A sexualidade de idosos dependentes / The sexuality of dependent elderly

O envelhecimento populacional mundial e também no Brasil tem trazido novos desafios para os serviços de saúde. A sexualidade na terceira idade é marcador relevante e significativo de qualidade de vida e saúde. Este trabalho faz parte de uma pesquisa nacional intitulada Estudo Situacional dos Idosos Dependentes que residem com suas Famílias visando a subsidiar uma Política de Atenção e de Apoio aos Cuidadores. O estudo foi realizado em oito municípios brasileiros (Porto Alegre, Rio de Janeiro, Fortaleza, Recife, Manaus, Brasília, Teresina, Araranguá) com idosos dependentes, seus cuidadores familiares e profissionais, profissionais de saúde e gestores. O recorte feito neste estudo buscou compreender a sexualidade em idosos dependentes e suas características. Foi realizada uma análise qualitativa de entrevistas com idosos dependentes. Os achados apontam para uma diferença de gênero sobre o entendimento e a vivência da sexualidade nos idosos. Homens com uma ênfase no desempenho e ato sexual e as mulheres com uma visão e compreensão mais ampliada sobre o sexualidade. Por outro lado, identificou-se uma significativa invisibilidade sobre o assunto perante os próprios pesquisadores. Foi possível constatar que a sexualidade do idoso é modulada pela percepção de gênero e é um tema pouco estudado e de difícil abordagem em cenários de pesquisa e de atenção à saúde. Foram produzidos também outros dois artigos com metodologia quantitativa e um sumário executivo que estão em anexo no final da dissertação.

Worldwide and in Brazil the population is aging, this has brought new challenges for health services. Sexuality in old age is a relevant and significant marker of quality of life and health. This work is part of a national survey entitled Situational Study of Elderly Dependents who live with their Families in order to subsidize a Policy of Care and Support for Caregivers. The study was carried out in eight Brazilian cities (Porto Alegre, Rio de Janeiro, Fortaleza, Recife, Manaus, Brasília, Teresina, Araranguá) with dependent elderly people, their family and professional caregivers, health professionals and managers. The cut made in this study sought to understand sexuality in dependent elderly people and their characteristics. A qualitative analysis of interviews with dependent elderly people was carried out. The findings point to a gender difference in the understanding and experience of sexuality in the elderly. Men with an emphasis on performance and sexual intercourse and women with a broader view and understanding of sexuality. On the other hand, a significant invisibility on the subject was identified before the researchers themselves. It was possible to verify that the sexuality of the elderly is modulated by the perception of gender and is a poorly studied and difficult to approach topic in research and health care settings. Two other articles were also produced with quantitative methodology and an executive summary that are attached at the end of the dissertation.

Perfil e Diagnósticos de Enfermagem em Idosos Submetidos ao Tratamento Cirúrgico de Fratura de Fêmur / Profile and Nursing Diagnoses in the Elderly Undergoing Surgical Treatment of Femoral Fractures / Perfil e Diagnóstico de enfermería en ancianos sometidos a tratamiento quirúrgico de fracturas femorales

Objetivo: Descrever o perfil dos pacientes idosos submetidos ao tratamento cirúrgico para correção de fratura de fêmur, bem como identificar os principais diagnósticos de enfermagem. Método: trata-se de estudo retrospectivo, com abordagem quantitativa, por meio de análise de 20 prontuários dos pacientes. Resultados: predominou as cirurgias no sexo feminino (65%), com comorbidade de hipertensão associada (60%) e diabetes mellitus (20%). A queda foi o principal fator de fratura do fêmur (55%). Observou-se predominância dos seguintes diagnósticos de enfermagem em 100% dos pacientes: deambulação prejudicada, risco de infecção no sítio cirúrgico, risco de queda, dor aguda e integridade tissular prejudicada. Conclusão: A análise dos prontuários permitiu a identificação de nove diferentes diagnósticos de enfermagem, sendo que o papel da enfermagem fica evidenciado desde a prevenção até aspectos relativos ao tratamento e reabilitação

Objective: To describe the profile of elderly patients undergoing surgical treatment to correct femoral fractures, as well as to identify the main nursing diagnoses. Method: this is a retrospective study, with a quantitative approach, through the analysis of 20 patient records. Results: female surgeries predominated (65%), with associated hypertension comorbidity (60%) and diabetes mellitus (20%). The fall was the main factor of fracture of the femur (55%). There was a predominance of the following nursing diagnoses in 100% of patients: impaired walking, risk of infection at the surgical site, risk of falling, acute pain and impaired tissue integrity. Conclusion: The analysis of medical records allowed the identification of nine different nursing diagnoses, with the role of nursing being evident from prevention to aspects related to treatment and rehabilitation.

Objetivo: Describir el perfil de pacientes de edad avanzada sometidos a tratamiento quirúrgico para corregir fracturas femorales, así como identificar los principales diagnósticos de enfermería. Método: este es un estudio retrospectivo, con un enfoque cuantitativo, a través del análisis de 20 registros de pacientes. Resultados: predominaron las cirugías femeninas (65%), con comorbilidad de hipertensión asociada (60%) y diabetes mellitus (20%). La caída fue el principal factor de fractura del fémur (55%). Hubo un predominio de los siguientes diagnósticos de enfermería en el 100% de los pacientes: dificultad para caminar, riesgo de infección en el sitio quirúrgico, riesgo de caídas, dolor agudo e integridad tisular deteriorada. Conclusión: El análisis de los registros médicos permitió la identificación de nueve diagnósticos de enfermería diferentes, siendo evidente el papel de la enfermería desde la prevención hasta los aspectos relacionados con el tratamiento y la rehabilitación.

Segurança do paciente idoso sob o ponto de vista do enfermeiro em uma ILPI / Elderly patient safety from the nurse's point of view in an LSIE

Objetivo: Descrever a segurança do paciente na perspectiva dos enfermeiros, técnicos de enfermagem e cuidadores de idosos, acreditando serem estes os profissionais que mantêm maior proximidade do paciente. Método: Estudo de revisão literária desenvolvida através de artigos científicos. А busca eletrônica foi conduzida nas bases de dados BDENF - bibliografia especiаlizаdа na Área de Enfermagem do Brasil - na SciELО - Scientific Electrоnic Librаry Оnline - e em livros relаciоnаdоs com o tema. Resultado: O enfermeiro, enquanto coordenador da equipe de enfermagem, não pode perder de vista que deve liderar a equipe com o compromisso de sempre buscar seu aprimoramento técnico-científico e ético. Conclusão: Frente à magnitude da temática segurança do paciente, que avanços no cenário atual das organizações de saúde sejam desafiadores, todavia algumas considerações, no que tange à assistência e ao ensino e pesquisa, tornam-se pertinentes, a fim de contribuir com a instituição pesquisada e de consolidar uma cultura de segurança profícua e construtiva

Objective: to describe patient safety from the perspective of nurses, provide nursing services and care for the elderly, believing that they are the professionals who maintain the patient's closest proximity. Method: It is a study of literary review carried out through scientific articles. An electronic search was conducted in the following databases: (BDENF) - Special Bibliographies in the Brazilian Nursing Area and in SciELO - Scientific Electronic Library Оnline and reliacción how books. Result: The nurse, as coordinator of the nursing team, cannot lose sight of the exercise of his / her role of responding is a team committed to always seek technical-scientific and ethical improvement. Conclusion: in view of the magnitude of the patient safety issue, which promotes the current perspective of women's health organizations, and some considerations about teaching and research assistance become forward-looking. to consolidate a constructive and constructive safety culture

Profissional Enfermeiro: Competências e habilidades para a avaliação multidimensional da pessoa idosa / Professional Nurses: Skill and abilities to a multidimensional evaluation of elderly people / Profesional Enfermero: Competencias y habilidades para la evaluación multidimensional de la persona idosa

O estudo objetivou avaliar quais as competências e habilidades adquiridas pelos enfermeiros, durante sua formação profissional, para realizar a avaliação multidimensional da pessoa idosa. Trata-se de uma pesquisa descritiva, com abordagem qualitativa, desenvolvida com enfermeiros que atuam em unidades básicas de saúde. O estudo evidenciou que a maioria dos profissionais não se sentem aptos para atenderem a população idosa, no que se refere à realização da avaliação multidimensional.

The objective of this study was to avaliate which skills and required abilities by the professional nurses during their professional formation to realize multidimensional evaluation of elderly people. It's a descriptive research, with qualitative approach, developed with nurses that act in basic units of health. The study evidenced that the marjority of professional don't feel capable to take care elderly people, in order to realize multidimensional avaliation.

El estudio objetivó evaluar cuáles las cometencias y habilidades adquiridas por los enfermeros durante su formación profesional para realizar la evaluación multidimensional de la persona de edad. Se trata de una investigación descriptiva, con abordaje cualitativo, desarrollada con enfermeros que actúan en unidades básicas de salud. El estudio evidenció que la mayoría de los profesionales no se sienten aptos para atender a la población anciana, en lo que se refiere a la realización de la evaluación multidimensional.

Study on nursing service needs among elderly people lived in nursing institutions in Fuzhou / 中国实用护理杂志

Objective To investigate nursing care needs of elderly nursing homes residents in Fuzhou, to help to improve nursing care quality provided by elderly nursing homes. Methods A total of 120 elderly residents from 10 elderly nursing homes in Fuzhou were investigated with a self-developed questionnaire focusing on nursing care needs of elderly nursing home residents. The questionnaire included the following two parts: the general information of the elderly residents and the needs of disease care, basic nursing care, daily life care as well as psychological care. Results The retrieving rate was 95.8%(115/120). The overall nursing care needs of elderly nursing home residents was at the middle level (2.59 ±0.80), the highest demand for nursing care was disease care (3.34±1.07), followed by psychological care (2.56±0.93), basic nursing care (2.20±1.15) and daily life care (2.23±0.97). The single living elderly residents got lower scores than the couple living elderly residents in disease care, basic nursing care 3.19±1.07, 2.06±1.10 vs. 3.78±0.96, 2.62±1.20 (t=2.656, t=2.311, P<0.05). Over 90 years old age groups got lower scores than the other age groups in the disease care, 2.25 ±0.69, 3.80 ±0.72, 3.35 ±1.09, which showed significant difference (F=7.10, P < 0.05). The elderly suffering from hypertension, diabetes, cardiovascular disease varied in the demand for different care. Conclusions The overall nursing care needs of elderly nursing home residents was at the middle level. Staying with spouse, age, disease state are the influencing factors of nursing care needs of elderly nursing home residents.

Training model and practical effect of nurse specialist in geriatrics in Guangdong Province / 现代临床护理

Objective To explore the training model of nurse specialists in geriatric and study its practical effect. Methods Forty-two nurse specialist participating in the training courses in geriatrics were enrolled in the study. The training was divided into 2 stages: the first one was for 1 month theoretical study together with 2 months clinical practice; the second was for 9 months clinical research on a specific topic. The examinations were done both at the two stages. They were interviewed on their views on theoretical study and internship at the end of first stage. Results The degree of satisfaction with the theoretical course was 91.6%, and the satisfaction degree of internship was 92.9%. The average scores at the end of the final examination and graduation examination were more than 85 points. Toally they were funded with 4 muncipal scientific research programs and 3 municipal patents, and published 9 academic papers. Conclusions The standardized training model is accessible for the nursing because of the training content and form. This model is feasible and effective, and it is worth applying and popularizing in the training of nurse specialist in the future.

Síndrome da fragilidade e sua relação com aspectos emocionais, cognitivos, físicos e funcionais em idosos institucionalizados / Frailty syndrome and your correlation with emotional, cognitive, physical and functional aspects in institutionalized elderly

O objetivo do estudo foi avaliar a fragilidade de idosos residentes em uma Instituição de Longa Permanência da cidade de Santos (SP) e correlacionar aspectos da síndrome manifesta com sintomas depressivos, desempenho cognitivo, físico e funcional nessa população. Foram avaliados 20 idosos institucionalizados, sendo estes na sua maioria (n=18; 90%), classificados como frágeis, e correlacionando-se com deficit cognitivo (r=-0,470; p=0,04), baixo desempenho físico (r=-0,437; p=0,05), e funcional (r=-0,529; p=0,02) na população estudada.

The objective of the study was to evaluate the frailty in elderly residents in a nursing home of the Santos city and correlate aspects of this syndrome with depressive symptoms, cognitive domain, physical and functional performance in this sample. Twenty institutionalized elderly were evaluated, which are mostly classified as frail (n = 18; 90%) and were correlated with cognitive impairment (r = -0.470; P = 0.04), low physical (r = -0.437; P= 0.05), and functional performance (r = -0.529; P = 0.02) in the study population.