Abstract

GRANGEIRO, Adriano et al. Expressive therapies in hyper-frequenting elderly: effect on consultations number and mental status. Psic., Saúde & Doenças [online]. 2020, vol.21, n.3, pp.698-712.  Epub Dec 31, 2020. ISSN 1645-0086.  https://doi.org/10.15309/20psd210313.

There are patients, called hyperfrequenters (HF), who frequently use Primary Health Care (PHC), causing a large number of prescriptions and referrals to other levels of care. This study aimed to verify the effect of expressive therapies (ET) on the number of medical appointments and on mental status in elderly FH. This is a quasi-experimental study, with a sample of 69 elderly people attended at the PHC of Granja do Torto, Federal District, divided into: intervention group (IG), with elderly FH; and control group (CG), with elderly people not HF. The elderly HF were submitted to ET for 24 weeks, twice / week. In the data analysis, Pearson's chi-square test, multivariate analysis of variance for repeated MANOVA measures and Wilks' Lambda test were used. The IG showed a mean age of 73.97 years (SD=6.67) and the CG 69.78 years (SD=6.78), with a significant difference between the groups (p =0.04).In the post-intervention, the IG showed a significant decrease in depression (p <0.001), anxiety (p =0.05), loneliness (p =0.01) and stress (p =0.006).There was a significant decrease in the number of consultations in the IG (p <0.001) during the year following the intervention. In HF elderly people, the TE intervention provided positive effects, reducing the number of medical appointments and improving the mental state (depression, anxiety, stress and loneliness) of this group, allowing them to experience alternatives to improve their quality of life. The use of ET minimized health problems from the perspective of resolving low-cost care, in a holistic approach to comprehensive care for the elderly in PHC.

Keywords : Primary health care; comprehensive health care; elderly; mental states; music; dance; hyperfrequenter patient.

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