Idosos com doença de parkinson: perfil e condições de saúder
Resumo
Objetivos: identificar o perfil sociodemográfico de idosos com doença de Parkinson, e conhecer e avaliar as condições de saúde destes em relação ao estágio da doença, cognição e risco de quedas. Metodologia: estudo quantitativo, de corte transversal. Participaram 50 idosos com doença de Parkinson. Para a coleta de dados utilizou-se questionário sociodemográfico/clínico e instrumentos Escala de incapacidade de Hoehn e Yahr, Mini Exame do Estado Mental e Escala de Risco de Quedas. Resultados: entre os níveis de incapacidade provocados pela doença, 50% dos idosos apresentou comprometimento leve, 32% comprometimento moderado e 18% comprometimento grave. 34% dos idosos apresentaram déficit cognitivo. Todos os participantes com incapacidade grave apresentaram risco de quedas, e os com incapacidade leve obtiveram risco de quedas em 76%. Conclusão: conhecer as condições de saúde dos idosos com doença de Parkinson pode contribuir no desenvolvimento de uma assistência multiprofissional de qualidade.
Texto completo:
PDFReferências
Szwarcwald CL, Montilla DER, Marques AP, Damacena GN, Almeida WDSD, Malta DC. Inequalities in healthy life expectancy by Federated States. Rev de Saúde Públ. [Internet] 2017 [cited 2019 Aug 27]; 51 (1): 7s. Available from: https://www.scielosp.org/article/rsp/2017.v51suppl1/7s/pt/
Sveinbjornsdottir S. The clinical symptoms of Parkinson's disease. J. neurochem. [Internet] 2016 [cited 2019 Feb 22]; 139 (1): 318-324. Available from: https://doi.org/10.1111/jnc.13691
Georgescu D, Ancusa OE, Georgescu LA, Ionita I, Reisz D. Nonmotor gastrointestinal disorders in older patients with Parkinson's disease: is there hope? Clin Interv Aging. [Internet] 2016 [cited 2018 Sep 22]; 11: 1601-1608. Available from: https:doi.org/10.2147/CIA.S106284
Barbosa AF, Chen J, Freitag F, Valente D, Souza CDO, Voos MC et al. Gait, posture and cognition in Parkinson's disease. Dement. Neuropsychol. [Internet] 2016 [cited 2018 Sep 22]; 10 (4): 280-286. Available from: http://dx.doi.org/10.1590/s1980-5764-2016dn1004005
Skorvanek M, Goldman, JG, Jahanshahi M, Marras C, Rektorova I, Schmand B. et al., Global scales for cognitive screening in Parkinson's disease: Critique and recommendations. Mov. Disord. [Internet] 2018 [cited 2018 Sep 22]; 33 (2): 208-218. Available from: https://doi.org/10.1002/mds.27233
Zhang TM, Yu SY, Guo P, Du Y, Hu Y, Piao YS. et al. Nonmotor symptoms in patients with Parkinson disease: A cross-sectional observational study. Medicine (Baltimore). [Internet] 2016 [cited 2018 Sep 22]; 95 (50): e5400. Available from: http://dx.doi.org/10.1097/MD.0000000000005400
Siciliano M, De Micco R, Trojano L, De Stefano M, Baiano C, Passaniti C. et al. Cognitive impairment is associated with Hoehn and Yahr stages in early, Parkinson disease patients. Parkinsonism Relat. Disord. [Internet]. 2017 [cited 2018 Sep 22]; 41: 86-91. Available from: https://doi.org/10.1016/j.parkreldis.2017.05.020
Nassar SM. Wronscki VR, Ohira M, Wilges B, Mateus, GP, Tenorio, MB. SEstatNet-Sistema Especialista para o Ensino de Estatística na Web. Florianópolis (SC): Universidade Federal de Santa Catarina. [Internet] 2019 [cited 2019 Feb 02]. Available from: http://www.sestatnet.ufsc.br/sestatnet.php
Gao Y, Nie K, Mei M, Guo M, Huang Z, Wang L. et al. Changes in cortical thickness in patients with early Parkinson’s disease at different Hoehn and Yahr stages. Front. Hum. Neurosci. [Internet] 2018 [cited 2019 Aug 27]; 12 (469): 1-9. Available from: https://www.frontiersin.org/articles/10.3389/fnhum.2018.00469/full
Skorvanek M, Martinez-Martin P, Kovacs N, Rodriguez-Violante M, Corvol JC, Taba P. et al. Differences in MDS - UPDRS scores based on Hoehn and Yahr stage and disease duration. Mov. Disorders Clinical Practice. [Internet] 2017 [cited 2019 Aug 27]; 4 (4): 536-544. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/mdc3.12476
Folstein MF, Folstein SE, Mchugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician". J. Psychiatric Research. [Internet] 1975 [cited 2018 Sep 22]; 12 (3): 189–198. Available from: https://doi.org/10.1016/0022-3956(75)90026-6
Gaspar A, Mendes P, Azevedo R, Reiners A, Segri N. Quedas: conhecimentos, atitudes e práticas de idosos. Enferm Foco. [Internet] 2019 [cited 2019 Aug 27]; 10 (2): 97-103. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/1947
Fasano A, Canning CG, Hausdorff JM, Lord S, Rochester L. Falls in Parkinson's disease: a complex and evolving picture. Mov. Disord. [Internet] 2017 [cited 2019 Aug 27]; 32 (11): 1524-1536. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29067726
Díez‐Cirarda M, Ojeda N, Peña J, Cabrera‐Zubizarreta A, Jiménez LO, Gómez‐Esteban JC et al. Long‐term effects of cognitive rehabilitation on brain, functional outcome and cognition in Parkinson's disease. European Journal of Neurology. [Internet]. 2018 [cited 2019 Mar 19]; 25 (1): 5-12. Available from: https://doi.org/10.1111/ene.13472
Skorvanek M, Goldman JG, Jahanshahi M, Marras C, Rektorova I, Schmand B. et al. Global scales for cognitive screening in Parkinson's disease: Critique and recommendations. Mov. Disord. [Internet] 2018 [cited 2019 Aug 27]; 33 (2): 208-218 . Available from: http://wly-reg.onecount.net/onecount/redirects/index.php?action=get-tokens&js=1&sid=&return=https%3A%2F%2Fonlinelibrary.wiley.com%2Fdoi%2Fabs%2F10.1002%2Fmds.27233&sid=920q9grbk8g72hqatcdto05da7
Ribas CG, Silva LA, Corrêa MR, Teive HG, Valderramas S. Effectiveness of exergaming in improving functional balance, fatigue and quality of life in Parkinson's disease: A pilot randomized controlled trial. Parkinsonism Relat. Disord. [Internet] 2017 [cited 2019 Mar 19]; 38: 13-18. Available from: https://doi.org/10.1016/j.parkreldis.2017.02.006
Hirsch L, Jette N, Frolkis A, Steeves T, Pringsheim T. The incidence of Parkinson's disease: a systematic review and meta-analysis. Neuroepidemiology. [Internet] 2016 [cited 2019 Mar 19]; 46 (4): 292-300. Available from: https://doi.org/10.1159/000445751
Cereda E, Cilia R, Klersy C, Siri C, Pozzi B, Reali E. et al. Dementia in Parkinson's disease: Is male gender a risk factor? Parkinsonism Relat. Disord. [Internet] 2016 [cited 2019 Mar 18]; 26: 67-72. Available from: Doi: 10.1016/j.parkreldis.2016.02.024
Valcarenghi RV, Alvarez MA, Santos SSC, Siewert JS, Nunes SFL, Tomasi AVR. The daily lives of people with Parkinson's disease. Rev. Bras. Enferm. [Internet] 2018 [cited 2019 Mar 19]; 71 (2): 272-279. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000200272&lng=en. http://dx.doi.org/10.1590/0034-7167-2016-0577.
Díez‐Cirarda M, Ojeda N, Peña J, Cabrera‐Zubizarreta A, Lucas‐Jiménez O, Gómez‐Esteban JC. et al. Long‐term effects of cognitive rehabilitation on brain, functional outcome and cognition in Parkinson's disease. European Journal of Neurology. [Internet] 2018 [cited 2019 Aug 27]; 25 (1): 5-12. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/ene.13472
Jonasson SB, Nilsson MH, Lexell J, Carlsson G. Experiences of fear of falling in persons with Parkinson’s disease–a qualitative study. BMC geriatrics. [Internet] 2018 [cited 2019 Mar 19]; 18 (44): 1-10. Available from: https://doi.org/10.1186/s12877-018-0735-1
Lindholm B, Nilsson MH, Hansson O, Hagell P. External validation of a 3-step falls prediction model in mild Parkinson’s disease. Journal of Neurology. [Internet] 2016 [cited 2017 Sep 22]; 263 (12): 2462-2469. Available from: Doi: 10.1007/s00415-016-8287-9
Anang J, Nomura T, Romenets SR, Nakashima K, Gagnon JF, Postuma RB. Dementia predictors in Parkinson disease: a validation study. Journal of Parkinson's disease. [Internet] 2017[cited 2019 Aug 27]; 7 (1): 159-162. Available from: https://content.iospress.com/articles/journal-of-parkinsons-disease/jpd160925
Tosin MHS, Campos DM, Andrade LT, Oliveira BGRB, Santana RF. Intervenções de Enfermagem para a reabilitação na doença de Parkinson: mapeamento cruzado de termos. Rev. Latino-Am. Enfermagem. [Internet] 2016 [cited 2017 Sep 22]; 24: e2728. Available from: Doi: 10.1590/1518-8345.0689.2728
Hindle JV, Hurt CS, Burn DJ, Brown RG, Samuel M, Wilson KC, Clare L. The effects of cognitive reserve and lifestyle on cognition and dementia in Parkinson's disease--a longitudinal cohort study. Int J Geriatr Psychiatry. [Internet] 2016 [cited 2017 Sep 22]; 31 (1): 13-23. Available from: Doi: 10.1002/gps.4284
DOI: https://doi.org/10.21675/2357-707X.2019.v10.n5.2604
Apontamentos
- Não há apontamentos.
Direitos autorais 2020 Enfermagem em Foco
Esta obra está licenciada sob uma licença Creative Commons Atribuição 4.0 Internacional.
Eletrônico ISSN: 2357-707X
Impresso ISSN: 2177-4285
Este trabalho está licenciado com uma Licença Creative Commons - Atribuição 4.0 Internacional.