Diani de Oliveira Machado

Associação entre responsabilidade filial no cuidado aos pais e sobrecarga dos cuidadores

Objective: To analyze the association between filial responsibility and the overload of the children when caring for their older parents. Method: Cross-sectional study with 100 caregiver children of older adults. Filial liability was assessed by the attitudes of the responsible child (scale of expectation and filial duty) and by care behaviors (assistance in activities of daily living, emotional and financial support, and keeping company). The overload was assessed by the Caregiver Burden Inventory. To assess the associations, the correlation coefficients of Pearson and Spearman, Kruskal-Wallis Test, and Mann-Whitney were employed. Variables that presented p-value<0.20 in the bivariate analysis were inserted in a multivariate linear regression model. Results: The factors associated with overload were: formal employment (p=0.002), feelings regarding family life (p<0.001), financial support (p=0.027), and assistance with Activities of Daily Living (ADLs) (p<0.001). Conclusion: Children who were more involved with the ADLs and provided financial support showed higher levels of overload. Objetivo: Analisar a associação entre a responsabilidade filial e a sobrecarga dos filhos cuidadores de pessoas idosas. Método: Estudo transversal com 100 filhos cuidadores de pessoas idosas. A responsabilidade filial foi avaliada pelas atitudes de responsabilidade filial (escala de expectativa e dever filial) e pelos comportamentos de cuidar (auxílio nas atividades de vida diária, apoio emocional, financeiro e companhia). A sobrecarga foi avaliada pelo Inventário de Sobrecarga do Cuidador. Para avaliar as associações utilizaram-se os coeficientes de correlação de Pearson e Spearman, Teste de Kruskal-Wallis e Mann-whitney. Variáveis que apresentaram valor de p<0,20 na análise bivariada foram inseridas em um modelo multivariado de regressão linear. Resultados: Os fatores associados com a sobrecarga foram: emprego formal (p=0,002), sentimentos na vida familiar (p<0,001), apoio financeiro (p=0,027) e ajuda nas Atividades da Vida Diária (AVDs) (p<0,001). Conclusão: Os filhos que mais auxiliavam nas AVDs e prestavam apoio financeiro apresentaram maiores níveis de sobrecarga.Objective: To analyze the association between filial responsibility and the overload of the children when caring for their older parents. Method: Cross-sectional study with 100 caregiver children of older adults. Filial liability was assessed by the attitudes of the responsible child (scale of expectation and filial duty) and by care behaviors (assistance in activities of daily living, emotional and financial support, and keeping company). The overload was assessed by the Caregiver Burden Inventory. To assess the associations, the correlation coefficients of Pearson and Spearman, Kruskal-Wallis Test, and Mann-Whitney were employed. Variables that presented p-value<0.20 in the bivariate analysis were inserted in a multivariate linear regression model. Results: The factors associated with overload were: formal employment (p=0.002), feelings regarding family life (p<0.001), financial support (p=0.027), and assistance with Activities of Daily Living (ADLs) (p<0.001). Conclusion: Children who were more involved with the ADLs and provided financial support showed higher levels of overload. Objetivo: Analisar a associacao entre a responsabilidade filial e a sobrecarga dos filhos cuidadores de pessoas idosas. Metodo: Estudo transversal com 100 filhos cuidadores de pessoas idosas. A responsabilidade filial foi avaliada pelas atitudes de responsabilidade filial (escala de expectativa e dever filial) e pelos comportamentos de cuidar (auxilio nas atividades de vida diaria, apoio emocional, financeiro e companhia). A sobrecarga foi avaliada pelo Inventario de Sobrecarga do Cuidador. Para avaliar as associacoes utilizaram-se os coeficientes de correlacao de Pearson e Spearman, Teste de Kruskal-Wallis e Mann-whitney. Variaveis que apresentaram valor de p<0,20 na analise bivariada foram inseridas em um modelo multivariado de regressao linear. Resultados: Os fatores associados com a sobrecarga foram: emprego formal (p=0,002), sentimentos na vida familiar (p<0,001), apoio financeiro (p=0,027) e ajuda nas Atividades da Vida Diaria (AVDs) (p<0,001). Conclusao: Os filhos que mais auxiliavam nas AVDs e prestavam apoio financeiro apresentaram maiores niveis de sobrecarga.

Depressive symptoms of the elderly people and caregiver’s burden in home care

OBJECTIVES To characterize the elderly population and their caregivers and to verify the association of depressive symptoms of the elderly and the caregivers burden with the variables of interest. METHODS A cross-sectional study with 80 elderly people and 78 caregivers in a Primary Health Service in southern Brazil. Retrospective collection conducted in a structured database based on the multidimensional evaluation tool applied to home care for the elderly participants and their caregivers. RESULTS Most elderly participants were women (71.3%), with an average age of 82.1 years and 52.6% reported sadness or discouragement. Systemic arterial hypertension was the most frequent morbidity (68.8%). Most caregivers were women (85.7%), daughters of the elderly person (53.2%), mean age 57.8 years and 38.7% reported feeling the burden. The presence of depressive symptoms in the elderly was associated with Parkinsons disease (p=0.016) and to have a male caregiver (p=0.006). Caregivers burden was associated with daily life activities such as bathing (p=0.021). CONCLUSIONS There was evidence of differences in caregivers gender in the presence of depressive symptoms and differences in the assistance in daily life activities for the caregivers burden.

Care demands regarding home-care service: a descriptive study

Objetivo: caracterizar o perfil dos usuarios adultos acompanhados pelo Programa de Atencao Domiciliar do Grupo Hospitalar Conceicao (PAD/GHC) e suas demandas de enfermagem. Metodo: estudo exploratorio descritivo com coleta de dados retrospectiva. Resultados: Entre os 826 usuarios adultos acompanhados pelo PAD/GHC (mediana de acompanhamento de 21 dias e de cinco visitas), a maioria era do sexo feminino (53,9%) e com idade superior a 65 anos (50,6%), sendo as principais patologias tromboembolismo (10,9%) e acidente vascular encefalico (10,3%). As demandas centrais de cuidado de enfermagem foram realizacao de curativos (32,4%) e monitoramento da glicemia capilar (19,7%). Discussao: a prevalencia de idosos na amostra pode ser justificada pelo envelhecimento populacional. Esse dado, conjuntamente com patologias associadas a maior dependencia fisica, pode justificar a necessidade por cuidados de enfermagem especificos. Conclusao: a caracterizacao dos usuarios podera contribuir com a avaliacao da complexidade do cuidado domiciliar e oportunizar melhor orientacao do atendimento em residencias.