Medical Outcomes Study 36-Item Short Form Health Survey e Center for Epidemiological Studies-Depression in elderly with pressure ulcers

Introduction: Little is known about how pressure ulcers (PU) may affect the quality of life of the elderly living in different types of housing. Objective: To evaluate health-related quality of life (HRQoL) and depression in elderly patients with PU living in a hospital, long-term care facility (LTCF) or at home. Methods: A cross-sectional study was conducted with 110 elderly patients aged 60 and older, without cognitive impairment, with (n = 36) and without PU (n = 74). The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was used to assess HRQoL and the Center for Epidemiological Studies Depression Scale (CES-D) was used to assess depression. Results: Forty-eihgt ulcers were found in 36 patients. Patients with PU had significantly lower (worse) scores than patients without PU on physical functioning (hospital p<0,001, LTCF p<0,001, at home p<0,001) and role physical (hospital p=0,013, LTCF p=0,034, at home domicílio p=0,024) in the three types of housing. In the LTCF, patients with PU had significantly lower scores on the social functioning (p = 0.045) and role emotional (p = 0.036) subscales than patients without PU. The hospitalized elderly with PU had significantly higher scores on general health (p = 0.046) and vitality (p = 0.009) than those without PU. Among the elderly without PU, hospitalized patients had significantly lower scores on the bodily pain subscale than the other participants (p = 0.007). The patients with PU who were hospitalized or living in a LTCF reported significantly lower CES-D scores than those without PU (p = 0.007 and p = 0.003, respectively). Conclusion: The elderly with PU living in a LTCF reported lower scores on the physical functioning, role physical, social functioning, and role emotional subscales, reflecting a lower HRQoL. The elderly with PU who were hospitalized or living in a LTCF reported higher levels of depression.Introdução: Pouco é conhecido sobre as alterações que a úlcera por pressão (UP) pode causar na qualidade de vida de idosos estabelecidos em diferentes locais. Objetivo: Avaliar qualidade de vida e depressão em idosos portadores de UP em hospital, instituição de longa permanência (ILPI) e em domicílio. Métodos: Foram avaliados, em estudo transversal, 110 idosos, com idade superior a 60 anos, sem déficit cognitivo, portadores de UP (n=36) ou não (n=74). Para avaliação da qualidade de vida utilizouse o SF36, e o CES-D foi utilizado para avaliação de depressão. Resultados: Foram encontradas 48 úlceras em 36 idosos. Os idosos com UP apresentaram resultados estatisticamente piores para Capacidade Funcional (hospital p<0,001, ILPI p<0,001 e domicílio p<0,001) e Aspectos Físicos (hospital p=0,013, ILPI p<0,034 e domicílio p