Banca de DEFESA: FABIELI PEREIRA FONTES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : FABIELI PEREIRA FONTES
DATA : 23/02/2018
HORA: 08:00
LOCAL: Sala 08 do Departamento de Fisioterapia
TÍTULO:

Probability of falls in elderly patients with type 2 diabetes mellitus

PALAVRAS-CHAVES:

Elderly, Accidental Falls, Diabetes Mellitus, Evaluation.

PÁGINAS: 111
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Objective: to evaluate the probability of the risk of falls in the elderly with DM2. Methodology: a cross-sectional observational study with a sample of 111 elderly patients aged 60 years or older, diagnosed with T2DM, of both sexes, attended at the outpatient clinics of the University Hospital from UFRN, Natal, Brazil. They were evaluated for sociodemographic, clinical-functional, psycho-cognitive data (through the Mini Mental State Exam-MEEM and Geriatric Depression Scale-GDS), postural balance (through the Mini BEST test), functional performance (WHODAS 2.0) and the risk assessment for falls with the Quick Screen Clinical Falls Risk Assessment (QuickScreen). The inferential analyzes were performed using Kruskall-Wallis and Chi-square tests or Fisher's exact test, with a significance level of 5% (p<0,05).Results: The mean age of the sample was 68,6 (± 6,5) years, the age range was 60-69 years (64,9%), the majority were female (64%), married (68,5%), schooling up to the "fundamental I complete or fundamental post (64%), participants in community activities (58,6%), housing arrangement "with company" (96,4%), salary of "3 or more minimum wages" (51,4%), non-practitioners of physical activity (73,9%), subjective perception of general health (58,6%) and vision (55,0%) as "excellent, very good or good", pain in lower limbs (48,6%). There were between 1 and 10 comorbidities, with predominance of circulatory disease (78,4%), five or more medications used (67,6%), on what 91,0% were oral medications for DM2 and the minority required insulin (30,6%).The time of diagnosis of DM2 was over than five years (61,3%). They did not suffer fall events in the last year (70,3%), with reports of fear of falls (80,2%) and tendency (50,5%) to falls. Prevalence was 13% with 2-3 risk factors for falls (35,1%), with a minimum of 0 and a maximum of 8 factors (mean of 3.45 ± 1,99 factors) and a minimum probability of 7% and maximum of 49% (mean 21,64% ± 13,55%). There was statistical significance between "probability of risk of falls" and variables: schooling (p=0,005), general health (p=0,001), vision (p=0,017), number of diseases (p<0,0001), number of medications (p=0,0001), disease of the circulatory system (p=0,021), time of DM2 (p<0,0001), insulin (p=0,038), pain in lower limbs (p<0,0001),cutaneous-protective sensitivity (p<0,0001),  GDS (p<0,0001), TUGT (p=0,022), decreased palmar grip strength (p<0,0001), WHODAS 2.0 (p<0,0001) and Mini Best (p<0,0001).Conclusion: Elderly patients with DM2 are more likely to be at risk of falls when associated with lower education, worse general perception of health and vision, greater number of diseases and medications, longer diagnosis of DM2, presence of pain in lower limbs, cutaneous protection sensitivity altered, history of one or more falls in the last year, perception of falling tendency, presence of depressive symptoms, decrease in palmar grip strength, worse performance on TUGT, worse functional performance and worse postural balance.

MEMBROS DA BANCA:
Presidente - 2090691 - JULIANA MARIA GAZZOLA
Externo ao Programa - 1639565 - LIDIANE MARIA DE BRITO MACEDO FERREIRA
Externo à Instituição - ALINE DO NASCIMENTO FALCAO FREIRE MONTE - Estácio