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Authors
Abstract(s)
Introdução: O aumento da esperança média de vida, é considerado um dos maiores
triunfos da sociedade, no entanto, este acarreta desafios para a sociedade atual. Nos idosos,
as quedas sĂŁo consideradas como os acidentes mais frequentes que levam ao aumento da
mortalidade e da morbilidade. Ao nĂvel das instituiçÔes, a prevalĂȘncia de quedas Ă©
considerada como um critério de qualidade. Assim, o objetivo central consiste em conhecer
a prevalĂȘncia de quedas e os fatores predisponentes.
MĂ©todo: Estudo de natureza quantitativa, retrospetivo, comparativo e descritivocorrelecional.
A amostra Ă© constituĂda por 200 utentes, 100 utentes internados na tipologia
de Longa Duração e Manutenção e 100 utentes internando da tipologia de média Duração e
Reabilitação. A colheita de dados visou o contexto sociodemogråfico, dados referentes ao
internamento, dados relativos ao nĂvel de dependĂȘncia (Ăndice de Barthel) e ao risco de
queda (Escala de Morse).
Resultados: Verificou-se que a maioria da população em estudo é do género
feminino (58,5%), e que tem uma média de idade de ronda os 79,3 anos. Dos utentes
institucionalizados, 53,5% estavam sozinhos (solteiros, divorciados ou viĂșvos) e que a
nĂvel da escolaridade 66% tinham o 1ÂșCiclo/4ÂȘ classe. Esta amostra trata-se
maioritariamente de pessoas reformadas (88,5%). Ao nĂvel da ĂĄrea clinica verificou-se que
a maioria da amostra ficou internada menos de 90 dias, sendo que a principais patologias
observadas foram do foro cardiovascular e mĂșsculo-esquelĂ©tico 29% e 25,5%,
respetivamente. Concluiu-se que a idade, o tempo de permanĂȘncia na instituição, a
incontinĂȘncia (vesical e intestinal) e a polimedicação, entre outros, sĂŁo fatores que
influenciam o risco de queda dos utentes.
ConclusĂŁo: os resultados revelaram a existĂȘncia de fatores preditores no risco de
queda, sendo deste modo importante uma avaliação e uma implementação de estratégias
que visem a diminuição desta prevalĂȘncia. Deste modo, conclui-se que se alcançou um
maior conhecimento sobre o fenómeno em estudo, o que permite uma melhor adaptação na
prĂĄtica de enfermagem.
Abstract Introduction: The increase in average life expectancy is considered one of society's greatest triumphs, however this entails challenges for it. In the elderly, falls are considered as the most frequent accidents that lead to increased mortality and morbidity. In the institutions, the prevalence of falls is considered as a criterion of quality. Thus, the main objective is to know the prevalence of falls and predisposing factors. Method: Quantitative, retrospective, comparative and descriptive-correlative study. The sample is constituted by 200 patients, 100 patients hospitalized in the Typology of Long Term and Maintenance in the Integrated Unit of Care and 100 users interning the typology of Medium Term and Rehabilitation in the same unit. Data collection was based on sociodemographic context, data on hospitalization, data on the level of dependence (Barthel scale) and the risk of falling (Morse scale). Results: It was shown that most of the population in the study is female (58,5%) and that their average age is 79,3 years old. Of the patients in the care unit, 53,5% where alone (single, divorced or widowers) and in terms of schooling 66% had 1st Cicle/4th Class. This sample is mostly about retired people (88,5 %). On the clinical area, it was shown that most people was institutionalized less than 90 days, and that the primary pathologies where cardiovascular and muscle-skeletal (29% and 25,5% respectivly). It was concluded that age, time institutionalized and incontinence (both vesical and intestinal), and polimedication, amonsg others, are factors that have a great impact on the risk of falls. Conclusion: The results have shown the existence of factores that can be used to predict whether a patient will be at risk for falls, so that an important evaluation and implementation of strategies that aim to the decrease this tendency can be put in place. It can be concluded that a greater knowledge of the subject was achieved, with will allow for better nursing practices.
Abstract Introduction: The increase in average life expectancy is considered one of society's greatest triumphs, however this entails challenges for it. In the elderly, falls are considered as the most frequent accidents that lead to increased mortality and morbidity. In the institutions, the prevalence of falls is considered as a criterion of quality. Thus, the main objective is to know the prevalence of falls and predisposing factors. Method: Quantitative, retrospective, comparative and descriptive-correlative study. The sample is constituted by 200 patients, 100 patients hospitalized in the Typology of Long Term and Maintenance in the Integrated Unit of Care and 100 users interning the typology of Medium Term and Rehabilitation in the same unit. Data collection was based on sociodemographic context, data on hospitalization, data on the level of dependence (Barthel scale) and the risk of falling (Morse scale). Results: It was shown that most of the population in the study is female (58,5%) and that their average age is 79,3 years old. Of the patients in the care unit, 53,5% where alone (single, divorced or widowers) and in terms of schooling 66% had 1st Cicle/4th Class. This sample is mostly about retired people (88,5 %). On the clinical area, it was shown that most people was institutionalized less than 90 days, and that the primary pathologies where cardiovascular and muscle-skeletal (29% and 25,5% respectivly). It was concluded that age, time institutionalized and incontinence (both vesical and intestinal), and polimedication, amonsg others, are factors that have a great impact on the risk of falls. Conclusion: The results have shown the existence of factores that can be used to predict whether a patient will be at risk for falls, so that an important evaluation and implementation of strategies that aim to the decrease this tendency can be put in place. It can be concluded that a greater knowledge of the subject was achieved, with will allow for better nursing practices.
Description
Keywords
Acidentes por quedas Envelhecimento Factores de risco Idoso Institucionalização Prestação integrada de cuidados de saĂșde PrevalĂȘncia Accidental falls Aged Aging Continuity of patient care Delivery of health care, integrated Institutionalization Prevalence Risk factors