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Saúde no envelhecimento: o discurso sanitário nos programas de saúde; Health and anging: self-care as a question

Lima, Ângela Maria Machado de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: dissertação de mestrado Formato: application/pdf
Publicado em 21/06/1996 Português
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46.18%
O presente estudo examina as relações entre autocuidado e envelhecimento, nas narrativas de idosos favelados da cidade de São Paulo. Trata-se de estudo qualitativo no qual se investigou as formas de autocuidado adotadas pelos entrevistados, com ênfase na relação com os serviços de saúde. Defende-se que o autocuidado não pode ser compreendido como simples adoção de saberes técnicos para a promoção da saúde, mas como uma atitude prática, relacionada à experiência de envelhecer, às condições de vida e às interações familiar e comunitária. Propõe-se a necessidade de resistir à tendência de responsabilização individual do idoso pela sua saúde, freqüentemente associada às propostas de autocuidado.; This study examines, in narratives, the relationships between self-care and aging for elderly who live in a slum of Sao Paulo city. It is a qualitative research which analysis self-care strategies, undertaken by the interviewed, emphasizing the ir relationship with health care services. The analysis supports that self-care can not be understood as a plain adoption of technical skills in order to promote health but as a practical behavior related to aging experience, life conditions, family and community interactions. The study proposes that it?s necessary to avoid take elderly as the main responsible in other to promote their own health...

Características demográficas, socioeconômicas e situação de saúde de idosos de um programa de saúde da família de Porto Alegre, Brasil; Socioeconomic and demographic characteristics and health condition of elderly people from a family health program in Porto Alegre, Brazil; Características demográficas, socioeconómicas y situación de salud de ancianos de un programa de salud de la familia de Porto Alegre, Brasil

Souza, Luccas Melo de; Morais, Eliane Pinheiro de; Barth, Quenia Camille Martins
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
46.08%
Estudo epidemiológico, exploratório-descritivo que objetivou identificar as características demográficas, socioeconômicas e a situação de saúde/doença de idosos de um Programa de Saúde da Família de Porto Alegre, Brasil, a fim de contribuir para o planejamento das ações de saúde a esses. Coletou-se dados de 98 idosos através de inquérito domiciliar, utilizando-se de instrumento semi-estruturado e multidimensional. Verificou-se que a média de idade dos entrevistados era de 69,5 anos. Do total dos idosos: 61 eram mulheres; 40 casados(as) e 77 não possuíam trabalho remunerado. A maioria dos homens (64,9%) tinha companheira, contrastando com 26,2% de mulheres com companheiro. Quanto à saúde, 80,6% relataram alguma patologia, destacando-se as doenças do aparelho circulatório em 55,1% dos entrevistados. Conclui-se que, embora os dados encontrados assemelhem-se a outros estudos, o conhecimento desses é fundamental para a adequação das ações de saúde da equipe do PSF estudado, com vistas à melhor atenção a esses idosos.; Se trata de un estudio epidemiológico, exploratorio-descriptivo, que tuvo como objetivo identificar las características demográficas, socioeconómicas y la situación de salud y enfermedad de ancianos de un Programa de Salud de la Familia en Porto Alegre...

Vulnerabilidade social, individual, programática e saúde percebida em idosos de Campinas; Social, individual and programmatic vulnerability and self-perceived health in elderly of Campinas

Natalia Oliveira Rodrigues
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: dissertação de mestrado Formato: application/pdf
Publicado em 25/11/2011 Português
Relevância na Pesquisa
45.92%
Fundamentos: As condições socioculturais e econômicas interagem com os processos biológicos, ao longo de toda a vida, podendo propiciar proteção ou vulnerabilidade na velhice. Objetivos: Descrever e analisar a vulnerabilidade em idosos, residentes na comunidade, conforme condições sociais (gênero, idade e renda), individuais (número de doenças, incapacidade funcional, suporte social percebido e saúde percebida) e programáticas (índice de SUS-dependência, Índice de Vulnerabilidade Social e acesso aos serviços médicos e odontológicos) e analisar a influência dessas condições sobre a saúde percebida dos mesmos idosos. Métodos: No contexto de um estudo sobre fragilidade, participaram 688 idosos recrutados em domicílio, sem déficit cognitivo sugestivo de demência, residentes em 88 setores censitários urbanos sorteados entre os 832 existentes em Campinas, SP. Eles foram entrevistados em sessão única de coleta de dados realizada em centros comunitários, mediante questionários e escalas de autorrelato. Resultados: Dos participantes, 68% eram mulheres; a idade variou entre 65 e 90 anos, com média de 72,28 ± 5,41 anos; a renda familiar mensal variou de zero e 57,83 salários e a média foi de 4,72 ± 5,28 salários mínimos. Cerca de 60% dos idosos viviam em regiões de menor vulnerabilidade social e com menor dependência dos serviços públicos de saúde. Apenas 11% não apresentaram doenças. O suporte social percebido e a saúde percebida foram predominantemente positivos. A análise multivariada apontou como preditores de melhor saúde percebida menor número de doenças...

Demographic profile and health conditions of the elderly in a community in an urban area of Southeastern Brazil

Telarolli Junior,Rodolpho; Machado,José Cândido M. S.; Carvalho,Fernanda
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/1996 Português
Relevância na Pesquisa
46.14%
Some specific characteristics of the aging of the Brazilian population in different areas, states and communities all over the country, have shown significant variations. Historical series of demographic and health indicators for the population in their sixties and over in Brazil, state of S. Paulo and in the municipal district of Araraquara are listed as follows: level of education and urban population growth rate, income distribution, mortality rates and main causes of death. In 1991 the aged constituled were 7,8% of the Brazilian population and 9,7% in Araraquara community. The elderly population (of 70 years of aged and above) as a proportion of the whole, has increased and already stands for 40%. The same trend holds good for both the proportion of aged within the urban population and their level of education wich increased to 90% in 1991. The main causes of death are chronic degenerative diseases which have replaced the infectious illness: firts, the diseases of the circulatory sistem (which account for more than 40% of all deaths) and the neoplasms (which let to 15% of the deaths). On the basis of these health and demographic data relating to people of 60 years of age and over, this study suggests some procedures for the improvement of the quality of the assistance given to the target population: a) the assistance give to the aged should be improved by providing gerontological training for general physicians and nurses...

The Bambuí Health and Aging Study (BHAS): factors associated with hospitalization of the elderly

Guerra,Henrique L.; Firmo,Josélia O. A.; Uchoa,Elizabeth; Lima-Costa,Maria Fernanda F.
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2001 Português
Relevância na Pesquisa
45.97%
This study aimed to identify factors associated with hospital admissions of the elderly. All residents of Bambuí, Minas Gerais State > or = 60 years (n = 1,742) were selected. Some 1,606 of these (92.2%) participated in the study. The dependent variable was the number of hospital admissions (none, one, and two or more) during the previous 12 months. Independent variables were grouped as enabling, predisposing, and need-related factors. The strongest associations with multiple hospital admissions were: living alone; financial constraints to purchase of medication; and various indicators of need (worse self-perceived health, more visits to physician, greater use of prescription medications, and history of coronary heart disease). Such variables could help identify older adults at greatest risk and thus prevent hospitalization.

The Bambui Health and Aging Study (BHAS): factors associated with the treatment of hypertension in older adults in the community

Firmo,Josélia Oliveira Araújo; Barreto,Sandhi Maria; Lima-Costa,Maria Fernanda
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2003 Português
Relevância na Pesquisa
46%
The objective of this study was to investigate the factors associated with the treatment of hypertension among older adults living in the community. All residents (n = 1,742) of Bambuí, Minas Gerais State, Brazil (15,000 inhabitants) aged ³ 60 years were selected, and 1494 (85.8%) were interviewed and examined. Of these, 919 (61.5%) were hypertensive, 704 were aware of their condition (study population), and 578 were under treatment. Only 38.8% of the individuals under treatment presented controlled systolic and diastolic pressures (< 140 and < 90mmHg, respectively). Independent associations with treatment of hypertension were found for, in decreasing order of magnitude: less time elapsed since the last blood pressure measurement, greater number of physician visits in the past 12 months, higher body mass index, female gender, history of coronary disease, changes in diet due to arterial hypertension, and higher family income. Our results show that the factors most strongly associated with treatment of hypertension (use of health services) could be modified through adequate health policies for older adults.

Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study

Lima-Costa,Maria Fernanda; Firmo,Josélia Oliveira Araújo; Uchôa,Elizabeth
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 Português
Relevância na Pesquisa
46.08%
Self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. The objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. The study included 1,505 individuals (86.4%) residing in Bambui and aged 60 years or older. Correlates of self-rated health among lower-income older adults (monthly household income < US$ 240.00) and higher-income seniors were assessed. Social network stood out as a major factor in the structure of self-rated health among the poorest. Psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, Trypanosoma cruzi infection, use of medications, and access to health services. Physician visits and hospitalizations were associated with self-rated health in both groups. Our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.

The Bambuí Cohort Study of Aging: methodology and health profile of participants at baseline

Lima-Costa,Maria Fernanda; Firmo,Josélia O. A.; Uchôa,Elizabeth
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 Português
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46.04%
The cohort study was initiated in 1997 to investigate the incidence and predictors of health outcomes in an elderly population with low socio-economic level. The eligible population consisted of all 1,742 residents in Bambuí, Minas Gerais State, Brazil, aged 60 years and over (1,606 participated). During 10 years of follow-up, 641 participants died and 96 were lost, leading to 13,739 person-years of observation. The baseline health profile of participants revealed a double burden of diseases with high prevalence of chronic non-transmissible diseases and widespread Trypanosoma cruzi infection. The most common health condition was hypertension (61.5%), followed by chronic knee or hand symptoms (43.6%), common mental disorders (38.5%), T. cruzi infection (38.1%), and insomnia (36.7%). In general, the baseline prevalence of mental symptoms and cardiovascular diseases or risk factors was comparable to those found in populations in high income countries.

Socioeconomic and demographic characteristics and health condition of elderly people from a family health program in Porto Alegre, Brazil

Souza,Luccas Melo de; Morais,Eliane Pinheiro de; Barth,Quenia Camille Martins
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2006 Português
Relevância na Pesquisa
46.08%
This epidemiological and exploratory-descriptive study aimed to identify the socioeconomic and demographic features, as well as the health and disease condition of elderly people from a Family Health Program in Porto Alegre, Brazil, with the purpose of contributing to the planning of health actions for this population. Data from 98 elderly people were collected through a home survey by means of a semistructured instrument. The mean age of the interviewed subjects was 69.5. Sixty-one participants (62.2%) were women; 40 (40.8%) were married and 77 (78.6%) did not have remunerated work. Most men (64.9%) had a companion, against 26.2% of women with a partner. As to health, 80.6% reported suffering from some pathology, especially diseases of the circulatory system, reported by 55.1% of the interviewees. Although the collected data are in line with other studies, knowledge about them is important to adapt health actions by the Family Health Program team under study, in order to offer better care to these elderly people.

Age Attributions and Aging Health: Contrast Between the United States and Japan

Levy, Becca R.; Ashman, Ori; Slade, Martin D.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: text
Português
Relevância na Pesquisa
46.04%
Older Americans often attribute health problems to old age, rather than to extenuating circumstances. Previous studies of Americans found that age attributions predict adverse health outcomes. We examined whether culture influences both the tendency to make age attributions and their effect on aging health. We found that (a) Japanese were significantly more likely to make age attributions than Americans; (b) age attributions were significantly associated with worse functional health among older Americans, but not older Japanese; (c) interdependence was significantly higher among older Japanese; and (d) older participants higher in interdependence were less likely to experience the association between greater age attributions and worse functional health. This study suggests the association is not inevitable when culture provides a countervailing force.

The Quadratic Hazard Model for Analyzing Longitudinal Data on Aging, Health, and the Life Span

Yashin, A.I.; Arbeev, K.G.; Akushevich, I.; Kulminski, A.; Ukraintseva, S.V.; Stallard, E.; Land, K.C.
Tipo: text
Português
Relevância na Pesquisa
46.19%
A better understanding of processes and mechanisms linking human aging with changes in health status and survival requires methods capable of analyzing new data that take into account knowledge about these processes accumulated in the field. In this paper, we describe an approach to analyses of longitudinal data based on the use of stochastic process models of human aging, health, and longevity which allows for incorporating state of the art advances in aging research into the model structure. In particular, the model incorporates the notions of resistance to stresses, adaptive capacity, and “optimal” (normal) physiological states. To capture the effects of exposure to persistent external disturbances, the notions of allostatic adaptation and allostatic load are introduced. These notions facilitate the description and explanation of deviations of individuals’ physiological indices from their normal states, which increase the chances of disease development and death. The model provides a convenient conceptual framework for comprehensive systemic analyses of aging-related changes in humans using longitudinal data and linking these changes with genotyping profiles, morbidity, and mortality risks. The model is used for developing new statistical methods for analyzing longitudinal data on aging...

Mobility and Aging: New Directions for Public Health Action

Satariano, William A.; Guralnik, Jack M.; Jackson, Richard J.; Marottoli, Richard A.; Phelan, Elizabeth A.; Prohaska, Thomas R.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: text
Português
Relevância na Pesquisa
46.13%
Optimal mobility, defined as relative ease and freedom of movement in all of its forms, is central to healthy aging. Mobility is a significant consideration for research, practice, and policy in aging and public health. We examined the public health burdens of mobility disability, with a particular focus on leading public health interventions to enhance walking and driving, and the challenges and opportunities for public health action. We propose an integrated mobility agenda, which draws on the lived experience of older adults. New strategies for research, practice, and policy are needed to move beyond categorical promotion programs in walking and driving to establish a comprehensive program to enhance safe mobility in all its forms.

Clinical Preventive Services for Older Adults: The Interface Between Personal Health Care and Public Health Services

Ogden, Lydia L.; Richards, Chesley L.; Shenson, Douglas
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: text
Português
Relevância na Pesquisa
46%
Healthy aging must become a priority objective for both population and personal health services, and will require innovative prevention programming to span those systems. Uptake of essential clinical preventive services is currently suboptimal among adults, owing to a number of system- and office-based care barriers.

Accelerated Aging in HIV Patients

Meir-Shafrir, Keren; Pollack, Shimon
Fonte: Rambam Health Care Campus Publicador: Rambam Health Care Campus
Tipo: text
Publicado em 31/10/2012 Português
Relevância na Pesquisa
45.95%
Life expectancy has been increasing in the last few decades in the Western world and is accompanied by higher occurrence of age-related diseases like metabolic, cardiovascular, and renal diseases and also with a decline in immune functions. In HIV-infected people, due to the use of combination antiretroviral therapy (cART), life expectancy has increased. As a result, non-AIDS conditions which are age-associated have become more prevalent and appear earlier, resulting in accelerated aging in HIV patients. These non-AIDS conditions in HIV patients are associated with CD4+ T cell counts: lower counts are associated with higher rates of liver, cardiovascular, renal, and neurocognitive disorders. The effect of viral load and cART on the earlier occurrence of age-associated diseases is less significant than the CD4 count effect. Thus, the loss of immune functions in HIV-infected patients may enhance aging.

Aging, Protein Aggregation, Chaperones, and Neurodegenerative Disorders: Mechanisms of Coupling and Therapeutic Opportunities

Cohen, Ehud
Fonte: Rambam Health Care Campus Publicador: Rambam Health Care Campus
Tipo: text
Publicado em 31/10/2012 Português
Relevância na Pesquisa
45.99%
Late onset is a key unifying feature of human neurodegenerative maladies such as Alzheimer’s and Parkinson’s diseases and prion disorders. While sporadic cases typically emerge during the patient’s seventh decade of life or later, mutation-linked, familial cases manifest during the fifth or sixth decade. This common temporal emergence pattern raises the prospect that slowing aging may prevent the accumulation of toxic protein aggregates that lead to the development of these disorders, postpone the onset of these maladies, and alleviate their symptoms once emerged. Invertebrate-based studies indicated that reducing the activity of insulin/IGF signaling (IIS), a prominent aging regulatory pathway, protects from neurodegeneration-linked toxic protein aggregation. The validity of this approach has been tested and confirmed in mammals as reducing the activity of the IGF-1 signaling pathway-protected Alzheimer’s model mice from the behavioral and biochemical impairments associated with the disease. Here I review the recent advances in the field, describe the known mechanistic links between toxic protein aggregation and the aging process, and delineate the future therapeutic potential of IIS reduction as a treatment for various neurodegenerative disorders.

Education: A Missed Opportunity for Public Health Intervention

Cohen, Alison Klebanoff; Syme, S. Leonard
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: text
Português
Relevância na Pesquisa
55.92%
Educational attainment is a well-established social determinant of health. It affects health through many mechanisms such as neural development, biological aging, health literacy and health behaviors, sense of control and empowerment, and life chances. Education—from preschool to beyond college—is also one of the social determinants of health for which there are clear policy pathways for intervention. We reviewed evidence from studies of early childhood, kindergarten through 12th grade, and higher education to identify which components of educational policies and programs are essential for good health outcomes. We have discussed implications for public health interventions and health equity.

Joint Analyses of Longitudinal and Time-to-Event Data in Research on Aging: Implications for Predicting Health and Survival

Arbeev, Konstantin G.; Akushevich, Igor; Kulminski, Alexander M.; Ukraintseva, Svetlana V.; Yashin, Anatoliy I.
Fonte: Frontiers Media S.A. Publicador: Frontiers Media S.A.
Tipo: text
Publicado em 06/11/2014 Português
Relevância na Pesquisa
46.23%
Longitudinal data on aging, health, and longevity provide a wealth of information to investigate different aspects of the processes of aging and development of diseases leading to death. Statistical methods aimed at analyses of time-to-event data jointly with longitudinal measurements became known as the “joint models” (JM). An important point to consider in analyses of such data in the context of studies on aging, health, and longevity is how to incorporate knowledge and theories about mechanisms and regularities of aging-related changes that accumulate in the research field into respective analytic approaches. In the absence of specific observations of longitudinal dynamics of relevant biomarkers manifesting such mechanisms and regularities, traditional approaches have a rather limited utility to estimate respective parameters that can be meaningfully interpreted from the biological point of view. A conceptual analytic framework for these purposes, the stochastic process model of aging (SPM), has been recently developed in the biodemographic literature. It incorporates available knowledge about mechanisms of aging-related changes, which may be hidden in the individual longitudinal trajectories of physiological variables and this allows for analyzing their indirect impact on risks of diseases and death. Despite...

Cumulative Community-Level Lead Exposure and Pulse Pressure: The Normative Aging Study

Nie, Huiling; Hu, Howard; Perlstein, Todd Steven; Weuve, Jennifer Lynn; Schwartz, Joel David; Sparrow, David; Wright, Robert O.; Litonjua, Augusto Ampil
Fonte: National Institute of Environmental Health Sciences Publicador: National Institute of Environmental Health Sciences
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
45.95%
Background: Pulse pressure increases with age in industrialized societies as a manifestation of arterial stiffening. Lead accumulates in the vasculature and is associated with vascular oxidative stress, which can promote functional and structural vascular disease. Objectives: We tested the hypothesis that cumulative community-level lead exposure, measured with K-X-ray fluorescence, is associated with pulse pressure in a cohort of adult men. Methods and results: In a cross-sectional analysis of 593 men not treated with antihypertensive medication, tibia lead was positively associated with pulse pressure (p < 0.001). Adjusting for age, race, diabetes, family history of hypertension, education, waist circumference, alcohol intake, smoking history, height, heart rate, fasting glucose, and total cholesterol-to-HDL ratio, increasing quintiles of tibia lead remained associated with increased pulse pressure (ptrend = 0.02). Men with tibia lead above the median (19.0 ?g/g) had, on average, a 4.2-mmHg (95% confidence interval, 1.9–6.5) higher pulse pressure than men with tibia lead level below the median. In contrast, blood lead level was not associated with pulse pressure. Conclusions: These data indicate that lead exposure may contribute to the observed increase in pulse pressure that occurs with aging in industrialized societies. Lead accumulation may contribute to arterial aging...

Annual Ambient Black Carbon Associated with Shorter Telomeres in Elderly Men: Veterans Affairs Normative Aging Study

Hoxha, Mirjam; Dioni, Laura; McCracken, John Patrick; Baccarelli, Andrea; Melly, Steven John; Coull, Brent Andrew; Suh MacIntosh, Helen H.; Vokonas, Pantel S; Schwartz, Joel David
Fonte: National Institute of Environmental Health Sciences Publicador: National Institute of Environmental Health Sciences
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
45.95%
Background: Telomere length reflects biological age and is inversely associated with risk of cardiovascular disease (CVD). Ambient air pollution is associated with CVD, but its effect on telomere length is unknown. Objective: We investigated whether ambient black carbon (BC), a marker for traffic-related particles, is associated with telomere length in the Normative Aging Study (NAS). Methods: Among 165 never-smoking men from the NAS, leukocyte telomere length (LTL) was measured repeatedly approximately every 3 years from 1999 through 2006 using quantitative real-time polymerase chain reaction (qRT-PCR). BC concentration at their residences during the year before each LTL measurement was estimated based on a spatiotemporal model calibrated with BC measurements from 82 locations within the study area. Results: The median [interquartile range (IQR)] annual moving-average BC concentration was 0.32 (0.20–0.45) ?g/m3. LTL, expressed as population-standardized ratio of telomere repeat to single-copy gene copy numbers, had a geometric mean (geometric SD) of 1.25 (1.42). We used linear mixed-effects models including random subject intercepts and adjusted for several potential confounders. We used inverse probability of response weighting to adjust for potential selection bias due to loss to follow-up. An IQR increase in annual BC (0.25 ?g/m3) was associated with a 7.6% decrease (95% confidence interval...

O Processo de viver saud??vel de pessoas com diabetes mellitus atrav??s de um grupo de conviv??ncia

Francioni, Fabiane Ferreira; Silva, Denise Maria Guerreiro Vieira da
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46%
Trata-se de uma pesquisa qualitativa convergente-assistencial com o objetivo de compreender o elementos que influenciam o viver de pessoas com Diabetes Mellitus. Participaram deste estudo 26 pessoas de Amigos. Sa??de do idosos uma Unidade B??sica de Sa??de de Florian??polis - SC. Os dados foram obtidos das falas das pessoas no grupo de conviv??ncia e de entrevistas semi-estruturadas. Foram identificados como elementos que influenciam a vida de pessoas com Diabetes Mellitus: aceita????o da doen??a, apoio familiar, incorpora????o dos cuidados no cotidiano, disposi????o na supera????o de dificuldades e a manuten????o de ocupa????o/trabalho. O grupo de conviv??ncia foi considerado um elemento que contribui para um viver mais saud??vel ao promover a troca de experi??ncias e o compartilhar de saberes. O papel da enfermagem ?? o de facilitar e oferecer suporte para a constru????o de novas possibilidades e qualifica????o do viver com sua condi????o cr??nica de sa??de.; This article is a qualitative assistential convergent study. Its primary objective is to comprehend the elements that influence a living process for people with Diabetes Mellitus. Twenty-six people participated in this study Aging health.in a Basic Public Health Care Clinic in Florian??polis...