Análise de prevalência das principais síndromes geriátricas segundo gênero no contexto da Atenção Primária à Saúde

Abstract

Population aging is a reality in all countries of the world. In Brazil, the aging process has occurred in an accelerated way and raising the challenges for the execution of the population group. In addition to the problems that the population faces, there is a set of syndromes that have a greater occurrence during aging and the impact on the functionality of the elderly. Although the aging process has been a reality in both sexes, elderly women have survival rates and a higher occurrence of health problems. The main objective of this dissertation was to analyze the prevalence of the main geriatric syndromes in elderly people assisted by Primary Health Care teams, with analysis according to sex. Seeking to account for the proposed objectives, they were prepared by two technical-scientific products: the first is a cross-sectional study with registered students and monitored by the ESF teams in the city of Montes Claros, north of the state of Minas Gerais, Brazil, which aimed to study the frequency of the main geriatric syndromes among the elderly assisted by teams of the Family Health Strategy (ESF), exploring the association between genders through the instruments Brazilian Older Americans Resources and Services MultiDimensional Function Assesment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index ( IVCF-20). The magnitude of the associations between genre and geriatric syndromes was estimated from the Odds Ratios and their respective 95% confidence intervals. The results indicate that hypertension was the most frequent self-reported morbidity and iatrogenesis the most common geriatric syndrome in both genders, however, elderly women had significantly higher chances of immobility (OR=1.63; 95%CI=1.24-2 .13), cognitive disability (OR=1.44; 95%CI=1.05-1.99), postural instability (OR=1.56; 95%CI=1.25-1.94), sphincter incontinence (OR =1.40; 95%CI=1.05-1.87) and iatrogenics (OR=1.69; 95%CI=1.36-2.10). The second product of this dissertation is a documental product in the form of a didactic booklet intended for caregivers, Community Health Agents (CHA) and people interested in caring for the elderly in order to present accessible information on the so-called “Geriatric Syndromes”: definitions , risk factors and important tips that can improve the quality of life of the elderly population, aiming to facilitate consultation, show tips for everyday life and assist in clarifying doubts about common conditions in the care of the elderly with regard to these syndromes . The results presented in this dissertation reinforce the existence of differences in the illness process of elderly and elderly women, indicating the impact of the feminization of old age on the burden of disease in this group. At the same time, it highlights the role and importance that health education and information strategies can assume for the dissemination of the theme.