Banca de DEFESA: PAULO HENRIQUE DO NASCIMENTO

HEALTH DAMAGES AND VULNERABILITY IN INSTITUTIONALIZED ELDERLY PEOPLE AFTER COVID-19 PANDEMIC

Elderly. Long Stay Institution for the Elderly. Nutritional Profile. Noncommunicable Chronic Diseases. Social Vulnerability.

Introduction: Population aging has been growing significantly around the world, one of the consequences is the increased demand for long-term care institutions for the elderly (LTCFs), institutionalization is also a contributing factor to the increase in health problems. Objective: To analyze health problems and their relationship with gender and identify the vulnerability profile and the relationship with stress and anxiety in institutionalized elderly people. Methods: Two analyzes were carried out: 1) Descriptive, observational, cross-sectional study, sample composed of 44 elderly people living in an LTCF located in the municipality of Maranguape, Ceará. The variables analyzed were studied based on data collected from the Elderly Person's Health Record (CSPI), using the electronic form (Google Forms) for data tabulation. The variables analyzed were: sociodemographic data, presence of NCDs, use of polypharmacy, anthropometric data and assessment of nutritional status; 2) Research carried out with 31 elderly people, the instruments used were data from the CSPI through the Vulnerable Elderly Identification Protocol (VES-13), the assessment of anxiety through the Beck Anxiety Inventory (IAB) and stress through of the Perceived Stress Scale (EEP). Results: It was observed in study 1 that 59.1% (n=26) of elderly people were female and 61.3% (n=27) of the total had some type of disability, where 68.2% (n= 30) of the elderly reported having four or more years of education, while 63.7% (n=28) did not use polypharmacy. From a nutritional perspective, 61.5% (n=16) of women had body mass index classification (≥ 22 and ≤ 27 kg/m²), while 33.3% (n=10) of men had adequate weight, the Women showed greater signs of loss of muscle mass than men, although SAH is more present in women 65.4% (17) and DM is more present in men 28% (5), 70.5% of the analyzed sample had history of chronic disease, with no association with nutritional profile. In study 2) the feminization of the sample was evident (58.1%), predominance of mixed race (74.1%), with (50%) of men using polypharmacy and (42%) having one or more disabilities. A significant predominance of vulnerable elderly people was found (90.3%), with fair or poor self-rated health (74.2%), with physical limitations (80.6%) and disability (67.7%) (p < 0.05). As for mental health, it was observed that for both anxiety and stress, the lowest levels predominated, 87.1 and 54.8%, with no correlation with the vulnerability profile. Final considerations: It was possible to identify that institutionalized elderly people may be susceptible to chronic diseases, mostly hypertension and DM, although they have an adequate nutritional status based on BMI, many elderly people are overweight, with a high percentage of fat and loss of mass. muscle mass that may indicate the diagnosis of sarcopenia, where the loss of muscle mass is one of the clues for the diagnosis, it was possible to identify the predominance of vulnerability, although the perception of anxiety and stress was considered low, with no relationship with elderly people being or not vulnerable.