Influência da fragilidade na presença de sintomas depressivos de pessoas idosas em contexto de alta vulnerabilidade social

• Main Author: Grazziano, Pedro
• Publication Date: 2022
• Other Authors: Vilela da Silva, Yasmin Caroline
• Format: Bachelor thesis
• Language: por
• Source: Repositório Institucional da UFSCAR
• Download full: https://repositorio.ufscar.br/handle/20.500.14289/19150
• topic: Fragilidade; Depressão; Pessoa Idosa; CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA

With advancing age, the elderly person becomes more susceptible to frailty syndrome and depression. Depressive symptoms such as inactivity and inappetence can lead to a decrease in muscle mass, strength and physical activity - which are frailty criteria. This research aimed to identify an association between depression and frailty in a sample of 122 elderly people treated at Family Health Units (USF) in the city of São Carlos. This is a descriptive, cross-sectional study based on the quantitative research method. The instruments used for data collection were: Questionnaire for the Sociodemographic Characterization of the Elderly, the Frailty Assessment Scale and the Geriatric Depression Scale (GDS). The data obtained were entered into a database using the Statistical Package for Social Sciences (SPSS) for Windows program to perform descriptive, comparative (Pearson's Chi-Square and Kruskal-Wallis Test) and correlational analysis (Spearman's Correlational Analysis). The elderly had a mean age of 69.93 years (Md=70.00; SD=6.92), 3.05 years of schooling (Md=3.00; SD=2.92), were predominantly female (54.9%, n=67), married (92.6%, n=113), brown (48.4%, n=59) and retired (79.5%, n=97). Individual and family incomes were less than 1.3 and 2.4 times the minimum wage, respectively. As for frailty, 42 were frail (34.4%), 75 were pre-frail (61.5%) and only 5 were robust (4.1%). The prevalence of depressive symptoms in the sample was 38.5% (n=47), with 4.1% (n=5) having severe depressive symptoms and 34.4% (n=42) having mild depressive symptoms. In the frail group, the mean total depression score was 6.67 points (Md=7.00; SD=3.24), in the pre-frail group it was 4.00 points (Md=3.00; SD= 2.81) and the non-frail group was 2.40 points (Md=2.00; SD=2.07). The difference in the means of the groups was significant (X²=19.508; gl=2; p=0.000). Corroborating this, the correlation analysis between the number of depressive symptoms and the frailty score was significant, of moderate magnitude and directly proportional (rho=0.484, p=0.000). It is concluded that more frail elderly people have a greater number of depressive symptoms.