ABSTRACT
INTRODUCTION: The quality of the corneal tissue can be influenced by several factors inherent to the recipient, donor, and to the donation and transplantation process. The donated corneal tissue can be classified by its quality as excellent, good, regular, bad, or unacceptable for transplantation, evaluating it in a slit lamp. OBJECTIVE: To analyze the relationship between the clinical and sociodemographic variables of the donors and the donation process and the classification of the quality of the corneal tissue collected for transplantation. METHODS: This is an epidemiologic study, retrospective cohort type, which addressed the process of cornea donation by the Human Eye Tissue Bank in a reference service in Northeast Brazil. The sample consisted of corneas processed by the Human Eye Tissue Bank of Rio Grande do Norte (n = 419). For descriptive and inferential analysis, the study used the Statistical Package for the Social Sciences (SPSS) software, version 25.0, and considered a significance level of 0.05. Logistic regression analysis was used for the adjustment of the final model. RESULTS: It was verified that the epidemiological profile showed a prevalence of individuals with a mean age of 42.54 years old, male (73.99%), and living in the metropolitan region of the state capital (75.66%). When analyzing the relationship between the clinical and sociodemographic variables of the donors, it was identified that those aged 45 years old or less had better quality corneas (excellent and good), while the chronological variables were predictive factors for corneas of regular and bad qualities. CONCLUSION: The identification of the factors inherent to the donation process and predictors of corneal tissue quality contribute to minimizing the risk of transplantation and to a better ocular prognosis.
Subject(s)
Cornea/physiology , Tissue Preservation/methods , Adult , Brazil , Corneal Transplantation , Demography , Female , Humans , Male , Middle Aged , Retrospective Studies , Time Factors , Tissue Donors/statistics & numerical dataABSTRACT
Resumo Objetivo: identificar como o idoso independente e o familiar mais próximo vivenciam a relação de cuidado. Metodologia: estudo descritivo e exploratório, de abordagem qualitativa, realizado em Jandaia do Sul (estado do Paraná, Brasil), com 15 idosos independentes e respectivos familiares. Os dados foram coletados em junho de 2012, por meio de entrevista semiestruturada, e submetidos à análise de conteúdo, na modalidade temática. Resultados: a média de idade dos idosos foi de 70 ± 9 anos; 85 % dos participantes (13) eram do sexo feminino. A média de idade dos familiares foi de 45 ± 5 anos, sendo 85 % (13) do sexo feminino (9 filhas e 4 noras); os dois familiares do sexo masculino eram filhos. A análise das informações possibilitou a identificação de duas categorias: A percepção do idoso independente sobre o cuidado recebido e A percepção do familiar sobre o cuidado ofertado. Conclusão: o cuidado ofertado pelo familiar era percebido pelos idosos independentes de maneira impositiva e controladora, em descompasso com a intenção do familiar, que era ofertar cuidados e atenção. Essa dissonância na percepção de ambos acaba por sobrecarregar a relação entre eles.
Resumen Objetivo: identificar cómo el anciano independiente y el familiar más próximo vivencian la relación de cuidado. Metodología: estudio descriptivo y exploratorio, de enfoque cualitativo, realizado en Jandaia do Sul (departamento de Paraná, Brasil), con 15 ancianos independientes y sus respectivos familiares. Los datos fueron recolectados en junio de 2012 por medio de entrevista semi-estructurada y sometidos al análisis de contenido, en la modalidad temática. Resultados: el promedio de edad de los ancianos fue de 70 ± 9 años; el 85 % de los participantes (13) era del sexo femenino. El promedio de edad de los familiares fue de 45 ± 5 años, siendo el 85 % (13) del sexo femenino (9 hijas y 4 nueras); los dos familiares del sexo masculino eran hijos de los ancianos. El análisis de las informaciones posibilitó la identificación de dos categorías: La percepción del anciano independiente sobre el cuidado recibido y La percepción del familiar sobre el cuidado ofrecido. Conclusión: el cuidado ofrecido por el familiar era percibido por los ancianos independientes de modo impositivo y controlador, en desacuerdo con la intención del familiar, que era ofrecer cuidados y atención. Esta disonancia en la percepción de ambos termina por sobrecargar la relación entre ellos.
Abstract Objective: to determine how independent elderly persons and their closest family members experience care. Methodology: a descriptive and exploratory study, with a qualitative approach, was carried out in Jandaia do Sul, Paraná, Brazil, with 15 independent elderly persons and their respective family members. The data were collected in June 2012, through a semi-structured interview and later subjected to a thematic modality of content analysis. Results: the mean age of the elderly persons was 70 ± 9 years and 85% of the participants (13) were female. The mean age of the family members was 45 ± 5 years. 85% (13) of them were female, (9 daughters and 4 daughters-in-law), while the two male family members were children. An analysis of the information made it possible to break the study down into two categories: The independent elderly persons' perception of the care they received, and The family member' perception about the care they provided. Conclusion: the independent elderly persons regarded the care provided by the members of their family as authoritarian with the aim of controlling them, which contrasted with the view of the family member who believed that they were caring for and looking after their elderly relatives. This clash between their respective perceptions of the situation tends to make their relationship stressful.
Subject(s)
Humans , Aged , Aged, 80 and over , Aged , Aging , Family , Nursing , Attention , BrazilABSTRACT
OBJECTIVE: To compare the quality of life of elderly living at a geriatric institution with that of elderly living in the community. METHODOLOGY: Quantitative study in which the quality of life of 50 elderly living in condominiums was compared with that of 173 community dwellers. To assess the quality of life, the instruments WHOQOL-BREF and WHOQOL-OLD were applied. The data were collected between November 2011 and February 2012. RESULTS: The groups differed significantly with regard to the domains: physical, environment, functioning of the senses and participation, which were better in the condominium residents; while the community dwellers scored higher in the domain intimacy. CONCLUSION: Different factors can interfere in the elderly's quality of life, including the place of residence, which indicates the need for further monitoring by health professionals, especially nurses, with a view to outlining strategies to maintain the elderly's quality of life.
