Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study
Qualidade de vida em idosos institucionalizados com queixa de tontura: um estudo transversal
Adriele Lins Silva; Lidiane Maria de Brito Macedo Ferreira; Raysa Vanessa de Medeiros Freitas; Kenio Costa de Lima; Ricardo Oliveira Guerra; Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro
Abstract
Purpose: to evaluate the quality of life in institutionalized elderly people with dizziness complaint and to relate the results to the characteristics of dizziness and functional capacity.
Methods: in this cross-sectional study, one-hundred and nineteen elderly residents in three geriatric long-term care institutions in Natal city, Brazil, were evaluated. Those who had presented dizziness in the former year (30/25.2%) were included in this study. The quality of life was measured by the Dizziness Handicap Inventory. Functional capacity was measured by the Berg Balance Scale, the Functional Reach Test, the Unipedal Stance Test with eyes open and closed, and the Falls Efficacy Scale – International.
Results: associations were found between physical, functional and emotional aspects and the duration of dizziness (p=0.002, p=0.041 and p=0.004, respectively); the functional aspects with age (p=0.031), the physical aspects with the presence of falls in the previous year (p=0.039); and the physical, functional and emotional aspects of the Dizziness Handicap Inventory with fear of falling (p=0.004, p<0.001 and p=0.016, respectively).
Conclusion: institutionalized elderly with dizziness complaints had a low perception of quality of life, and the duration of dizziness, age, falls and fear of falling negatively influenced their quality of life.
Keywords
Resumo
Objetivo: avaliar a qualidade de vida em idosos institucionalizados com queixa de tontura e relacionar esses resultados às características da tontura e sua capacidade funcional.
Métodos: trata-se de um estudo transversal analítico. Cento e dezenove idosos residentes em três instituições de longa permanência na cidade de Natal (Brasil) foram avaliados e aqueles que relataram tontura no último ano (30/25.2%) foram incluídos nesse estudo. A qualidade de vida foi avaliada pelo Dizziness Handicap Inventory. Já a capacidade funcional foi mensurada pela Escala de Equilíbrio de Berg, do Teste de Alcance Funcional, do Apoio Unipodal com olhos abertos e fechados e da Falls Efficacy Scale – International.
Resultados: associações foram encontradas entre os aspectos físico, funcional e emocional e a duração da tontura (p=0,002, p=0,041 e p=0,004, respectivamente), os aspectos funcionais com a idade (p=0,031), os aspectos físicos com a presença de quedas no ultimo ano (p=0,039) e os aspectos físicos, funcionais e emocionais do Dizziness Handicap Inventory com o medo de cair (p=0,004, p<0,001 e p=0,016, respectivamente).
Conclusão: idosos institucionalizados com queixa de tontura apresentam baixa percepção da qualidade de vida, sendo a idade, o tempo de duração da tontura, a presença de quedas e o medo de cair fatores importantes nesta percepção negativa.
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Referências
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Submetido em:
22/02/2017
Aceito em:
14/12/2017
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