O objetivo do estudo foi avaliar o grau de risco para pé diabético de pessoas com diabetes inscritas no sistema HIPERDIA. Optou-se por uma abordagem quantitativa, do tipo epidemiológico-descritivo, cujos dados foram obtidos por meio de pesquisa de campo, de janeiro a abril de 2010. Foram selecionadas 50 pessoas com diagnóstico de diabetes, residentes da área de abrangência da Unidade Básica de Saúde do estudo. A maioria dos participantes foi de mulheres, na faixa etária entre 50 e 69 anos, com tempo de evolução da doença de 5 a 9 anos. O grau de risco 0 concentrou maior número de pessoas, com 56%, porém houve aquelas que já apresentavam úlceras ou amputações em membros inferiores, sendo classificadas em risco 3. A estratificação do risco permite priorizar grupos de pessoas para melhor alocação dos recursos necessários para o cuidado em saúde.
AIMS: This study aims to analyze the factors associated with the use of medications to control chronic pain in the elderly, study carried out in the city of São Paulo.METHODS: This a cross-sectional study using data from the Health, Welfare and Ageing Study (SABE), which began in 2000 with reinterviews in 2006 and 2010. For this research, data from elderly people re-interviewed in 2010 were initially used. From this sample, elderly individuals showed chronic pain were selected for the analysis of factors associated with the use of medications for pain control. The Rao Scott test was used to identify these factors. Since this is a study with a complex sample design, estimated sample weights for the 2010 follow-up were considered for all analyses.RESULTS: From the initial sample of 978 elderly people, 303 (30.98%) reportedchronic pain. Among these elderly people, there was a lower frequency of using analgesics for those who reported having made the last medical consultation in a health care/private (OR = 0,55; IC 95%: 0,31-0,96); lower frequency of using antidepressants for those who reported not having health insurance (OR = 0,49; IC 95%: 0,24-0,98); greater use of symptomatic for dyspepsia; for those with regular health self-perception (OR = 2,20; IC 95%: 1,12-4,32); and for those who reported feeling pain daily (OR = 2,24; IC 95%: 1,31-3,81).CONCLUSIONS: Thus, it is concluded that pain is a factor that directly affects the life of the elderly and they often seek relief for their suffering in medications, and the fact of performing medical consultations in a private care or health service increases the frequency of use of certain medications.
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