Funcionamento cognitivo de idosos vivendo com HIV

Abstract

The aging of the population infected with AIDS has increased exponentially and in 2015 there was the largest record of people over 50 living with HIV/aids, about 5.8 million people worldwide and a reduction of approximately 10% in deaths because of the disease. The elderly population with HIV has increased because of many reasons: social determinants, such as the treatment of erectile dysfunction, that allows sexual life in old age, the difficulty of inserting condoms in the sexual life of the elderly, the lower access of the elderly to information about safe sex, among other things. Knowing this population may contribute to the structuring of possible intervention plans and promotion health that are even more and more effective for this public. Besides that, the health professionals will be able to benefit from the information, while learning the results, so they will be able to think and work with interventions increasingly effective to the elderly population with HIV/aids on ART. In view of this perspective, a master's thesis was proposed with the objective of evaluating cognitive and emotional aspects of elderly living with HIV/aids on ART. The instruments used for both empirical studies were: Mini-Mental State Examination (MMSE); Clock Drawing Test; Five Digit Test (FDT); Non-Verbal Test of Intelligence (Beta – III); Rex Complex Figure; Geriatric Anxiety Inventory (GAI); five-item version of the Geriatric Depression Scale (GDS 5). In study 1, descriptive statistical analysis was performed (absolute and relative frequency distribution, mean, median, standard deviation) bivariates (Spearman correlation, chi-square). As results, it is observed that the elderly living with HIV/aids had lower than average results in most of the cognitive evaluation instruments evaluated; as well as they had results indicating anxiety disorder. Besides that, those who had inferior than average cognitive result in BETA-III, FDT and Rey Complex Figures, showed cognitive impairment. In study 2, descriptive analyses (absolute and relative frequency distribution, mean, median, standard 9 deviation) bivariate (Spearman correlation, chi-square) and logistic regression were performed. In the investigated population, the factors associeated with CCL were living with HIV/aids, medication use and depression. The outcome depression was associated with living with living with HIV/aids, female gender, medication, anxiety and schooling. Anxiety was associeated only with depression and restful waking. Such information was the factors associated with the development of the disease. Thus, the study demonstrated the importance of investigating the emotional and cognitive state of older people living with HIV/aids, as well as the need to understand their interrelationships to understand the cognitive and emotional illness of the elderly. Interventions should be focused on to help in improving the emotional and cognitive health of these people in general, due to the multimorbidity and natural aging, which affect this population in order to reduce possible injuries.