Avaliação da capacidade funcional, fatores de risco relacionados e qualidade de vida em idosos vítimas de trauma

• Ano de defesa: 2014
• Autor(a) principal: Nunes, Mariangela da Silva
• Orientador(a): Hora, Edilene Curvelo
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Sergipe
• Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
• País: BR
• Palavras-chave em Português: Idosos; Atividades cotidianas; Hospitalização; Fatores de risco; Trauma
• Palavras-chave em Inglês: Elderly; Activities of daily living; Hospitalization; Risk factors; Wounds and injuries
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://ri.ufs.br/handle/riufs/3566

External causes are health problems resulted from aggressions, accidents, traumas and accidental or intentional lesions, whose impact in population morbidity and mortality remains as a public health issue. It is observed the emergence of limitations and the need of family home care with social and economic costs, related to rehabilitation, and loss of productive capacity, elderly trauma survivors, thus, the functional capacity and the quality of life appear nowadays as health paradigms, once in Brazil the studies related to functional capacity of trauma victims elderly are rare. The general objective was to evaluate the functional capacity, related risk factors and the quality of life in elderly victims of trauma. It was performed a prospective study, in the state public hospital, located in Aracaju, Sergipe, whose inclusion criteria were age equal or superior to 60 years-old, both gender, trauma victim; have been admitted in the emergency service until 48 hours after the trauma, be accompanied by relatives or caregiver; voluntarily agree to participate in the study or by authorization in the Informed Consent. The instrument used to analyze the trauma severity was the Glasgow Coma Scale (GCS) and Injury Severity Score (ISS). The functional capacity was measured by the Modified Barthel Index and the quality of life by the Whoqol-bref and Whoqol-old. The first stage of the study was executed from March to June, whereas the second stage, with home visits, was conducted from June to November 2013. The collected data were stored in a computerized database of the SPSS 19.0 program and presented as statistical tables and graphics, with absolute and relative frequency for the categorical variables. It was performed the Wilcoxon paired test for the evaluation of the functional capacity in the hospitalization and 90 days after discharged hospital. It was executed the raw score of Whoqol-bref and Whoqol-old and presented in tables and figures. For the entire study, the alpha risk ≤ 5 % for type I error was considered. 282 elderly were studied in the first stage and 247 elderly trauma survivors in the second stage, due to 35 deceases, being 30 in-hospital and 5 at home. The hospitalization varied from one to 93 days, average of 11.9±16.2. The main mechanisms of trauma were fall from its own height at home 52.5%, followed by fall in public place 12.4%. The GCS demonstrated 81.2% presented mild trauma with score between 13-15; 44.0% showed ISS 9-15 and 24.8% presented more than 3 regions affected, with predominance of extremities or pelvic girdle in 57.8%. The functional capacity, in two moments, demonstrated median of 38.0 and 82.0 respectively. In hospitalization and after 90 days the Whoqol-bref presented global raw score of 35.7 and 35.9 respectively. The Whoqol-old presented in the in-hospital and 90 days after score of 35.5 and 40.6 respectively. In conclusion, the results points to an improvement of functional capacity of elderly who remain in home treatment and discreet improvement of quality of life after 90 days of trauma.