ASPECTS SOCIODEMOGRAPHIC AND HEALTH RELATED QUALITY OF LIFE IN ELDERLY FAMILY HEALTH STRATEGY.
Nursing; Health of the Elderly; Primary Health; Quality of life.
Introduction: population aging raises many debates about the new ways of health policy for the elderly. At this stage of life, the elderly identify the perception of old age according to their degree of dependence. All these changes, when associated with the lifestyle of the elderly, are decisive factors for the vulnerability of these individuals with regard to the risks to your health and your quality of life (QOL). There is a direct relationship with the emotional, cognitive, psychological and functional. The Family Health Strategy (ESF) is the main conductor of basic care, first level of complexity of the Unified Health System (SUS), it is the Brazilian graduated system of health care. Objective: To analyze the association of sociodemographic and the elderly QOL related to the ESF. Method: analytical, cross-sectional study with a quantitative approach, performed in Igapó communities in the north of the city of Natal, Rio Grande do Norte (RN), the DNER and clinical elderly in the city of Santa Cruz-RN, Brazil from December 2015 to March 2016. The instruments used were: the questionnaire of demographic data and characteristics of pain, the Mini examination instrument Mental State Examination (MMSE) and the validated Brazilian version of the quality of life questionnaire Medical Outcomes Short- Form Health Survey (SF-36). Results: The sample consisted of 120 patients, ascribed to the FHS. Among the socio-demographic criteria, it became clear predominance of women (83.3%) and aged between 60 and 71 years of age (61.7%). In the areas of QOL, was highlighted the emotional aspects, with an average in Natal 78.3 (SD + 39.2) and Santa Cruz, 76.6 (SD + 40.8). It is also observed that these values are close to the average of the total sample in their field: 77.5 (SD 39.9). In the age group, there is a significant association between younger elderly with functional domains (M + 67.2 and ρ-value 0.032), emotional (M + 82.0 and ρ-value 0.040) and physical size ( M + 51.4 and ρ-value 0.042), all these in Santa Cruz. Considering the total sample, there was also significant between the functional domain and younger elderly. Regarding marital status seniors with company were associated significantly to functional domains (M + 69.7 and ρ-value 0.037) and emotional (M + 87.2 and ρ-value 0.043), both in Santa Cruz. Regarding the association between health aspects and QOL of the elderly, there is significance between the variable "pain in the last week", considering the absence of pain on functional areas (M + 76.7 and ρ-value 0.013 ) and emotional (M + 96.1 and ρ-value (0.019), both in Santa Cruz). The non-use of medications (M + 79.2) showed significant association with the functional domain (ρ-value 0.020) in the municipality of Santa Cruz. It is noteworthy that the functional domain had significance with most of the variables. Conclusion: this research showed that the sociodemographic and health aspects had significant association with QOL of the elderly. There is the need for planning interventions aimed to change variables.