Caracterização de quedas em idosos residentes na comunidade na estrategia saude da familia / Falls characterization in community-dwelling elderly persons in Family Health Strategy

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

community and to determine home hazards associated to fall and to describe the social-demographic profile of studied seniors. The developed research was transverse analytical type, involving 2080 elderly (with 60 years or more) living in a community in the Family?s Units Health of the municipal district of Amparo (SP). The bedridden seniors and elderly with cognitive deficit were excluded. The data were collected by the application of an interview protocol, containing social-demographic variables, history of falls and risk factors for fall in the home. The data were distributed, analyzed and compared with the tests Qui-square, Mann-Whitney and Odds ratio. It was adopted as level of significance 5% or p <0,05 with IC of 95%. Among the studied seniors, 26,88% referred falls. In the midst with falls, 60,46% related one fall and 39,53% more than one fall. Statistical association existed between the occurrence of falls and the variables: conviviality with no family in the home with 2 times larger chance for falls, following by illiteracy with a probability 1,81 time larger, feminine sex with risk 1,74 time increased, age group above 70 years with 1,58 time larger risk, to live alone with a chance 1,44 time superior, no married marital status with 1,37 time larger risk, low wage (less than 3 minimum wages) with a probability 1,34 time larger and IMC below 30 (p=0,0317). Regarding the history of falls, 81,40% suffered from 1 to 3 falls, the period of larger occurrence was in the daytime (82,52%). Elderly presents a probability 4,5 times larger to fall when he is walking and 1,63 time larger chance to fall in the own home, mainly in the back yard. The number of environmental risk factors for falls in the home didn t present significant relationship with the prevalence of falls. The home risk factors with significant statistical association with the occurrence of falls were the dispersed toys in the ground, with a chance 1,57 time larger for falls and shoes, magazines and other dispersed objects in the ground of the home with a probability of falls 1,43 time increased. Elderly that present home risk factors have a chance 2,2 times larger of falling when compared to those that have no factor of home environmental risk. Therefore, the occurrence of falls results in several consequences for the senior s health with compromising of his life quality and functional capacity. The importance of the accomplishment of public politics is emphasized with larger incentive to the Primary Care, to act in the prevention, treatment and the senior s fall victim recovery and in the handling of the risk factors for the maintenance of the autonomy and independence, in all dimensions of his health, in his family and community

ASSUNTO(S)

qualidade de vida risks factors acidentes por quedas family health personal autonomy saude do idoso familia - saude e higiene autonomia pessoal fatores de risco aged health of the elderly prevenção promoção da saude accidental falls health promotion quality of life idosos prevention

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