Fatores associados à qualidade de vida de idosos adscritos no distrito sanitário noroeste de Belo Horizonte, Minas Gerais

• Ano de defesa: 2012
• Autor(a) principal: Patrícia Aparecida Barbosa Silva
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Idoso; Qualidade de vida; Envelhecimento; Saúde do idoso; Saúde do Idoso; Brasil; Humanos; Feminino; Fatores Socioeconômicos; Qualidade de Vida; Enfermagem; Masculino; Dados Demográficos
• Link de acesso: http://hdl.handle.net/1843/GCPA-8ZUFP8

Currently the world is faced with an global aging of the population. With that arise challenges related to the quality of life for seniors, due to functional decline, chronic diseases, greater dependency, loss of autonomy and social isolation. It is of fundamental importance the study of the quality of life among the elderly in order to understand the determinants of the successful aging. OBJECTIVE: To verify the association of sociodemographic, economic, clinical and behavioral factors with the quality of life in elderly ascribed in the Northwest Sanitary District of Belo Horizonte, Minas Gerais. METHODS: Analytical study correlational cross-sectional, involving a sample of 401 elderly with 60 aged or more accompanied in the 20 basic health units of the Northwest Sanitary District, Belo Horizonte. During data collection, we used the WHOQOL-bref to evaluate of the quality of life and a questionnaire containing information on sociodemographic, economic, clinical and behavioral aspects. Data were entered, typed and analyzed using SPSS version 20.0. Analysis was performed stepwise backward conditional logistic regression to adjust for confounding factors and multivariate logistic regression, with models binomial said "zeroinflated" to evaluate of the likelihood of association of the quality of life with variables of interest. The final multivariate analysis data were presented with their Odds Ratio (OR) and confidence intervals of 95% (95% CI). In this analysis, a p<0.05 was considered statistically significant. Also a ROC curve was constructed to assess the diagnostic ability of different cutoffs do OQL obtained by WHOQOL-bref and point the best critical value that predicts good / satisfied QL (group G5) or bad / dissatisfied QL (group G6). RESULTS: The factors that significantly associated with good perception of quality of life and satisfaction with health were PHQ-total < 3, practicing physical activity, study time > five years, male, household income U.S. $ 1,100.00, floor without aid of accessory, service time retirement, alcohol consumption, areas of the WHOQOL-bref and OQL. While depression, diabetes mellitus and disability retirement remained inversely associated and independent to group G5. The ROC curve analysis indicated the critical value 60 as the best cutoff point for assessing of the perceived of quality of life and satisfaction with health. CONCLUSION: The study population presents a perception of quality of life and satisfaction with health median in the various fields of scale WHOQOL-bref. Among the variables most strongly associated with quality of life stood out low score for diagnosing depression, practicing physical activity and higher level of education. The diagnostic interpretation of the ROC curve allowed to say that the cutoff point OQL < 60 obtained excellent sensitivity and negative predictive value for screening of elderly with probable QL bad / dissatisfied with health. The appropriation of the perceptions of quality of life of the elderly can be interpreted differently, according with the field structural and multidimensional of this process. Develop concepts of quality of life brought by the elderly and contrasted with their perceptions of dialogic form allows substantiate the concepts of a new model of care given to the elderly