ESTRATÉGIAS DE ATENÇÃO À SAÚDE MENTAL EM INSTITUIÇÕES DE LONGA PERMANÊNCIA PARA IDOSOS: REVISÃO SISTEMÁTICA.
Keywords:
Instituição de Longa Permanência, Saúde mental, Estratégias, Idosos residentesAbstract
O envelhecimento populacional é um fenômeno que traz consigo diversos desafios individuais e coletivos, sobretudo no que se refere aos cuidados de longo prazo. As Instituições de Longa Permanência para Idosos (ILPIs) nesse cenário se configuram como opção de moradia que possibilita conviver com outros idosos e sob cuidados de terceiros. Os transtornos mentais são de alta prevalência nesta população, com destaque para demência e transtornos de humor (depressão e ansiedade). Com o objetivo de identificar estratégias de atenção à saúde mental desenvolvidas em ILPIs, foi realizada esta revisão sistemática. Os trabalhos analisados (n = 36) abordam diferentes estratégias, como estimulação cognitiva, exercícios físicos orientados, melhor estruturação das ILPIs, entre outros. Os trabalhos trazem resultados positivos com relação à qualidade de vida, sintomas de ansiedade/depressão e funcionalidade dos idosos. Os resultados preliminares apontam uma variedade de estratégias, aplicadas em diferentes cenários, com potencial benefício para a população idosa institucionalizada.
References
Andrusjak W., Barbosa A., & Mountain G. (2021, 08 de janeiro). Hearing and vision care provided to older people residing in care homes: a crosssectional survey of care home staff. BMC Geriatrics, 21, p. 32.
Arunrasameesopa, S., Wongpakaran, N., & Wongpakaran, T. (2021, 03 de dezembro). Influence of Attachment Anxiety on the Relationship between Loneliness and Depression among Long-Term Care Residents. Healthcare, 9, p. 1675.
Barreto, P.S., & Cesari, M., Denormandie, P., Armaingaud D., Vellas B., & Rolland Y. (2017, 19 de maio). Exercise or Social Intervention for Nursing Home Residents with Dementia: A Pilot Randomized, Controlled Trial. Journal of the American Geriatrics Society, 65(9), p. 123-129.
Biassoni, F., Cassina, G., Balzarotti, S. (2019). Autobiographical Narration as a Tool for the Empowerment of Older Adults’ Subjective and Psychological Wellbeing in Nursing Homes. Clinical Gerontologist; vol 42(3); p. 334-343. Recuperado de: https://pubmed.ncbi.nlm.nih.gov/29220628/
Capp, E., Nienov, O.E. (2021). Epidemiologia aplicada básica. Porto Alegre: UFGRS, RS: Programa de Pós-Graduação em Ciências da Saúde.
Carvalho P.F., Venturini C.B., Lacerda T.T.B., Souza M.C.M.R., Lustosa L.P., & Horta N.C. (2020). Sintomas depressivos e fatores associados em idosos institucionalizados da região metropolitana de Belo Horizonte. Geriatr Gerontol Aging, 14(4), p. 252-8. Recuperado de: https://pesquisa.bvsalud.org/hansen/resource/pt/biblio-1151611?src=similardocs
Chao, S-F., Chen, Y-C. (2019). Environment patterns and mental health of older adults in long-term care facilities: the role of activity profiles. Aging & Mental Health, vol 23 (10); p. 1307-1316. Recuperado de: https://pubmed.ncbi.nlm.nih.gov/30450945/
Cooney, A. (2011, 18 de abril). 'Finding home': a grounded theory on how older people 'find home' in long-term care settings. International Journal of Older People Nursing. volume 7(3), páginas 188-199.
Davison ,TE, Eppingstall, B, Runci, S, O'Connor, DW. (2017). A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities. Aging Ment Health. Volume 21(7), páginas 766-773.
Donnelly, L, Clarke, L, Phinney, A, MacEntee, M. (2015, 09 de fevereiro). The impact of oral health on body image and social interactions among elders in long-term care. Gerodontology, volume 33(4), páginas 480-489.
Doyle, P. J., Rubinstein, R. L. (2014, dezembro). Person-centered dementia care and the cultural matrix of othering. The Gerontologist, volume 54 (6), páginas 952-963.
Duarte M.B., Freitas J.V.N., Correia R.A., Frank M.H., Novaes H.P.O., Soub J.C., Noronha D.O., & Lloyd-Sherlock P. (2021). Health care strategies in long-term care facilities in Bahia State, Brazil. Geriatr Gerontol Aging, 15. Recuperado de: http://ggaging.com/details/1711/en-US/health-care-strategies-in-long-term-care-facilities-in-bahia-state--brazil
Edvardsson D., Petersson L., Sjogren, K., Lindkvist, M., Sandman, P-O. (2014, 09 de dezembro). Everyday activities for people with dementia in residential aged care: associations with person-centredness and quality of life. International Journal of Older People Nursing, volume 9 (4), página 269-276.
Gillis K, Lahaye H, Dom S, Lips D, Arnouts H, Van Bogaert P. (2019, 30 de agosto). A person-centred team approach targeting agitated and aggressive behaviour amongst nursing home residentes with dementia using the Senses Framework. International Journal of Older People Nursing, volume 14(4).
Gleibs, H. I., Haslam, C., Jones, J.M, Haslam, A.S., McNeill, J., Connolly, H. ( 2011, 15 de maio). No country for old men? The role of a 'Gentlemen's Club' in promoting social engagement and psychological well-being in residential care. Aging & Mental Health., volume 15 (4), páginas 456-466.
Haslam C, Haslam S, Knight C, Gleibs I, Ysseldyk R, McCloskey LG. (2012, 17 de dezembro). We can work it out: Group decision-making builds social identity and enhances the cognitive performance of care residents. British Journal of Psychology, volume 105(1), páginas 17-34.
Howard E.P., Martin L., Heckman G.A., & Morris J.N. (2021, 12 de novembro). Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities? Frontiers in Psychiatry, 12.
Hsu C.Y., Moyle W., Cooke M., & Jones C. (2016, fevereiro). Seated Tai Chi versus usual activities in older people using wheelchairs: A randomized controlled trial. Complementary Therapies in Medicine, 24, p. 1-6.
Jordans M.J.D., Kohrt B.A., Sangraula M., Turner E.L., Wang X., Shrestha P., Ghimire, R., Hof, E.V., Bryant, R.A., Dawson, K.S., Marahatta, K., Luitell, N.P., & Ommeren, M.V. (2021, 17 de junho). Effectiveness of Group Problem Management Plus, a brief psychological intervention for adults affected by humanitarian disasters in Nepal: A cluster randomized controlled trial. PLoS Med, 18(6).
Kisvetrová H, Hanácková R, Greaves PJ, Steven A, et al. (2021, 08 de agosto). Dignity and Predictors of Its Change Among Inpatients in Long-Term Care. Clinical Nursing Research, volume 31(2), páginas 274-283.
Lane, W, Noronha, D, Rivera, A, Craig, K, Yee, C, Mills, B, Villanueva, E. (2016). Effectiveness of a social robot, "Paro," in a VA long-term care setting. Psychological Services, volume 13(3), páginas 292-299.
Lewinson, T, Robinson-Dooley, V, Grant, K. (2012, 18 de outubro). Exploring "home" through residents' lenses: assisted living facility residents identify homelike characteristics using photovoice. Journal of Gerontological Social Work, volume 55(8), páginas 745-56.
Lou VWQ, Chi I, Kwan CW, Leung AYM. (2012, 01 de novembro). Trajectories of social engagement and depressive symptoms among long-term care facility residents in Hong Kong. Age and Ageing, 42(2), p. 215-22.
Moyle W, Murfield J, Jones C, Beattie E, Draper B, Ownsworth T. (2018). Can lifelike baby dolls reduce symptoms of anxiety, agitation, or aggression for people with dementia in long-term care? Findings from a pilot randomised controlled trial. Aging Ment Health, 23(10), p. 1442-1450
Nasrin, S, Penning, M, Cloutier D, Mallidou A, Nuernberger K & Taylor, D. (2017, 04 de outubro). Social Engagement and Antipsychotic Use in Addressing the Behavioral and Psychological Symptoms of Dementia in Long-Term Care Facilities. Canadian Journal of Nursing Research, vol 49 (4).
Neto, A. V. d. L., Nunes, V. M. d. A., Oliveira, K. S. A. d., Azevedo, L. M. d., & Mesquita, G. X. B. (2017). Stimulation in institutionalized elderly people: effects of cognitive activity practice. Revista de Pesquisa: Cuidado é Fundamental Online, 9(3), p. 753-759. Recuperado de: https://doi.org/10.9789/2175-5361.2017.v9i3.753-759
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372: n71. Recuperado de: https://pubmed.ncbi.nlm.nih.gov/33782057/
Panes V.C.B., Caldana M.L., Marin M.J.S., Damiance P.R.M., & Wachholz P.A. (2020). Percepção da qualidade de vida e condição de fragilidade entre idosos com diferentes situações de moradia. Geriatr Gerontol Aging, 14(4), p. 244-5. Recuperado de: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1151610
Park, Y. H., Moon, S. H., Ha, J. Y., & Lee, M. H. (2017, 11 de julho). The long-term effects of the health coaching self-management program for nursing-home residents. Clinical Interventions in Aging, 12; p. 1079–1088.
Perlman C, Kirkham J, Velkers C, Leung RH, Whitehead M, Seitz D. (2019, 01 de maio). Access to Psychiatrist Services for Older Adults in Long-Term Care: A Population-Based Study. JAMDA, 20 (5), p. 610-616.
Polacsek M., & Woolford M. (2022, 24 de fevereiro). Strategies to support older adults’ mental health during the transition into residential aged care: a qualitative study of multiple stakeholder perspectives. BMC Geriatrics, 22, p. 151.
Rantz, M., Popejoy L.L., Galambos, C., Phillips, L.J., Lane, K.R, Marek, K.D., Hicks, L., Musterman, K., Back, J., Miller, S.J., Ge, B. (2014, julho). The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing. Nursing Outlook, volume 62 (4), páginas 237-246.
Reinhardt, J.P., Horowitz, A., Cimarolli, V.R., Eimicke, J.P., Teresi, J.A. (2014, 01 de novembro). Addressing depression in a long-term care setting: a phase II pilot of problem-solving treatment. Clinical Therapeutics, volume 36(11), página 1531-1537
Rushton PW, Mortenson BW, Viswanathan P, Wang RH, Miller WC, Clarke LH. (2017, outubro). Intelligent power wheelchair use in long-term care: potential users' experiences and perceptions. Disabil Rehabil Assist Technol., 12(7): p. 740-746.
Santomauro, D., Herrera, A., Shadid, J., et al. (2021) Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. (grupo COVID-19 Mental Disorders Collaborators), The Lancet, volume 398 (10312), páginas 1663-1776.
Saravanakumar P., Higgins I.J., Riet P.J.V.D., & Sibbritt D. (2018, 02 de julho). Tai chi and yoga in residential aged care: Perspectives of participants: A qualitative study. Journal of Clinical Nursing, 27 (23-24), p. 4390-99.
Sautter S.W., Ord A.S., Azher A., Chidester A., & Aravich P.F. (2021, 11 de janeiro). Benefits of Computer Engagement in Older Adults with Dementia. Gerontology & Geriatric Medicine, 7, p. 1–11.
Stacpoole, M., Hockley, J., Thompsell, A., Simard, J., & Volicer, L. (2017, outubro). Implementing the namaste care program for residents with advanced dementia: Exploring the perceptions of families and staff in UK care homes. Annals of Palliative Medicine, 6(4), p. 327–339.
Steel A, Hopwood H, Goodwin E, Sampson EL. (2022, 12 de janeiro). Multidisciplinary residential home intervention to improve outcomes for frail residents. BMC Health Serv Res., 22, p. 58.
Tsai HH, Tsai YF. (2011, 15 de novembro). Changes in depressive symptoms, social support, and loneliness over 1 year after a minimum 3-month videoconference program for older nursing home residents. J Med Internet Res., 13(4): p. 93.
Tseng, C.F., Lee, S.H., Hsieh, T.C., & Lee, R.P. (2019, 09 de abril). Smart Restored by Learning Exercise Alleviates the Deterioration of Cognitive Function in Older Adults with Dementia-A Quasi-Experimental Research. Int. J. Environ. Res. Public Health, 16(7), p. 1270.
Villar F, Celdrán M, Vila-Miravent J, Fernández E. (2017, 26 de fevereiro). Involving institutionalized people with dementia in their care-planning meetings: Impact on their quality of life measured by a proxy method: Innovative Practice. SAGE Journal, vol 18(5), p. 1936-1941.
Wang, J-J. (2011, 03 de julho). A structural model of the bio-psycho-socio-spiritual factores influencing the development towards gerotranscendence in a sample of institutionalized elders. Journal of Advanced Nursing, vol 67 (12), p. 2628-2636.
Watkins R., Goodwin VA, Abbott RA, Hall A, Tarrant M. (2017, 11 de julho). Exploring residents’ experiences of mealtimes in care homes: A qualitative interview study. BMC Geriatrics, Vol 17, p. 141.
Wilks SE, Boyd PA, Bates SM, Cain DS, Geiger JR. (2017, 27 de abril). Montessori-Based Activities Among Persons with Late-Stage Dementia: Evaluation of Mental and Behavioral Health Outcomes. SAGE journals, vol 18(4).
Zon L.V., Kirby J.R., & Anderson N. (2016, 25 de janeiro). The efficacy of a volunteer-administered cognitive stimulation program in long-term care homes. Int Psychogeriatr, 28(6), p. 995-1004.
