RESUMO
OBJECTIVE: To investigate the association between self-perceived health, and sociodemographic and clinical factors in a sample of elderly outpatients in Rio de Janeiro. METHODS: A sample of 345 elderly patients was assessed with an anamnesis, Lawton and Brody's Scale, Katz Index, Geriatric Depression Scale, Timed Up and Go Test, and Study of Osteoporotic Fracture Index. Logistic regression analyses were performed to investigate the predictors of self-perceived health. RESULTS: Risk of falls, frailty, functional performance on the Instrumental Activities of Daily Living, insomnia, and familial support were related to self-perceived health. Insomnia was the variable that strongly influenced self-perceived health (OR = 0.47, CI 95%: 0.28-0.80, p = 0.01) in our sample. CONCLUSIONS: The investigation of insomnia in the elderly should be routinely performed in primary care, because of the negative impact it imposes on the health of this population.
Assuntos
Acidentes por Quedas , Atividades Cotidianas/psicologia , Autoavaliação Diagnóstica , Avaliação Geriátrica , Distúrbios do Início e da Manutenção do Sono/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Feminino , Idoso Fragilizado , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Apoio Social , Fatores SocioeconômicosRESUMO
ABSTRACT Health self-perception is a strong indicator of the health of a population. Objective To investigate the association between self-perceived health, and sociodemographic and clinical factors in a sample of elderly outpatients in Rio de Janeiro. Methods A sample of 345 elderly patients was assessed with an anamnesis, Lawton and Brody’s Scale, Katz Index, Geriatric Depression Scale, Timed Up and Go Test, and Study of Osteoporotic Fracture Index. Logistic regression analyses were performed to investigate the predictors of self-perceived health. Results Risk of falls, frailty, functional performance on the Instrumental Activities of Daily Living, insomnia, and familial support were related to self-perceived health. Insomnia was the variable that strongly influenced self-perceived health (OR = 0.47, CI 95%: 0.28–0.80, p = 0.01) in our sample. Conclusions The investigation of insomnia in the elderly should be routinely performed in primary care, because of the negative impact it imposes on the health of this population.
RESUMO A autopercepção de saúde é um forte indicador de saúde da população. Objetivo Investigar a associação entre a autopercepção de saúde e os fatores clínicos e sociodemográficos de um grupo de idosos atendidos em um pólo de atenção secundária no Rio de Janeiro. Métodos A amostra composta por 345 idosos foi avaliada através da anamnese dirigida, Escala de Lawton e Brody, Índice de Katz, Índice de SOF, Escala de Depressão Geriátrica e o Teste Timed Up and Go. Análises de regressão logística foram realizadas para avaliar quais os fatores preditores da autopercepção de saúde. Resultados O risco de quedas, a fragilidade, a performance nas Atividades Instrumentais de Vida Diárias, a insônia e o suporte familiar foram as variáveis relacionadas à autopercepção de saúde. A insônia foi a variável que mais influenciou na autopercepção de saúde na nossa amostra. (OR = 0,47, IC95%: 0,28–0,80, p = 0,01). Conclusões A investigação de insônia no idoso deve ser realizada rotineiramente na atenção primária, devido ao impacto negativo que ela exerce na saúde desta população.