Diagnósticos de enfermagem do Padrão Mover em idosos de uma comunidade atendida pelo Programa Saúde da Família Diagnósticos de enfermería del Patrón Movimiento en ancianos asistidos por el Programa Salud de la Familia Nursing diagnoses of the Pattern of Mobility in the elderly attended by the Family Health Program

Com o envelhecimento, eleva-se a ocorrência de incapacidade ou risco para perda da mobilidade nos idosos. Objetivamos estudar a ocorrência de 22 Diagnósticos de Enfermagem do Padrão Mover em idosos, em relação a freqüência, sexo e idade. Trata-se de estudo exploratório, que incluiu 75 idosos atendidos por uma equipe do Programa Saúde da Família em Goiânia (GO). Verificamos que 97,3% da amostra apresentou pelo menos um dos diagnósticos estudados. Os diagnósticos com maiores freqüências foram Mobilidade Física Prejudicada (90,7%), Padrão do sono perturbado (89,4%) e Manutenção ineficaz da saúde (75,9%). Não encontramos diferença estatisticamente significativa entre a freqüência de diagnósticos entre homens e mulheres. Identificamos diferença estatisticamente significativa entre a freqüência de diagnósticos e a idade. Percebemos que existem características especificas da amostra que sugerem a necessidade de que cada equipe do Programa Saúde da Família avalie sua respectiva clientela a fim de direcionar intervenções precoces e apropriadas.<br>Con el envejecimiento, aumenta la ocurrencia de incapacidad o el riesgo para la pérdida de la movilidad en los ancianos. Nuestro objetivo fue estudiar la ocurrencia de 22 Diagnósticos de Enfermería del patrón movimiento en los ancianos, en relación a la frecuencia, sexo y edad. Se trata de uno estudio exploratorio que incluyó a 75 ancianos, asistidos por una equipo del Programa Salud de la Familia en Goiania (Brasil). Verificamos que el 97,3% de la muestra presentó por lo menos un diagnóstico. Los diagnósticos con mayores frecuencias fueron: movilidad física perjudicada (90,7%), modelo del sueño alterado (89,4%) y manutención ineficaz de la salud (75,9%). No encontramos diferencia estadísticamente significativa entre la frecuencia de los diagnósticos entre hombres y mujeres. Identificamos diferencia estadísticamente significativa entre la frecuencia de los diagnósticos y la edad. Percibimos que existen características específicas de la muestra que sugieren la necesidad de que cada equipo del Programa Salud de la Familia evalúe su respectiva clientela a fin de orientar intervenciones precoces y apropiadas.<br>With aging there is an increase of the occurrence of incapacity and risk of loss of mobility in the elderly. Our objective was to study the occurrence of 22 Nursing Diagnoses of the Moving Pattern in elderly people in relation to frequency, sex and age. It is an exploratory study that involved 75 elders assisted by a team of the Family Health Program in Goiânia, State of Goiás. We found that 97.3% of the sample presented one or more diagnoses. The most frequent diagnoses were Impaired Physical Mobility (90.7%), Pattern of the Disturbed Sleep (89.4%) and Inefficient Health Upkeep (75.9%). We did not find statistically significant difference in the frequency of diagnoses among men and women. We identified statistically significant difference between the frequency of diagnoses and age. We noticed that there are specific characteristics of the sample that suggest the need for each team of Health Family Program to evaluate its clientele in order to direct early appropriate interventions

Types of Combined Family-to-Work Conflict and Enrichment and Subjective Health in Spain: A Gender Perspective

Family-to-work conflict and enrichment indicate how participation in the family can influence negatively or positively participation at work, respectively. These experiences have been proved to co-occur within individuals at different levels and explain their well-being in a more nuanced way than conflict and enrichment in isolation. This study examines how Spanish women and men experience conflict and enrichment concurrently in different types and the consequences to their subjective health. First, in line with social role theory and the gendered division of household labor, we hypothesized on gender differences in the types of combined conflict and enrichment experiences. Second, incorporating theory on conservation of resources and identity, we hypothesized on the consequences of the specific types of combined conflict and enrichment to subjective health from a gender perspective. Using chi-square test on a sample of 236 women and 165 men, we confirmed that women and men differed in their types of combined conflict and enrichment experience: the beneficial (higher enrichment than conflict) and active types (similar higher conflict and enrichment) were mainly composed of women whereas the passive type (similar lower conflict and enrichment) was mainly composed of men. Using a MANOVA, we confirmed that the types of combined conflict and enrichment explained significant differences in subjective health in a similar way for women and men. Overall the findings debunk the belief that higher participation in family roles interferes with work more negatively among women, or that higher participation in family roles affect their health more negatively than men. We discuss theoretical and practical implications