masterThesis
Core set da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) como ferramenta de classificação da saúde física de idosos residentes na comunidade
Fecha
2018-12-11Registro en:
OLIVEIRA, Naama Samai Costa. Core set da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) como ferramenta de classificação da saúde física de idosos residentes na comunidade. 2018. 50f. Dissertação (Mestrado em Saúde Coletiva - FACISA) - Faculdade de Ciências da Saúde do Trairí, Universidade Federal do Rio Grande do Norte, Natal, 2018.
Autor
Oliveira, Naama Samai Costa
Resumen
Introduction: With aging, there are changes in the morbidity and mortality of the
population, with an increase in physical health impairment. This is commonly
evaluated in clinical practice and research by self-reported health, which is a
comprehensive and reliable health measure involving physical and emotional factors
and is predictive of functional decline and mortality, regardless of objective health
measures. The International Classification of Functioning, Disability and Health (ICF)
is an important multidimensional assessment strategy, where it is possible to identify
the domains that are related to the functional state that the person presents. Because
it is an extensive tool, Core Sets have gained space today because they are formed
by ICF categories considered essential for the evaluation of a certain health
condition. In this perspective, Ruaro (2014) developed a Core Set of ICF to evaluate
the physical health of the older persons and this study aims to assess its construct
validity in evaluating the physical health of the community-dwelling older adults.
Methods: This is a cross-sectional study in which community-dwelling older adults
were evaluated in relation to socio-demographic data, comorbidities, self-reported
health, depressive symptoms and the ICF Core Set for the physical health of the
older persons, which is composed of 30 categories of ICF, being 14 related to body
functions, 4 to body structures, 9 to activities and participation, and 3 to
environmental factors. The relationship between the domains and the socioeconomic
and health variables was performed by comparing means of the injury / problem
indexes by the categories of the variables using Student's t test or ANOVA with
Tukey post-hoc. Multiple linear regression was used to analyze the relationship
between the ICF Core set and self-adjusted health adjusted for confounding factors
(age, income sufficiency, and schooling). A p <0.05 and 95% CI were considered at
all stages. Results: 101 older persons participated in the study. Those with 3 or more
chronic diseases and with depressive symptoms had higher indexes of injury /
problem in Body Function (p<0.001), Body Structures (p<0.001), and Activity and
Participation (p<0.01) domains. The older persons who reported very good or good
health had a lower index of injury / problem in the domains of ICF than those who
reported reasonable health, which in turn had a lower index than those reporting
health as poor or very poor. The relationship between a self-rated health and the
Core set was maintained even after the adjustment for confounders, with older adults
with higher injury / problems reporting their health as poor or very poor in Body
Structures (p<0,001), Body Function (p<0,01) and Activity and Participation: capacity
(p = 0,02) and Performance (p = 0,01). Conclusion: The results suggest that the ICF
Core Set for assessing the physical health of the older persons is related to selfreported health, even after adjusting for confounding variables. It is considered a
valid instrument and can be used in clinical practice and scientific research, since it
allows to identify modifiable aspects, both contextual and clinical, that may be the
target of interventions.