) and self-designed questionnaires. Results The score of S-AI was (47.55±8.32),which was higher than that of normal healthy people (39.31±8.66).Untoward behavior life style existed in many patiants,such as unreasonable diet,high mental pressure, unbalance of mental state, no disciplinarian in work and rest, un-healthy behavior life style, unmerited health seeking behavior, etc. Conclusions Nurses should supply health education about relative knowledge selectively to patients with abrupt deafness in order to increase the health seeking behavior and establish healthy behavior life style for them.