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Assessment of caregiver burden with elderly having cognitive deficit Evaluación de la sobrecarga en cuidadores de ancianos con déficit cognitivo Avalia o da sobrecarga em cuidadores de idosos com deficit cognitivo
Aline Cristina Martins Gratao,Luana Flávia da Silva Talmelli,Vanderlei José Haas,Sueli Marques
Acta Paulista de Enfermagem , 2012, DOI: 10.1590/s0103-21002012000600013
Abstract: To characterize the elderly with cognitive déficit, and family caregivers who live in the urban communit,y and to identify the caregiver burden. METHODS: An observational, cross-sectional study, conducted between January and July 2009. Seventy elderly (aged 65 and older) were assessed for cognitive deficit using the Mini Mental State Examination (MMSE); their 70 caregivers were evaluated by the Zarit Burden Scale (ZBS) and the Self Reporting Questionnaire (SRQ). The data were entered and validated by double entry in the MS Excel Program, and were analyzed using SPSS software, version 15.0. RESULTS: Of the caregivers, 47.1% were children. We obtained a mean for the ZBS of 30.3 (± 17.3) and 6.2 (± 3.2) for the SRQ, p <0.05, correlating lower scores of the MMSE with high scores on ZBS and SRQ. CONCLUSIONS: Cognitive deficit of the elderly was a predictive factor for burden and emotional distress of caregivers. Knowing the reduction of cognitive capacity related to caregiver burden is essential for preserving caregiver health. OBJETIVOS: Caracterizar ancianos con déficit cognitivo y cuidadores familiares que viven en la comunidad urbana e identificar la sobrecarga de los cuidadores. MéTODOS: Estudio observacional, seccional, conducido entre enero y Julio de 2009 con 70 ancianos de 65 a os o más de edad con déficit cognitivo evaluados por medio del miniexamen del Estado Mental (MEEM) y con sus 70 cuidadores evaluados por la Escala de Sobrecarga de Zarit (ESZ) y el Self Reporting Questionaire (SRQ). Los datos, digitados y validados por doble entrada en el Programa Excel fueron analizados en el aplicativo SPSS, versión 15.0. RESULTADOS: De los cuidadores, 47,1% eran hijos (as). Se obtuvo la media para Zarit, 30,3(±17,3) y 6,2(±3,2) para SRQ, p<0,05, correlacionando bajos scores de MEEM con altos scores de la ZBI y SRQ. CONCLUSIONES: El déficit cognitivo de esos ancianos fue el factor predictivo para la sobrecarga y disconfort emocional de sus cuidadores. Conocer la reducción de la capacidad cognitiva relacionada a la sobrecarga del cuidador es indispensable para preservar su salud. OBJETIVOS: Caracterizar idosos com deficit cognitivo e cuidadores familiares que vivem na comunidade urbana e identificar a sobrecarga dos cuidadores. MéTODOS: Estudo observacional, seccional, conduzido entre janeiro e julho de 2009 com 70 idosos com 65 anos ou mais de idade com deficit cognitivo avaliados por meio do miniexame do Estado Mental (MEEM) e com seus 70 cuidadores avaliados pela Escala de Sobrecarga de Zarit (ESZ) e o Self Reporting Questionaire (SRQ). Os dados, digitado
Sobrecarga e desconforto emocional em cuidadores de idosos
Aline Cristina Martins Gratao,Thaís Ramos Pereira Vendrúscolo,Luana Flávia da Silva Talmelli,Leandro Correa Figueiredo
Texto & Contexto - Enfermagem , 2012,
Abstract: La finalidad del estudio fue describir la sobrecarga y desánimo de los cuidadores de adultos mayores. Estudio epidemiológico y transversal realizado en el 2009 con 124 cuidadores que viven en la ciudad de Ribeir o Preto, SP, por medio de los instrumentos de: Escala de Sobrecarga de Zarit y Self-Reporting Questionaire (SQR-20) para el cuidador. El análisis de los datos fue ejecutado en el sistema SPSS, 15.0, de forma descriptiva, univariada (tablas de frecuencia) y bivariada (las tablas de contingencia para las variables cualitativas). Con respecto a los cuidadores, 85,6% fueron del sexo femenino, con edad promedio de 56,5 a os, utilizaron en promedio 12,4 horas diarias para el cuidado de los adultos mayores y 57,6% de los cuidadores presentaron de una leve a moderada sobrecarga. La dependencia funcional del adulto mayor, sexo del cuidador y el número de horas para el cuidado fueron factores predictivos de sobrecarga (p<0,05). Se encontró que la sobrecarga es el factor de riesgo para el desánimo (p<0,05). Compete a los enfermeros utilizar protocolos de evaluación, con base en los factores de riesgo, para prevenir la sobrecarga en el cuidador.
Sobrecarga e desconforto emocional em cuidadores de idosos
Gratao, Aline Cristina Martins;Vendrúscolo, Thaís Ramos Pereira;Talmelli, Luana Flávia da Silva;Figueiredo, Leandro Correa;Santos, Jair Lício Ferreira;Rodrigues, Rosalina Aparecida Partezani;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200007
Abstract: this epidemiological and cross-sectional study describes the burdens and emotional distress observed among caregivers of elderly people. it was carried out in 2009 with 124 caregivers living in the city of ribeirao preto, sp, brazil, using the following instruments: the zarit burden scale and the self-reporting questionnaire (srq-20) for caregivers. data analysis was carried out in the spss, version 15.0, using descriptive, univariate (frequency tables) and bivariate (contingency tables for qualitative variables) statistics. among the caregivers, 85.6% were women, with an average age of 56.5 years, spent an average of 12.4 hours daily with care, and 57.6% of them had mild to moderate burdens. multiple linear regressions revealed that older adults' functional dependence and caregivers' gender and time spent weekly providing daily care were predictors of being burdened (p<0.05). burden is also a risk factor for emotional distress (p<0.05). it is important for nurses to use protocols based on risk factors to evaluate caregivers in order to prevent burdens from developing.
The demands of family caregivers of elderly individuals with dementia
Gratao, Aline Cristina Martins;Vale, Francisco de Assis C. do;Roriz-Cruz, Matheus;Haas, Vanderlei José;Lange, Celmira;Talmelli, Luana Flávia da Silva;Rodrigues, Rosalina Aparecida Partezani;
Revista da Escola de Enfermagem da USP , 2010, DOI: 10.1590/S0080-62342010000400003
Abstract: the purpose of this cross-sectional observational study was to identify characteristics of caregivers of elderly people with dementia, types of care demands and to relate demands to the stage of dementia. the study was carried out in 2004 with 104 older adults and 90 caregivers in ribeir?o preto, state of s?o paulo. the oars instrument was utilized and a questionnaire answered by caregivers. among older adults, 66.3% were female, aged 75.5 years in average and 86.5% had caregivers. eighty percent of the caregivers were women family members, aged 52.3 years in average. they spent 15.10 hours/day with care, without help. an important relationship was observed between caregiver's burden, physical and emotional effort and stage of dementia. emotional overburden was higher at dementia early and late stages, this difference was statistically non-significant. results reveal the urgent need to plan formal and informal support strategies to caregivers of brazilian elderly people with dementia.
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