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Authors
Abstract(s)
Introdução: O envelhecimento populacional e as profundas mudanças do tecido
social resultaram na afirmação das Estruturas Residenciais para Pessoas Idosas
(ERPIs) como principal resposta social às necessidades dos idosos e, em particular, do
idoso com compromisso cognitivo. Objetivo: Traçar o perfil cognitivo do idoso
residente em ERPI no concelho do Sabugal, para, com base neste, refletir acerca da
adequação futura dos cuidados prestados por este tipo de resposta social às
necessidades do indivíduo idoso. Materias e Métodos: Estudo observacional,
descritivo e transversal realizado em 350 pessoas idosas residentes nas 21 ERPIs do
concelho do Sabugal. Foi aplicado um questionário sociodemográfico e clínico, uma
bateria de instrumentos de avaliação geriátrica e um inquérito de satisfação. Procedeuse a análise estatística descritiva e inferencial com recurso ao SPSS. Resultados: O
presente estudo sugere que os idosos residentes em ERPIs no concelho Sabugal são, na
sua maioria, pessoas do sexo feminino (73,4%), da quarta idade (média: 87,1 anos),
com reduzidas habilitações literárias (analfabetismo: 32,9%), viúvas (64,9%),
altamente dependentes (Índice de Barthel médio: 56,5 pontos), com múltiplas
comorbilidades (média: 4,56 doenças), polimedicadas (média: 8,7 fármacos),
cognitivamente comprometidas (64,9%), acometidas por perturbações depressivas
(37,8%) e malnutridas (16,6%) ou sob risco de desnutrição (47,4%). Foram encontradas
associações estatisticamente significativas entre o estado cognitivo e o estado
nutricional, o grau de autonomia nas atividades básicas de vida diária, a mobilidade, a
força de preensão manual, o sexo, o estado civil e a idade. Conclusão: No contexto da
prestação de cuidados à demência, em sede de ERPI, é necessário refletir acerca da
necessidade de desenvolver e implementar planos de cuidados holísticos, bem como de
instituir avaliações geriátricas sistemáticas e seriadas e programas de estimulação
cognitiva.
Introduction: Population ageing and profound changes in the social fabric have resulted in the establishment of Residential Structures for the Elderly (RSE) as the main social response to the needs of the elderly particularly those with cognitive impairment. Objective: To delineate a cognitive profile of elderly people living in RSE in the municipality of Sabugal, in order to reflect on the future adequacy of care provided by this type of social response to the needs of the elderly. Materials and Methods: An observational, descriptive and cross-sectional study was carried out on 350 elderly people living in the 21 RSE in the municipality of Sabugal. A sociodemographic and clinical questionnaire, a battery of geriatric assessment instruments and a satisfaction survey were applied. Descriptive and inferential statistics were performed using SPSS. Results: This study suggests that the majority of elderly people living in RSE in the Sabugal municipality are female (73.4%), fourth age (average: 87.1 years), with low educational qualifications (illiteracy: 32.9%), widowed (64.9%), highly dependent (average Barthel Index: 56.5 points), with multiple comorbidities (average: 4.56 diseases), polymedicated (average: 8.7 drugs), cognitively impaired (64.9%), affected by depressive disorders (37.8%) and malnourished (16.6%) or at risk of malnutrition (47.4%). Statistically significant associations were found between cognitive status and nutritional status, the degree of autonomy in activities of daily living, mobility, handgrip strength, gender, marital status and age. Conclusion: In the context of dementia care within RSE, it is necessary to reflect on the need to develop and implement holistic care plans, as well as systematic and serial geriatric assessments and cognitive stimulation programmes.
Introduction: Population ageing and profound changes in the social fabric have resulted in the establishment of Residential Structures for the Elderly (RSE) as the main social response to the needs of the elderly particularly those with cognitive impairment. Objective: To delineate a cognitive profile of elderly people living in RSE in the municipality of Sabugal, in order to reflect on the future adequacy of care provided by this type of social response to the needs of the elderly. Materials and Methods: An observational, descriptive and cross-sectional study was carried out on 350 elderly people living in the 21 RSE in the municipality of Sabugal. A sociodemographic and clinical questionnaire, a battery of geriatric assessment instruments and a satisfaction survey were applied. Descriptive and inferential statistics were performed using SPSS. Results: This study suggests that the majority of elderly people living in RSE in the Sabugal municipality are female (73.4%), fourth age (average: 87.1 years), with low educational qualifications (illiteracy: 32.9%), widowed (64.9%), highly dependent (average Barthel Index: 56.5 points), with multiple comorbidities (average: 4.56 diseases), polymedicated (average: 8.7 drugs), cognitively impaired (64.9%), affected by depressive disorders (37.8%) and malnourished (16.6%) or at risk of malnutrition (47.4%). Statistically significant associations were found between cognitive status and nutritional status, the degree of autonomy in activities of daily living, mobility, handgrip strength, gender, marital status and age. Conclusion: In the context of dementia care within RSE, it is necessary to reflect on the need to develop and implement holistic care plans, as well as systematic and serial geriatric assessments and cognitive stimulation programmes.
Description
Keywords
Cognição Défice Cognitivo Ligeiro Demência Estrutura Residencial
para Pessoas Idosas Pessoas Idosas Sabugal.