Burden in elderly patient care with dementia
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Kairós (Online) |
Texto Completo: | https://revistas.pucsp.br/index.php/kairos/article/view/38288 |
Resumo: | Due to the population ageing, the chronic- degenerative diseases have grown. The dementias have been highlighted because of the cognitive progressive loss that compromises the performance on the daily activities, reducing the autonomy and the independence matter. The responsibility for the care provided changes the caregivers’ routine, causing physical and emotional distress. Objectives: evaluate the level of burden taken by the caregivers of patients with dementia and its factors, characterize the patients and caregivers’ samples and identify the daily activities compromised by the dementia. Method: descriptive report, exploratory, approved by the Ethic Committee in Research/ FAMERP statement #358.178, held from September to December in 2013, with 31 caregivers of patients with dementia, assisted in a reference hospital ambulatory. The caregivers signed the Open Consent and Post Clarification Form, being submitted to questionnaires appliances: Caregiver from Zarit Overburden Scale and semi-structured interviews. Results: As the framework of dementia increases, there is an elderly autonomy and independence reduction. Fisher Exact Test showed a significant statistic in the reduction of leisure activities performance, by the elderly, before and after the state of dementia (p=0,0181). Among the evaluated caregivers, the feminine genre prevailed, with an average of 53±12,4 and the reduction of leisure activities performance, by the caregivers, before and after they undertook the position of informal caregiver (p=0,0078). Conclusion: the reduction or cancellation of the leisure activity on the daily life implies in these caregivers quality of life, which can be emphasized by the presented burden. The data points to a necessity of attention from the health multidisciplinary team to these caregivers, including the occupational therapist, and enables a reflection about a relevant subject: the care for the caregiver. |
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Burden in elderly patient care with dementiaSobrecarga en el cuidado del paciente mayor con demênciaSobrecarga no cuidado de paciente idoso com demência.CaregiversDementiaBurden.CaregiversDementiaBurden.CuidadorDemênciaSobrecarga.Due to the population ageing, the chronic- degenerative diseases have grown. The dementias have been highlighted because of the cognitive progressive loss that compromises the performance on the daily activities, reducing the autonomy and the independence matter. The responsibility for the care provided changes the caregivers’ routine, causing physical and emotional distress. Objectives: evaluate the level of burden taken by the caregivers of patients with dementia and its factors, characterize the patients and caregivers’ samples and identify the daily activities compromised by the dementia. Method: descriptive report, exploratory, approved by the Ethic Committee in Research/ FAMERP statement #358.178, held from September to December in 2013, with 31 caregivers of patients with dementia, assisted in a reference hospital ambulatory. The caregivers signed the Open Consent and Post Clarification Form, being submitted to questionnaires appliances: Caregiver from Zarit Overburden Scale and semi-structured interviews. Results: As the framework of dementia increases, there is an elderly autonomy and independence reduction. Fisher Exact Test showed a significant statistic in the reduction of leisure activities performance, by the elderly, before and after the state of dementia (p=0,0181). Among the evaluated caregivers, the feminine genre prevailed, with an average of 53±12,4 and the reduction of leisure activities performance, by the caregivers, before and after they undertook the position of informal caregiver (p=0,0078). Conclusion: the reduction or cancellation of the leisure activity on the daily life implies in these caregivers quality of life, which can be emphasized by the presented burden. The data points to a necessity of attention from the health multidisciplinary team to these caregivers, including the occupational therapist, and enables a reflection about a relevant subject: the care for the caregiver. Due to the population ageing, the chronic- degenerative diseases have grown. The dementias have been highlighted because of the cognitive progressive loss that compromises the performance on the daily activities, reducing the autonomy and the independence matter. The responsibility for the care provided changes the caregivers’ routine, causing physical and emotional distress. Objectives: evaluate the level of burden taken by the caregivers of patients with dementia and its factors, characterize the patients and caregivers’ samples and identify the daily activities compromised by the dementia. Method: descriptive report, exploratory, approved by the Ethic Committee in Research/ FAMERP statement #358.178, held from September to December in 2013, with 31 caregivers of patients with dementia, assisted in a reference hospital ambulatory. The caregivers signed the Open Consent and Post Clarification Form, being submitted to questionnaires appliances: Caregiver from Zarit Overburden Scale and semi-structured interviews. Results: As the framework of dementia increases, there is an elderly autonomy and independence reduction. Fisher Exact Test showed a significant statistic in the reduction of leisure activities performance, by the elderly, before and after the state of dementia (p=0,0181). Among the evaluated caregivers, the feminine genre prevailed, with an average of 53±12,4 and the reduction of leisure activities performance, by the caregivers, before and after they undertook the position of informal caregiver (p=0,0078). Conclusion: the reduction or cancellation of the leisure activity on the daily life implies in these caregivers quality of life, which can be emphasized by the presented burden. The data points to a necessity of attention from the health multidisciplinary team to these caregivers, including the occupational therapist, and enables a reflection about a relevant subject: the care for the caregiver. Com o envelhecimento populacional, as doenças crônico-degenerativas aumentaram. As demências destacam-se devido à perda cognitiva progressiva que compromete o desempenho nas atividades cotidianas, reduzindo a autonomia e a independência. A responsabilidade pelo cuidado modifica o cotidiano dos cuidadores, causando desgaste físico e emocional. Objetiva-se avaliar o nível de sobrecarga dos cuidadores dos pacientes com demência e seus fatores, caracterizar a amostra de pacientes e cuidadores e identificar as atividades cotidianas comprometidas pela demência. Como método, o estudo descritivo, exploratório, aprovado pelo Comitê de Ética em Pesquisa/FAMERP parecer n.º 358.178, realizado de setembro a dezembro de 2013, com 31 cuidadores de pacientes com demência, atendidos no ambulatório de um hospital de referência. Os cuidadores assinaram o Termo de Consentimento Livre e Pós-Esclarecimento, sendo submetidos à aplicação dos questionários: Escala de Sobrecarga do Cuidador de Zarit e entrevistas semi-estruturadas. Os resultados mostraram que, conforme o quadro de demência progride, há redução da autonomia e independência do idoso. O Teste de Qui-Quadrado de Fisher mostrou significância estatística na redução da realização de atividades de lazer, pelos idosos, antes e após o quadro de demência (p=0,0181). Dentre os cuidadores avaliados, prevaleceu o gênero feminino, com média de idade de 53±12,4 e redução da realização de atividades de lazer, pelos cuidadores, antes e após de assumirem o papel de cuidador informal (p=0,0402). A análise estatística, utilizando a análise de correlação de Spearman, mostrou correlação entre o aumento de sobrecarga e redução da prática de atividade de lazer (p=0,0078). Como conclusões: a redução ou anulação da atividade de lazer na vida cotidiana implica na qualidade de vida desses cuidadores, o que pode ser evidenciado pela sobrecarga apresentada. Os dados indicam necessidade de atenção da equipe multiprofissional de saúde para esses cuidadores, dentre eles o terapeuta ocupacional, e possibilita uma reflexão sobre um tema relevante: o cuidado ao cuidador. Pontifícia Universidade Católica de São Paulo2018-03-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.pucsp.br/index.php/kairos/article/view/3828810.23925/2176-901X.2018v21i1p169-190Revista Kairós-Gerontologia; v. 21 n. 1 (2018); 169-1902176-901X1516-2567reponame:Revista Kairós (Online)instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPporhttps://revistas.pucsp.br/index.php/kairos/article/view/38288/25988Copyright (c) 2018 Revista Kairós : Gerontologiainfo:eu-repo/semantics/openAccessDias, Larissa BombardaCastiglioni, LilianTognola, Waldir AntonioBianchin, Maysa Alahmar2019-08-21T17:33:06Zoai:ojs.pkp.sfu.ca:article/38288Revistahttp://revistas.pucsp.br/index.php/kairosPRIhttps://revistas.pucsp.br/kairos/oaikairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br2176-901X1516-2567opendoar:2019-08-21T17:33:06Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.none.fl_str_mv |
Burden in elderly patient care with dementia Sobrecarga en el cuidado del paciente mayor con demência Sobrecarga no cuidado de paciente idoso com demência. |
title |
Burden in elderly patient care with dementia |
spellingShingle |
Burden in elderly patient care with dementia Dias, Larissa Bombarda Caregivers Dementia Burden. Caregivers Dementia Burden. Cuidador Demência Sobrecarga. |
title_short |
Burden in elderly patient care with dementia |
title_full |
Burden in elderly patient care with dementia |
title_fullStr |
Burden in elderly patient care with dementia |
title_full_unstemmed |
Burden in elderly patient care with dementia |
title_sort |
Burden in elderly patient care with dementia |
author |
Dias, Larissa Bombarda |
author_facet |
Dias, Larissa Bombarda Castiglioni, Lilian Tognola, Waldir Antonio Bianchin, Maysa Alahmar |
author_role |
author |
author2 |
Castiglioni, Lilian Tognola, Waldir Antonio Bianchin, Maysa Alahmar |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Dias, Larissa Bombarda Castiglioni, Lilian Tognola, Waldir Antonio Bianchin, Maysa Alahmar |
dc.subject.por.fl_str_mv |
Caregivers Dementia Burden. Caregivers Dementia Burden. Cuidador Demência Sobrecarga. |
topic |
Caregivers Dementia Burden. Caregivers Dementia Burden. Cuidador Demência Sobrecarga. |
description |
Due to the population ageing, the chronic- degenerative diseases have grown. The dementias have been highlighted because of the cognitive progressive loss that compromises the performance on the daily activities, reducing the autonomy and the independence matter. The responsibility for the care provided changes the caregivers’ routine, causing physical and emotional distress. Objectives: evaluate the level of burden taken by the caregivers of patients with dementia and its factors, characterize the patients and caregivers’ samples and identify the daily activities compromised by the dementia. Method: descriptive report, exploratory, approved by the Ethic Committee in Research/ FAMERP statement #358.178, held from September to December in 2013, with 31 caregivers of patients with dementia, assisted in a reference hospital ambulatory. The caregivers signed the Open Consent and Post Clarification Form, being submitted to questionnaires appliances: Caregiver from Zarit Overburden Scale and semi-structured interviews. Results: As the framework of dementia increases, there is an elderly autonomy and independence reduction. Fisher Exact Test showed a significant statistic in the reduction of leisure activities performance, by the elderly, before and after the state of dementia (p=0,0181). Among the evaluated caregivers, the feminine genre prevailed, with an average of 53±12,4 and the reduction of leisure activities performance, by the caregivers, before and after they undertook the position of informal caregiver (p=0,0078). Conclusion: the reduction or cancellation of the leisure activity on the daily life implies in these caregivers quality of life, which can be emphasized by the presented burden. The data points to a necessity of attention from the health multidisciplinary team to these caregivers, including the occupational therapist, and enables a reflection about a relevant subject: the care for the caregiver. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-03-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistas.pucsp.br/index.php/kairos/article/view/38288 10.23925/2176-901X.2018v21i1p169-190 |
url |
https://revistas.pucsp.br/index.php/kairos/article/view/38288 |
identifier_str_mv |
10.23925/2176-901X.2018v21i1p169-190 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.pucsp.br/index.php/kairos/article/view/38288/25988 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista Kairós : Gerontologia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista Kairós : Gerontologia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.source.none.fl_str_mv |
Revista Kairós-Gerontologia; v. 21 n. 1 (2018); 169-190 2176-901X 1516-2567 reponame:Revista Kairós (Online) instname:Pontifícia Universidade Católica de São Paulo (PUC-SP) instacron:PUC_SP |
instname_str |
Pontifícia Universidade Católica de São Paulo (PUC-SP) |
instacron_str |
PUC_SP |
institution |
PUC_SP |
reponame_str |
Revista Kairós (Online) |
collection |
Revista Kairós (Online) |
repository.name.fl_str_mv |
Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP) |
repository.mail.fl_str_mv |
kairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br |
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1799128693204844544 |