CARACTERIZAÇÃO DOS PACIENTES IDOSOS ATENDIDOS PELOS SERVIÇOS DE ATENÇÃO DOMICILIAR EM CAMPO GRANDE, MATO GROSSO DO SUL

Abstract

Introduction Population ageing is a fact present worldwide and due to this new scenario of greater population longevity, chronic non-communicable diseases (NCDs) have a great influence on the epidemiological profile of this group. By addressing the need for other alternative forms to hospitalization, the Federal Government Program “Better at Home” consists of home care, which provides an alternative for optimizing available resources. In Campo Grande, MS, this program called Home Care Service (SAD) assists patients whose homes are located in its main Health Districts. Objective To characterize elderly patients assisted by Home Care Services (SADs) in the main Health Districts in the city of Campo Grande, Mato Grosso do Sul. Method Observational, retrospective and cross-sectional study with a quantitative approach. All medical records of elderly patients, aged 60 years or over, admitted to the SAD, from January 2018 to December 2022, were included. Data on sex, age, diagnoses, types of care, and outcomes were collected and analyzed. The chi-square test was used to assess associations between variables. Results The sample involved 378 patients, with 198 (52.4%) women and 180 (47.6%) men, with a mean age of 75.7 (± 9.75) and an age range between 70 and 79 years. Most patients came from the districts of Anhanduizinho (36.0%) and Lagoa (28.0%). The main conditions were neurological (49.2% - n = 186), pulmonary (29.1%) and metabolic (21.2%). Men had a higher prevalence of strokes (36.7%), while women had more pulmonary (35.4%), metabolic (25.3%) and gastrointestinal (3,0%) conditions. The districts of Centro (80%) and Lagoa (78.5%) had a higher demand for low-complexity care, while Bandeira had more medium-complexity cases (50%). Prosa stood out for the greater use of nasogastric/nasoenteric tubes (34.8%). Segredo had a greater need for indwelling urinary catheters (11.1%). Conclusion The characterization of elderly patients in the SADs of Campo Grande revealed significant differences in care needs between health districts and between genders. These findings highlight the importance of targeted public policies and the need for personalized health planning that considers regional and gender specificities. Expanding health education programs and implementing multidisciplinary care are essential to mitigate complications resulting from NCDs and promote the quality of life of the elderly.