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Authors
Abstract(s)
A pandemia SARS-Cov2 impôs-se como uma ameaça à saúde e ao normal funcionamento
da sociedade. Para o seu combate foram criadas várias medidas. Um dos grupos mais
afetados por estas medidas e pela própria patologia foram os adultos idosos, nomeadamente
os residentes em Estruturas Residenciais para Adultos Idosos (ERPI). O impacto destas
medidas, bem como da própria patologia na população geral não estão completamente
esclarecidos, contudo, estudos existentes realçam que tiveram um impacto negativo na
qualidade de vida dos idosos, pelo aumento da perceção de solidão e incidência de
depressão. O objetivo do nosso estudo é analisar possíveis fatores desencadeantes,
preditores e protetores, para o desenvolvimento de sintomas depressivos, bem como avaliar
retrospetivamente o impacto da pandemia por SARS-Cov2 na prevalência de solidão e
depressão, numa ERPI.
Participaram no estudo 32 utentes residentes numa ERPI, dos quais 27 concluíram o
seguimento de 10 meses do estudo. Foram realizados 3 momentos de avaliação onde foram
aplicadas as seguintes escalas: escala de depressão geriátrica (GDS) de Yesavage; a escala
de Solidão UCLA; a escala de Deterioração Global; a escala de Katz; o teste de Hand-Grip;
o teste de marcha TUG-Time up and Go; o Mini Exame do Estado Mental (MMSE) e a
fluência verbal de Isaac, bem como recolhidos dados sociodemográficos, dados de saúde e
dados de interação social.
Estudou-se o papel da solidão, desempenho cognitivo e físico, funcionalidade e dados
demográficos como desencadeantes, preditores e protetores no desenvolvimento de
sintomas depressivos. Os resultados revelaram que apenas a coabitação na ERPI com
familiares foi identificada como um fator protetor na evolução de sintomas depressivos.
Este tema requer pesquisas futuras, com amostras maiores, para aprofundar o
entendimento dos fatores que predizem, protegem ou desencadeiam a sintomatologia
depressiva neste grupo etário a viver nestas circunstâncias, a fim de possibilitar uma melhor
gestão de uma patologia muitas vezes silenciosa, que apresenta uma morbilidade
significativa.
The SARS-CoV-2 pandemic has emerged as a threat to health and the normal functioning of society. Various polices have been implemented to combat it. One of the groups most affected by these polices and the pathology itself are the elderly, particularly those residing in nursing homes. The impact of these polices, as well as the disease itself, on the general population is not fully understood. However, existing studies highlight that they had a negative impact on the quality of life of the elderly, leading to increased perception of loneliness and incidence of depression. The objective of our study is to analyze possible triggering, predicting, and protective factors for the development of depressive symptoms, as well as to retrospectively evaluate the impact of the SARS-CoV-2 pandemic on the prevalence of loneliness and depression in a nursing home. A total of 32 residents of a nursing home participated in the study, of which 27 completed a 10-month follow-up. Three evaluation moments were carried out, where the following scales were applied: Geriatric Depression Scale (GDS) by Yesavage; UCLA Loneliness Scale; Global Deterioration Scale; Katz Scale; Hand-Grip test; Time Up and Go (TUG) walking test; Mini-Mental State Examination (MMSE); Isaac verbal fluency test, as well as sociodemographic data, health data, and social interaction data were collected. The role of loneliness, cognitive and physical performance, functionality, and demographic data as triggers, predictors, and protectors in the development of depressive symptoms was studied. The results revealed that only cohabitation with family members in the nursing home was identified as a protective factor in the progression of depressive symptoms. This topic requires future research with larger samples to deepen the understanding of factors that predict, protect, or trigger depressive symptoms in this age group living under these circumstances, in order to enable better management of an often-silent pathology that carries significant morbidity.
The SARS-CoV-2 pandemic has emerged as a threat to health and the normal functioning of society. Various polices have been implemented to combat it. One of the groups most affected by these polices and the pathology itself are the elderly, particularly those residing in nursing homes. The impact of these polices, as well as the disease itself, on the general population is not fully understood. However, existing studies highlight that they had a negative impact on the quality of life of the elderly, leading to increased perception of loneliness and incidence of depression. The objective of our study is to analyze possible triggering, predicting, and protective factors for the development of depressive symptoms, as well as to retrospectively evaluate the impact of the SARS-CoV-2 pandemic on the prevalence of loneliness and depression in a nursing home. A total of 32 residents of a nursing home participated in the study, of which 27 completed a 10-month follow-up. Three evaluation moments were carried out, where the following scales were applied: Geriatric Depression Scale (GDS) by Yesavage; UCLA Loneliness Scale; Global Deterioration Scale; Katz Scale; Hand-Grip test; Time Up and Go (TUG) walking test; Mini-Mental State Examination (MMSE); Isaac verbal fluency test, as well as sociodemographic data, health data, and social interaction data were collected. The role of loneliness, cognitive and physical performance, functionality, and demographic data as triggers, predictors, and protectors in the development of depressive symptoms was studied. The results revealed that only cohabitation with family members in the nursing home was identified as a protective factor in the progression of depressive symptoms. This topic requires future research with larger samples to deepen the understanding of factors that predict, protect, or trigger depressive symptoms in this age group living under these circumstances, in order to enable better management of an often-silent pathology that carries significant morbidity.
Description
Keywords
Adulto Idoso Covid-19 Depressão Desconfinamento Erpi