<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152024000200202</article-id>
<article-id pub-id-type="doi">10.29352/mill0214e.32126</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Assistência à pessoa idosa com 80 e mais anos no serviço de urgência: perspetiva dos profissionais das estruturas residenciais para idosos]]></article-title>
<article-title xml:lang="en"><![CDATA[Aid to the elderly person aged 80 and over in the emergency service: perspective of professionals from nursing homes]]></article-title>
<article-title xml:lang="es"><![CDATA[Asistencia a la persona mayor de 80 y más años en el servicio de urgencias: perspectiva de los profesionales de hogares de mayores]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pina]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vicente]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esteves]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Olivério]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bica]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5 "/>
<xref ref-type="aff" rid="Af6"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Católica Portuguesa Centro de Investigação Interdisciplinar em Saúde ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Saúde ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem  ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,ESEnfC  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade do Minho Centro de Investigação em Estudos da Criança ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<numero>esp14</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152024000200202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152024000200202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152024000200202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O aumento da esperança média de vida da população tem-se refletido significativamente na acentuada taxa de envelhecimento e no aumento da prevalência de doenças crónicas, levando a um aumento da afluência aos Serviços de Urgência, pela pessoa idosa com 80 e mais anos.  Objetivo:  Identificar os motivos das idas às urgências por parte da pessoa idosa, tendo em conta a perspetiva dos profissionais das Estruturas Residenciais para Idosos; explorar medidas favorecedoras da redução do envio das pessoas idosas com 80 e mais anos ao Serviço de Urgência.  Métodos:  Estudo observacional de natureza descritiva em coorte transversal em uma amostra não probabilística de 60 representantes das Estruturas Residenciais para Idosos que enviaram pessoas idosas com 80 e mais anos ao Serviço de Urgência de um Centro Hospitalar da zona Centro de Portugal. A recolha de dados foi efetuada com recurso a Entrevistas baseadas num guião semiestruturado elaborado pela equipa de investigadores.  Resultados:  Os motivos mais prevalentes que levam a pessoa idosa com 80 e mais anos ao Serviço de Urgência, são, segundo os profissionais das Estruturas Residenciais para Idosos, a queda (73,33%), dificuldade respiratória (65%) e doença cardiovascular (30%). Das sugestões pertinentes para a redução do envio das pessoas idosas com 80 e mais anos ao Serviço de Urgência, destacam-se maior acessibilidade de contacto com o centro de saúde (25%), existirem horários alargados nos centros de saúde (21,67%) e maior acompanhamento do médico da própria instituição (18,33%).  Conclusão:  Sugere-se a replicação deste estudo com uma amostra mais alargada, devido ao seu número ser reduzido e à escassez de estudos que incidam apenas na ida das pessoas idosas com 80 e mais anos institucionalizadas ao Serviço de Urgência.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The increase in the average life expectancy of the population has been significantly reflected in the accentuated rate of aging and the increase in the prevalence of chronic diseases, leading to an increase in the number of people aged 80 and over attending Emergency Services.  Objective:  Identify the reasons for visits to the emergency room by elderly people, taking into account the perspective of professionals in Residential Structures for the Elderly; explore measures to reduce the number of elderly people aged 80 and over sent to the Emergency Department.  Methods:  Observational study of a descriptive nature in a cross-sectional cohort in a non-probabilistic sample of 60 representatives of Residential Structures for the Elderly who sent elderly people aged 80 and over to the Emergency Department of a Hospital Center in the Center of Portugal. Data collection was carried out using interviews based on a semi-structured script prepared by the team of researchers.  Results:  The most prevalent determinants that lead the elderly person aged 80 and over to the Emergency Department are, according to the professionals of the Residential Structures for the Elderly, falls (73.33%), respiratory difficulty (65%) and cardiovascular disease (30%). Of the suggestions relevant to the reduction in the sending of the elderly aged 80 and over to the ER, the most important are greater accessibility of contact with the health center (25%), the existence of extended opening hours at the health centers (21.67%) and greater monitoring by the institution's own physician (18.33%).  Conclusion:  We suggest the replication of this study with a larger sample due to its reduced number and the scarcity of studies focusing only on the visit of institutionalized elderly people aged 80 and older to the Emergency Department.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El aumento de la esperanza media de vida de la población se ha reflejado significativamente en el acentuado ritmo de envejecimiento y el aumento de la prevalencia de enfermedades crónicas, provocando un aumento del número de personas de 80 y más años que acuden a los Servicios de Emergencia.  Objetivo:  Identificar los motivos de visita a urgencias por parte de personas mayores, teniendo en cuenta la perspectiva de los profesionales de Estructuras Residenciales para Ancianos; explorar medidas para reducir el número de personas mayores de 80 años o más enviadas al Servicio de Urgencias.  Métodos:  Estudio observacional, descriptivo, de cohorte transversal, en una muestra no probabilística de 60 representantes de Estructuras Residenciales para Personas Mayores que enviaron a personas mayores de 80 años y más al Servicio de Urgencias de un Centro Hospitalar do Centro de Portugal. La recolección de datos se realizó mediante entrevistas basadas en un guión semiestructurado elaborado por el equipo de investigadores.  Resultados:  Los motivos más prevalentes que llevan a las personas mayores de 80 años al Servicio de Urgencias son, según los profesionales de las Estructuras Residenciales para Ancianos, la caída (73,33%), la dificultad respiratoria (65%) y la enfermedad cardiovascular (30%). Entre las sugerencias relevantes para reducir la derivación de mayores de 80 años al Servicio de Urgencias destacan: mayor accesibilidad de contacto con el centro de salud (25%), ampliación del horario de atención en los centros de salud (21,67%) y mayor seguimiento por parte del médico de la propia institución (18,33%).  Conclusión:  Sugerimos la replicación de este estudio con una muestra mayor debido a su reducido número y a la escasez de estudios centrados únicamente en personas mayores de 80 años institucionalizadas que acuden a Urgencias.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[pessoa idosa]]></kwd>
<kwd lng="pt"><![CDATA[estruturas residenciais para idosos]]></kwd>
<kwd lng="pt"><![CDATA[serviço de urgência]]></kwd>
<kwd lng="pt"><![CDATA[assistência clínica no serviço de urgência]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[residential facilities for the elderly]]></kwd>
<kwd lng="en"><![CDATA[emergency department]]></kwd>
<kwd lng="en"><![CDATA[clinical care in the emergency department]]></kwd>
<kwd lng="es"><![CDATA[personas mayores]]></kwd>
<kwd lng="es"><![CDATA[estructuras residenciales para personas mayores]]></kwd>
<kwd lng="es"><![CDATA[servicio de urgencias]]></kwd>
<kwd lng="es"><![CDATA[atención clínica en el servicio de urgencias]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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