Avaliação do perfil e da qualidade de vida de pessoas idosas com estomias de eliminação / Assessment of profile and quality of life of elderly people with elimination ostomies / Avaluación del perfil y calidad de vida de las personas mayores con estomas de eliminación

Objetivo:Avaliar o perfil epidemiológico e a qualidade de vida das pessoas idosas com estomias de eliminação de uma microrregião de saúde de Minas Gerais. Métodos: Trata-se de um estudo transversal realizado em um serviço público de atenção à saúde. Para descrição do perfil foram avaliados todos os prontuários de pessoas idosas com estomias. Em seguida, foi avaliada a qualidade de vida por meio do questionário City of Hope-Quality of Life-Ostomy Questionnaire. Resultados: Verificou-se uma população majoritariamente feminina (55,2%) com idade média de 67 anos (± 8,8). As estomias eram em 64% definitivas, tendo o câncer colorretal o principal diagnóstico (71%) e em 41,4% apresentavam dependência parcial para o autocuidado. Com relação à avaliação da qualidade de vida, os domínios bem-estar espiritual, físico e social apresentaram melhores indicadores de avaliação (8,1; 8,1; e 8,2 respectivamente). Evidenciou-se que o tipo de estomia e o tempo de permanência se associam negativamente com a qualidade de vida das pessoas com estomias. Conclusão: A qualidade de vida de idosos com estomia de eliminação mostrou-se bem avaliada, principalmente nos domínios bem-estar físico, social e espiritual.

Objective:The aim of this study was to assess the epidemiological profile and quality of life of elderly people with elimination ostomy in a health region in Minas Gerais. Methods: This is a cross-sectional study carried out in a public health care service. To describe the profile, all medical records of elderly people with ostomy were evaluated. Then, quality of life was assessed using the City of Hope-Quality of Life-Ostomy Questionnaire. Results:There was a mostly female population (55.2%) with a mean age of 67 years (± 8.8). In 64%, the ostomies were definitive, with colorectal cancer being the main diagnosis (71%) and in 41.4% they were partially dependent on self-care. Regarding the assessment of quality of life, the domains of spiritual, physical and social well-being had better assessment indicators (8.1; 8.1; and 8.2 respectively). It was evident that the type of ostomy and the length of stay are negatively associated with the quality of life of people with ostomies. Conclusion: The quality of life of elderly people with an elimination ostomy was well evaluated, especially in the domains of physical, social and spiritual well-being.

Objetivo:El objetivo de este estudio fue evaluación del perfil epidemiológico y la calidad de vida de los ancianos con ostomía en una región sanitaria de Minas Gerais. Métodos: Se trata de un estudio transversal realizado en un servicio público de salud. Para describir el perfil se evaluaron todas las historias clínicas de ancianos con ostomía. Luego, la calidad de vida se evaluó mediante el Cuestionario City of Hope-Quality of Life-Ostomy. Resultados: Se encontró una población mayoritariamente femenina (55,2%) con una edad media de 67 años (± 8,8). En el 64% las ostomías fueron definitivas, siendo el cáncer colorrectal el diagnóstico principal (71%) y en el 41,4% fueron parcialmente dependientes del autocuidado. En cuanto a la evaluación de la calidad de vida, los dominios de bienestar espiritual, físico y social presentó mejores indicadores de evaluación (8.1; 8.1; y 8.2 respectivamente). Se evidenció que el tipo de ostomía y la duración de la estancia se asocian negativamente con la calidad de vida de las personas con ostomías. Conclusión: La calidad de vida de los ancianos con ostomía de eliminación fue bien evaluada, especialmente en los dominios de bienestar físico, social y espiritual.

Rotina e qualidade de vida de usuários em terapia renal substitutiva / Routine and life quality of patients from a renal replacement therapy service / Rutina y calidad de vida de usuarios en terapia de reemplazo renal

Com o objetivo de descrever a rotina e a qualidade de vida de usuários de um serviço de terapia renal substitutiva em Belém-PA, foram aplicados o Inventário de Rotinas (IR) e o Questionário Brasileiro de Qualidade de Vida (SF-36) em 20 pacientes divididos em dois grupos, segundo o tempo de duração do tratamento (até cinco anos ou mais). Os resultados demonstram que esses participantes apresentaram baixos escores em domínios referentes à qualidade de vida (inferiores a 76). Quanto à rotina, predominaram atividades realizadas durante o dia, geralmente na companhia de cônjuges e filhos, ou então sozinho. Os resultados contribuem para a compreensão do impacto da doença e do tratamento na rotina e na qualidade de vida dessa população.

Aiming to describe the routine and life quality of users of a renal replacement therapy service in Belém-PA, we have applied the Routines Inventory and the Quality of Brazilian Life Questionnaire (SF-36) in 20 patients, divided into two groups according to the treatment time (more or less than five years). The results indicate that participants have low scores in areas relating to the quality of life (below 76). As for the routine, there are few activities during the day, usually in the company of spouses and children, or alone. The results contribute to the understanding of the impact of disease and treatment in the routine and quality of life of this population.

Con el objetivo de describir la rutina y la calidad de vida de los usuarios de un servicio de terapia de reemplazo renal en Belém-PA, hemos aplicado el Cuestionario Brasileño de Calidad de Vida (SF-36) y de Inventario Rutinas en 20 pacientes, divididos en dos grupos de acuerdo con el tiempo de tratamiento (más o menos de cinco años). Los resultados indican que la población tiene bajos puntajes en las áreas relacionadas con la calidad de vida, y todas por debajo de 76. Cuanto a la rutina, hay pocas actividades durante el día, generalmente en compañía de sus cónyuges e hijos, aunque la mayoría permanece solo en considerable periodo de tiempo. Los resultados contribuyen a la comprensión del impacto de la enfermedad y tratamiento en la rutina y calidad de vida de esta población.

Impact of a Meditation Program on Pulse-Wave Velocity, C-reactive Protein and Quality of life / Impacto de un programa de meditación sobre la velocidad de onda de pulso, la proteína C-reactiva y la calidad de vida

background: Although various studies refer to the effect of meditation on blood pressure (BP), its impact on other cardiovascular clinical variables is unknown. Objective: The aim of this study was to evaluate the effects of a meditation program on pulse wave velocity (PWV), quality of life and ultrasensitive C-reactive protein (us-CRP) in patients with ischemic heart disease or chronic heart failure. Methods: This was a randomized study with two groups of patients: a meditation group (M) and an active control group (AC) with cardiovascular health education, evaluating the difference between initial and final values at 12 weeks of B P, PWV, quality of life (assessed by the SF-36 questionnaire) and us-CRP. results: Thirty-five patients were included in the M group and 35 in the AC group; mean age was 61 years and 80% were men. Both groups had similar baseline characteristics, except for higher number of smokers and triglyceride levels in the M group. At 12 weeks, no significant differences were found for ∆PWV: +0.51 (±1.40) in AC and +0.19 (±1.53) in M (p=0.37). Conversely, ∆SF-36 was +0.79 (±7.58) in AC vs. +5.40 (±9.69) (p=0.03) in M, and ∆us-PCR was +1.17 (±2.9) in AC vs. -0.69 (±0.89) in M (p=0.02). Conclusions: A meditation program did not significantly modify PWV at 12 weeks. However, patients allocated to this intervention improved their quality of life and us-PCR was significantly reduced. Larger studies are required to confirm these findings and explore the mechanisms involved in this improvement.

Comportamiento del Geriatric/General Oral Health Assessment Index (GOHAI) y Oral Impacts on Daily Performances (OIDP) en una población de adultos mayores de la Ciudad de México / Behavior of the Geriatric/General Oral Health Assessment Index (GOHAI) and Oral Impacts on Daily Performances (OIDP) in a senior adult population in Mexico City

Objetivo: Determinar el comportamiento del Geriatric/General Oral Health Assessment Index y Oral Impacts on Daily Performances como medidas de efecto de la salud bucodental relacionada con la calidad de vida en adultos mayores en una misma población. Métodos: Muestra representativa de adultos mayores derechohabientes del Instituto Mexicano del Seguro Social del suroeste de la Ciudad de México. Se realizaron entrevistas domiciliarias para conocer las características de la muestra y aplicación de los instrumentos Geriatric/General Oral Health Assessment Index y Oral Impacts on Daily Performances. Evaluación clínica para determinar la experiencia de caries coronal y caries radicular. Resultados: Un total de 531 sujetos de 60 años y más participaron, 68.4% mujeres. La media (desviación estándar) de edad fue de 71.4 (7.0) años. El Geriatric/General Oral Health Assessment Index presentó una media de 46.8 (6.2), y 4.1 (12.4) para el Oral Impacts on Daily Performances. La escolaridad mayor de seis años, no presentar limitaciones, con deterioro cognitivo y sin depresión, presentaron una media mayor del puntaje del Geriatric/General Oral Health Assessment Index en comparación con los que no presentaban (p < 0.05). La escolaridad mayor de seis años, con una actividad laboral remunerada y sin depresión, presentaron una media menor del puntaje del Oral Impacts on Daily Performances en comparación a los que no presentaban (p < 0.05). Existe una correlación entre el Geriatric/General Oral Health Assessment Index y componentes obturados, dientes funcionales (p < 0.05). Los componentes perdidos, obturados e índice caries coronal, así como coronas sanas y dientes funcionales presentaron una correlación con el Oral Impacts on Daily Performances (p < 0.05). Conclusión: El Geriatric/General Oral Health Assessment Index tuvo mayor discriminación en las características de la población y el Oral Impacts on Daily Performances presentó mayor correlación con el estado de la dentición.

Objective: To determine the behavior of the Geriatric/General Oral Health Assessment Index as well as the Oral Impacts on Daily Performances as effective measures in oral-dental health related to quality of life in senior citizens in a given population. Methods: A representative sample of senior citizens entitled to medical services at the Instituto Mexicano del Seguro Social (Mexican Institute of Social Security) located in the southwest region of Mexico City. Home interviews were conducted in order to ascertain the sample's characteristics as well as the application of the Geriatric/General Oral Health Assessment Index and Oral Impacts on Daily Performances instruments. Clinical evaluation in order to determine experience of crown caries (CPO-D) and root caries CO-R). Results: A total of 531 subjects aged 60 years and over participated in the study, of which 68.4% were female. Age average (AA) was 71.4 years (7.0). Geriatric/General Oral Health Assessment Index exhibited a mean of 46.8 (6.2) and Oral Impacts on Daily Performances showed 4.1 (12.4). Subjects included in the sample had attended school for over 6 years, did not present limitations of cognitive deterioration, and were depression-free, exhibited a higher mean in Oral Impacts on Daily Performances score than those which did not present those characteristics (p < 0.05). Six or more years of schooling with paid work and depression-free subjects presented lesser Oral Impacts on Daily Performances scores when compared to those who did not. (p < 0.05) A correlation was found between the Geriatric/General Oral Health Assessment Index and filled components, functional teeth (p > 0.05). Filled and lost components and CPO-D index as well as healthy crowns and functional teeth exhibited a correlation with Oral Impacts on Daily Performances (p < 0.05). Conclusion: Geriatric/General Oral Health Assessment Index exhibited higher discrimination in the population's characteristics whereas Oral Impacts on Daily Performances showed higher correlation with the state of the dentition.

O sentido do esporte para atletas de basquete em cadeiras de rodas: processo de integração social e promoção de saúde / The meaning of sport practice to basketball athletes in wheelchairs: a social integration and health promotion process? / El significado de la practica de deportes para atletas de baloncesto en silla de ruedas: integración de procesos y promoción social de la salud?

Este estudo objetivou analisar o esporte adaptado enquanto processo de integração social e qualidade de vida de atletas de basquete em cadeiras de rodas. A população alvo foram 25 atletas de três equipes esportivas do Estado do Paraná. Foram instrumentos: Questionário de qualidade de vida WOOQHL Bref, Inventário de Habilidades Sociais, Questionário de Ambiente de Grupo e entrevista semiestruturada. Os resultados indicaram: os atletas possuem uma boa qualidade de vida e um bom repertório de habilidades sociais, contudo necessitando de atenção específica em situações de exposição a desconhecidos e autocontrole da agressividade; em relação à coesão do grupo, o foco concentrou-se na tarefa do que relacionado à integração social; as variáveis de integração social e autocontrole da agressividade explicaram positivamente a qualidade de vida dos atletas. Conclui-se que: o esporte adaptado contribuiu para o desenvolvimento das habilidades sociais e da integração social, tendo impacto positivo na percepção de qualidade de vida dos atletas.

This study had as main goal to analyze sport practice as social integration and quality of life with wheelchair basketball players. The population was constituted by 25 athletes from three sports teams from Parana state. Instruments used were: Quality of Life questionnaire (WHOQOL Bref), Social Skills Inventory and the Group Environment questionnaire. Results indicate that athletes possess a good quality of life and a good repertory of social skills, however a specific attention is required to situations of exposition to different experiences and selfcontrol of aggressiveness. As for group cohesion a task aspect was highlighted in relation to social dimension. Also, quality of life was positively predicted by social variables, especially those connected to task cohesion. Therefore it is concluded that sport seems to contribute to development of social skills, has a positive impact on perception of quality of life.

El estudio tiene como objetivo analizar los deportes adaptados como un proceso de integración social y calidad de vida de los deportistas de baloncesto en silla de ruedas. La población objetivo fueron 25 atletas de tres equipos deportivos en el estado de Paraná. Los instrumentos fueron: Cuestionario de calidad de la vida (WOOQHL Bref), El Inventario de Habilidades Sociales, Cuestionario de Ambiente de grupo y entrevista semi-estructurada. Los resultados mostraron que los atletas tienen una buena calidad de vida y un buen repertorio de habilidades sociales, sin embargo, requieren una atención específica en las situaciones de exposición a lo desconocido y la auto-agresión; en relación con la cohesión del grupo, la atención se concentró en la tarea que en relación con la integración social; las variables de integración social y la auto-agresión se explican de manera positiva la calidad de vida para los atletas. Se concluye que: el deporte adaptado ha contribuido al desarrollo de habilidades sociales y de integración social tiene un impacto positivo en la percepción de calidad de vida de los atletas.

Calidad de vida relacionada con la salud de los adultos mayores en el país, 2001 / Quality of life related to health of elderlies in our country, 2001

El envejecimiento poblacional del mundo y de Cuba es un fenómeno demográfico asociado con la revolución científico técnica del siglo XX; sus consecuencias unidas a características socio-demográficas pueden afectar la calidad de vida. Este trabajo pretende caracterizar la calidad de vida relacionada con la salud de los adultos mayores en el país, con los datos de la II Encuesta Nacional de Factores de Riesgo de Enfermedades no Trasmisibles de Cuba en el 2001. Se calcularon números absolutos, medias, porcentajes y Odds Ratio con sus intervalos de confianza al 95 por ciento. El efecto confusor de las variables se controló con un modelo de regresión logísitica. La calidad de vida relacionada con la salud óptima mejoró significativamente al aumentar la escolaridad de los individuos desde primaria hasta la universidad, de 36,2 a 52,6 por ciento, OR=1,1 (1,019;1,266). La empeoraron significativamente el aumentar la edad, OR=0,96 (0,953; 0,973); percibir desfavorablemente la situación económica, OR=0,61 (0,491; 0,766) y pertenecer al sexo femenino, OR=0,47 (0,416; 0,540). Algunas variables socio-demográficas influyen sobre la calidad de vida relacionada con la salud de los adultos mayores y la magnitud de esta influencia debe valorarse para el manejo de este grupo de edad.

World population aging and of Cuba is a demographic phenomenon associated with the scientific and technical revolution of XX century; its consequences joined to sociodemographic characteristics may to affect the quality of life. The aim of present paper is to characterize the quality of life related to health of elderlies in our country, to data from the II National Survey of Risk Factors of Non-communicable diseases of Cuba for 2001. Authors estimated absolute numbers, means, percentages and odds ratio with their 95 percent confidence intervals. Confuse effect of variables was controlled using a logistic regression model. Quality of life related to an optimal health significantly improved with the increasing schooling of subjects from the primary school up to university level from 36.2 percent to 52.6 percent, OR = 1.1 (1.019; 1.266). There was worsening with age increase, OR = 0.96 (9.953; 0.973); a unfavorable perception of economic situation, OR = 0.61 (0.491; 0.766) and to be of female sex, OR = 0.47 (0.416; 0.540). Some socioeconomic variables influenced on the quality of life related to health of elderlies and to magnitude of this influence must to be assessed to approach this age group.