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Advisor(s)
Abstract(s)
Introdução: O declínio funcional do idoso resulta da diminuição da sua capacidade nas funções, física,
emocional e social ao longo da vida sendo consequência da alteração de fatores intrínsecos ao próprio
indivíduo que se prolongam temporalmente e, da ocorrência de incidentes críticos.
Objetivos: Determinar a prevalência do deficit cognitivo e identificar fatores demográficos (idade, sexo,
meio, escolaridade) e de saúde (patologias) associados.
Métodos: Para avaliar a disfunção cognitiva foi utilizado o Mini-Mental State Examination (MMSE)
desenvolvido por Folstein et al. (1975), adaptado e validado para Portugal por Guerreiro (2008). O
MMSE é um instrumento de rastreio cognitivo, utilizado em contexto clínico e de investigação,
constituído por 6 secções que permitem avaliar as áreas de orientação, atenção, linguagem, concentração,
flexibilidade mental, memória recente e a praxia.
Resultados: Foram avaliados 149 doentes internados, durante o ultimo semestre de 2010, numa unidade
de convalescença do Distrito de Bragança. Foram excluídos 51 utentes por não terem tido tempo de
internamento suficiente para se proceder à sua avaliação. Do total de doentes avaliados, 101 eram do
género feminino e 48 eram do género masculino, apresentavam, maioritariamente, idades superiores a 75
anos, eram provenientes do meio rural e possuíam baixo nível de escolaridade. A prevalência registada de
deficiência cognitiva foi de 36,2%, havendo maior prevalência no género feminino e em indivíduos com
idades mais avançadas.
Conclusão e discussão: O estudo demonstra que os doentes internados numa unidade de convalescença
do Distrito de Bragança apresentavam, maioritariamente, idades superiores a 75 anos, eram do género
feminino, provenientes do meio rural e com baixo nível de escolaridade. Tais características associadas à
manifestação de demência conduzem a um elevado grau de dependência, o que constitui um problema
socioeconómico atual para a família, em particular, e para sociedade, em geral.
Introduction: The functional decline of the elderly results from decreased capacity in functions, physical, emotional and social development throughout life as a result of changes on intrinsic factors of the individual that extend in time, and the occurrence of critical incidents. Objectives: To determine the prevalence of cognitive deficit and to identify demographic factors (age, gender, educational level) and health factors (diseases) associated. Methods: To assess the cognitive dysfunction it was used the Mini-Mental State Examination (MMSE) developed by Folstein et al. (1975), adapted and validated for Portugal by Warrior (2008). The MMSE is a screening instrument used in clinical practice and research, consisting of 6 sections to assess the areas of orientation, attention, language, concentration, mental flexibility, recent memory and praxis. Results: It were evaluated 149 patients admitted during the last half of 2010 in a convalescence unit from Bragança’s District. 51 users were excluded because they were not enough admission time to evaluate them. Of the total patients evaluated, 101 were female and 48 were male; mostly, were older than 75 years; were from rural areas; and, had low education level. The registered prevalence of cognitive deficit was 36.2%, with higher prevalence in female and older individuals. Discussion and Conclusion: The study demonstrates that patients admitted in a convalescent unit from Bragança’s District were, mostly, older than 75 years, female, from rural areas and had a low education level. Such characteristics associated with the manifestation of dementia leading to a high degree of dependence, which is a current socio-economic problem for the families, in particular, and for the society, in general.
Introduction: The functional decline of the elderly results from decreased capacity in functions, physical, emotional and social development throughout life as a result of changes on intrinsic factors of the individual that extend in time, and the occurrence of critical incidents. Objectives: To determine the prevalence of cognitive deficit and to identify demographic factors (age, gender, educational level) and health factors (diseases) associated. Methods: To assess the cognitive dysfunction it was used the Mini-Mental State Examination (MMSE) developed by Folstein et al. (1975), adapted and validated for Portugal by Warrior (2008). The MMSE is a screening instrument used in clinical practice and research, consisting of 6 sections to assess the areas of orientation, attention, language, concentration, mental flexibility, recent memory and praxis. Results: It were evaluated 149 patients admitted during the last half of 2010 in a convalescence unit from Bragança’s District. 51 users were excluded because they were not enough admission time to evaluate them. Of the total patients evaluated, 101 were female and 48 were male; mostly, were older than 75 years; were from rural areas; and, had low education level. The registered prevalence of cognitive deficit was 36.2%, with higher prevalence in female and older individuals. Discussion and Conclusion: The study demonstrates that patients admitted in a convalescent unit from Bragança’s District were, mostly, older than 75 years, female, from rural areas and had a low education level. Such characteristics associated with the manifestation of dementia leading to a high degree of dependence, which is a current socio-economic problem for the families, in particular, and for the society, in general.
Description
Keywords
Mini-mental state Deficit cognitivo Demência Idoso
Citation
Ribeiro, Maria Isabel; Barata, Ana; Morais, Luísa; Barata, Marco; Liberal, Rui (2013). Avaliação do estado cognitivo de uma população internada numa unidade de convalescença do distrito de Bragança. In Jornadas de Enfermagem da Escola Superior de Saúde do IPB: livro de atas. Bragança: Escola Superior de Saúde. p. 117-124, ISBN: 978-972-745-159-3
Publisher
Instituto Politécnico de Bragança, Escola Superior de Saúde