Venous Ulcers (VU) are a serious health problem that affect the Quality of Life (QoL). They are evaluated by many different scales in the literature. We aimed to analyze the correlation between the Medical Outcomes Short-Form Health QoL (SF-36) and Charing Cross Venous Ulcer Questionnaire (CCVUQ) scales. This is a cross-sectional study conducted in a Brazilian center specializing in chronic VU of the Primary Health Care (PHC) provided to patients with active VU. The general QoL instrument SF-36 and the CCVUQ, specific for people with VU, were used. Spearman’s Rho Test determined the correlation between the variables analyzed. Our sample had a total of 150 patients. We found a direct correlation between the domestic activities division (CCVUQ) aspect and the SF-36 Physical role functioning (strong), and Physical functioning (moderate) domains. The Social interaction division (CCVUQ) aspect presented moderate correlation with the domains of the SF-36 Physical role functioning and Physical functioning. The Vitality domain (SF-36) showed moderate correlation with the aspects of CCVUQ Cosmesis division and Emotional status division. The greatest forces of direct correlation were observed between the physical, functional and vitality aspects of SF-36 with those represented by domestic activities and social interaction in the CCVUQ.
Background: Among the countless diseases that affect the world population, malnutrition has stood out in several social and demographic contexts; among them, there has been an exponential progression in elderly people, a population group that presents a strong tendency to develop depression and malnutrition. Data from the World Health Organization show that the worldwide prevalence of depressive disorders among elderly people is in the range of 10 to 20%. Similarly, the prevalence of depression, in turn, combined with chronic diseases, accounts for 50% of premature mortality.Objective: To compare the nutritional status and the level of depressive symptoms and to evaluate the correlation between both aspects in Brazilian and Portuguese elderly people assisted in Primary Health Care (PHC).Methods: A cross-sectional, comparative study with a quantitative approach conducted among PHC elderly people in Brazil and Portugal. The sociodemographic and health questionnaire, Mini-Mental State Examination (MMSE), Geriatric Depression scale (GDS-15) and Mini-Nutritional Assessment (MNA) were used.Results: We included 160 participants (110 Brazilians and 50 Portuguese) in the study. In this sample, 81.9% of participants had a risk of malnutrition or malnutrition and 45.0% of participants had mild depressive symptoms. There was a significant association and correlation in Brazil with the presence of a risk of malnutrition and mild symptoms of depression. Portugal also demonstrated a significant association, however, for the chance of not presenting alterations.Conclusion: Our research showed that the risk of malnutrition or the presence of malnutrition was associated with the presence of depressive symptoms in the studied sample. In the intergroup comparison, among Brazilians, those at risk of malnutrition were more likely to have changes associated with depression, while for participants in Portugal, the odds ratio tended to show no changes, as the majority were individuals without nutritional or depressive demands. Screening and prevention measures should be emphasized in PHC to avoid the progression of symptoms in order to refer patients with medium and high complexity since this segment of the public is susceptible to malnutrition and depression.
Introdução: O processo de envelhecer é um fenômeno natural em que ocorre a diminuição das capacidades cognitivas e físicas, podendo associar-se a alterações fisiopatológicas e psicossociais. Objetivo: Comparar a saúde mental e a capacidade funcional entre as pessoas idosas dependentes e independentes vinculados à Estratégia Saúde da Família (ESF) de Natal e Santa Cruz, no RN/Brasil. Métodos: Estudo descritivo, comparativo, longitudinal com abordagem quantitativa. Como critérios de inclusão foram estabelecidos: pessoa com idade igual ou superior a 60 anos que estão cadastradas nas ESF com condições cognitivas para responder ao questionário sociodemográfico, Questionário SF36 para avaliar qualidade de vida e a Escala de Lawton para avaliar a funcionalidade. Para análise inferencial e comparação entre as etapas do estudo foi utilizado o Teste da Soma de Postos Sinalizados de Wilcoxon com a correção de Bonferroni e o Teste Qui-quadrado de Pearson. Resultados: Foram avaliados 58 idosos, 29 cadastrados na ESF de Natal e 29 em Santa Cruz (RN), dos quais 88,3% dos idosos apresentavam demanda de saúde funcional. Houve aumento da dependência na maioria das Atividades Instrumentais de Vida Diária (AIVD) e piora da Qualidade de Vida (QV). Na Dimensão saúde mental do SF 36 observou-se um resultado negativo e não significativo, tanto entre os idosos dependentes (p-valor=0,885), quanto entre os idosos independentes (p-valor=0,885), após comparados os resultados da primeira e segunda avaliações na escala de Lawton. Conclusão: Os idosos apresentaram melhorias nos aspectos de dor no corpo e dimensão física da QV entre as duas avaliações.
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