Qualidade de vida e risco de declínio funcional em pessoas idosas atendidas na atenção primária à saúde

Abstract

Objective: To assess the association between Quality of Life (QoL) and the risk of functional decline in elderly people treated in Primary Health Care. Method: This is a cross-sectional study carried out with elderly people (aged ≥ 60 years) attending Basic Health Units (UBS) in Natal and Santa Cruz, Rio Grande do Norte. Data was collected between December 2017 and July 2018. A sociodemographic questionnaire, PRISMA 7 and SF-36 were used. Pearson's chi-square test and the odds ratio were used to analyze the data in SPSS. Results: The sample consisted of 100 individuals. In terms of functionality, there was a predominance of elderly people at risk of functional decline (56.0%). With regard to QoL, there was a significant majority of people with better QoL in the Functional (p=0.028), Emotional (p<0.001), Mental Health (p<0.001) and Mental Health (p=0.003) domains. Elderly people with better functionality were more likely to have worse QoL in the physical (OR=3.6; 95%CI 1.9-6.7) and functional (OR=3.0; 95%CI 1.9-4.9) domains. We also found that individuals at risk of functional decline were almost three times more likely to have a worse QoL in terms of pain (OR=2.6; 95%CI 1.3-5.0; p<0.001). Conclusion: Elderly people classified as having better functionality in PRISMA 7 were more likely to have worse QoL in the Physical, Functional and Physical Health domains. In addition, the presence of a risk of functional decline was associated with a greater chance of worse QoL in the pain domain.