The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study

Detalhes bibliográficos
Autor(a) principal: Figueira Amorim, Raphaela
Data de Publicação: 2020
Outros Autores: Nunes, Maria Vânia Silva, Silvestre, Ana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34632/cadernosdesaude.2020.9083
Resumo: Introduction: The increasing aging of the population and consequent increase in the incidence of age-related diseases, arouses interest in the development of policies that help care for dementia. Dementia is characterized by cognitive impairment and activities of daily living and is one of the most disabling diseases in the world. These changes make the patient dependent on care in his daily routine, which is usually assumed by a relative. The Day Care Centre´s (DC) are structures developed in response to the aging of the population, with the purpose of promoting autonomy and independence of the elderly and can support the care of people with dementia. The present study aims to evaluate the retrospective analysis of data on cognitive screening (ACE-R and MMSE), functionality (DAD), behavior (ICF) and caregiver burden (Zarit Interview) of 105 patients diagnosed with dementia, followed in a hospital between 2008 and 2016. Data from the tests were collected at an initial and second evaluation, performed after an interval of 6 months to 2 years. We compared the results of three groups, divided into: they attended DC only in the second evaluation (G1), they attended DC in both evaluations (G2) and patients who did not attend DC (G3). Results: The group that did not attend the DC presented better results regarding the cognitive, functional and behavioral aspects, suggesting less progression of the disease in these aspects. Conclusion: Considering that there are other studies that have identified positive contributions of DC in dementia care, the results highlight the importance of the adaptation of the DC to the care of elderly people with dementia diagnosis.
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spelling The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective studyO efeito dos centros de dia na progressão da demência e na sobrecarga do cuidador: um estudo retrospectivoIntroduction: The increasing aging of the population and consequent increase in the incidence of age-related diseases, arouses interest in the development of policies that help care for dementia. Dementia is characterized by cognitive impairment and activities of daily living and is one of the most disabling diseases in the world. These changes make the patient dependent on care in his daily routine, which is usually assumed by a relative. The Day Care Centre´s (DC) are structures developed in response to the aging of the population, with the purpose of promoting autonomy and independence of the elderly and can support the care of people with dementia. The present study aims to evaluate the retrospective analysis of data on cognitive screening (ACE-R and MMSE), functionality (DAD), behavior (ICF) and caregiver burden (Zarit Interview) of 105 patients diagnosed with dementia, followed in a hospital between 2008 and 2016. Data from the tests were collected at an initial and second evaluation, performed after an interval of 6 months to 2 years. We compared the results of three groups, divided into: they attended DC only in the second evaluation (G1), they attended DC in both evaluations (G2) and patients who did not attend DC (G3). Results: The group that did not attend the DC presented better results regarding the cognitive, functional and behavioral aspects, suggesting less progression of the disease in these aspects. Conclusion: Considering that there are other studies that have identified positive contributions of DC in dementia care, the results highlight the importance of the adaptation of the DC to the care of elderly people with dementia diagnosis.Introdução: O aumento do envelhecimento da população e consequente aumento da incidência de doenças relacionadas a idade desperta o interesse no desenvolvimento de políticas que auxiliem no cuidado em demência. A demência é caracterizada por alterações cognitivas e alteração das atividades de vida diária, e é uma das doenças mais incapacitantes do mundo. Estas alterações tornam o doente dependente de cuidados em sua rotina diária, que é normalmente assumido por um familiar. Os Centros de Dia (CD) são estruturas desenvolvidas em resposta ao envelhecimento da população, com o objetivo de promover a autonomia e independência do idoso, e pode servir de apoio no cuidado de pessoas com demência.  O presente estudo tem por objetivo avaliar a influência dos CD na progressão da demência e sobrecarga do cuidador. Metodologia: Análise retrospectiva de dados das avaliações de rastreio cognitivo (ACE-R e MMSE), funcionalidade (DAD), comportamento (ICF) e sobrecarga do cuidador (Entrevista Zarit) de 105 doentes diagnosticados com demência, acompanhados num hospital entre os anos de 2008 e 2016. Foram recolhidos os dados dos testes em um momento inicial e em uma segunda avaliação, realizada após um intervalo de 6 meses a 2 anos. Foram comparados os resultados de 3 grupos, divididos em: doentes que frequentavam CD apenas na segunda avaliação (G1), doentes que estavam em CD nos dois momentos de avaliação (G2) e doentes que não frequentaram CD (G3).  Resultados: O grupo que não frequentou os CD apresentou melhores resultados no que se refere aos aspectos cognitivos, funcionais e comportamentais, sugerindo menor progressão da doença nestes aspectos.  Conclusão: Considerando que há outros estudos que identificaram contribuições positivas dos CD no cuidado em demência, os resultados destacam a importância da adequação dos CD ao cuidado de idosos com diagnóstico demência.Universidade Católica Portuguesa2020-06-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2020.9083https://doi.org/10.34632/cadernosdesaude.2020.9083Cadernos de Saúde; Vol 12 No 2 (2020); 52-63Cadernos de Saúde; v. 12 n. 2 (2020); 52-632795-43581647-055910.34632/cadernosdesaude.2020.12.2reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/9083https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/9083/9522Direitos de Autor (c) 2020 Raphaela Figueira Amorim, Maria Vânia Silva Nunes, Ana Silvestrehttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFigueira Amorim, RaphaelaNunes, Maria Vânia SilvaSilvestre, Ana2023-10-03T15:47:58Zoai:ojs.revistas.ucp.pt:article/9083Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:09.769507Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
O efeito dos centros de dia na progressão da demência e na sobrecarga do cuidador: um estudo retrospectivo
title The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
spellingShingle The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
Figueira Amorim, Raphaela
title_short The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
title_full The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
title_fullStr The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
title_full_unstemmed The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
title_sort The effect of Day Centers on the progression of dementia and caregiver burden: a retrospective study
author Figueira Amorim, Raphaela
author_facet Figueira Amorim, Raphaela
Nunes, Maria Vânia Silva
Silvestre, Ana
author_role author
author2 Nunes, Maria Vânia Silva
Silvestre, Ana
author2_role author
author
dc.contributor.author.fl_str_mv Figueira Amorim, Raphaela
Nunes, Maria Vânia Silva
Silvestre, Ana
description Introduction: The increasing aging of the population and consequent increase in the incidence of age-related diseases, arouses interest in the development of policies that help care for dementia. Dementia is characterized by cognitive impairment and activities of daily living and is one of the most disabling diseases in the world. These changes make the patient dependent on care in his daily routine, which is usually assumed by a relative. The Day Care Centre´s (DC) are structures developed in response to the aging of the population, with the purpose of promoting autonomy and independence of the elderly and can support the care of people with dementia. The present study aims to evaluate the retrospective analysis of data on cognitive screening (ACE-R and MMSE), functionality (DAD), behavior (ICF) and caregiver burden (Zarit Interview) of 105 patients diagnosed with dementia, followed in a hospital between 2008 and 2016. Data from the tests were collected at an initial and second evaluation, performed after an interval of 6 months to 2 years. We compared the results of three groups, divided into: they attended DC only in the second evaluation (G1), they attended DC in both evaluations (G2) and patients who did not attend DC (G3). Results: The group that did not attend the DC presented better results regarding the cognitive, functional and behavioral aspects, suggesting less progression of the disease in these aspects. Conclusion: Considering that there are other studies that have identified positive contributions of DC in dementia care, the results highlight the importance of the adaptation of the DC to the care of elderly people with dementia diagnosis.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-02
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dc.identifier.uri.fl_str_mv https://doi.org/10.34632/cadernosdesaude.2020.9083
https://doi.org/10.34632/cadernosdesaude.2020.9083
url https://doi.org/10.34632/cadernosdesaude.2020.9083
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dc.relation.none.fl_str_mv https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/9083
https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/9083/9522
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Raphaela Figueira Amorim, Maria Vânia Silva Nunes, Ana Silvestre
http://creativecommons.org/licenses/by/4.0
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rights_invalid_str_mv Direitos de Autor (c) 2020 Raphaela Figueira Amorim, Maria Vânia Silva Nunes, Ana Silvestre
http://creativecommons.org/licenses/by/4.0
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dc.publisher.none.fl_str_mv Universidade Católica Portuguesa
publisher.none.fl_str_mv Universidade Católica Portuguesa
dc.source.none.fl_str_mv Cadernos de Saúde; Vol 12 No 2 (2020); 52-63
Cadernos de Saúde; v. 12 n. 2 (2020); 52-63
2795-4358
1647-0559
10.34632/cadernosdesaude.2020.12.2
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