Avaliação do estado nutricional, de seis domínios da qualidade de vida e da capacidade de tomar decisão de idosos institucionalizados e não-institucionalizados no município de Porto Alegre, RS

• Ano de defesa: 2008
• Autor(a) principal: Ramos, Luciana Junqueira
• Orientador(a): Goldim, José Roberto
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul; Porto Alegre
• Palavras-chave em Português: GERIATRIA; GERONTOLOGIA; IDOSOS; ENVELHECIMENTO; SAÚDE DO IDOSO; NUTRIÇÃO; AVALIAÇÃO NUTRICIONAL; QUALIDADE DE VIDA; TOMADA DE DECISÕES
• Link de acesso: http://hdl.handle.net/10923/3652

Introduction: The growth of the elder population has become an issue in our living circle and appears accompanied by a social transition. The search for Care Institutions as a residence for old people arises as an alternative for low-income families or for old individuals who have lost their family bonds. The illnesses that appear with the age progression can lead people to drastic quality of life deterioration. Now, more than ever, the identification of factors that promote the wellbeing, which include health care and nutritional and physical status are emphasized. Positive nutritional habits have a clear influence on the quality of someone’s last years of life. What matters for elders is the autonomy, which is intimately related to the decision making ability, as the individual must have the power to enact its own intentions. Objective: To evaluate associations between the nutritional status, the quality of life and the decision making ability on old individuals who reside or not at Care Institutions in the city of Porto Alegre, Rio Grande do Sul State, Brazil. Method: A cross section study was performed in a sample of 248 seniors, who lives at home or in institutions in Porto Alegre, RS, Brazil. The research evaluated the nutritional status, using Mini Nutritional Assessment and anthropometry measures, six domains of quality of life, using WHOQOL-old instrument and a Psychological-Moral Development Instrument, based on Loevinger theory. Results: From the 248 old individuals, 71% resided at their own house, 79% of the total sample were women, the average age of the residents of Institutions was higher (81±7 years) and both groups were classified as overweight by the Body Mass Index (BMI), only 2% of the sample was classified with malnutrition by the Mini Nutritional Assessment (MNA). The group that live at home showed a better quality of life. Both groups remained on the consciousness stage of the psychological-moral development, this stage demonstrates that theses persons maintain their decision making capacity. Final Considerations: The relationships between the studied variables was not significant, except that quality of life in home residents was superior than the institutionalized seniors.