Burden in elderly patient care with dementia

Detalhes bibliográficos
Autor(a) principal: Dias, Larissa Bombarda
Data de Publicação: 2018
Outros Autores: Castiglioni, Lilian, Tognola, Waldir Antonio, Bianchin, Maysa Alahmar
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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spelling 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
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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
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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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