Naiana Oliveira dos Santos

Association between the functional capacity of dependant elderly people and the burden of family caregivers

The aim of this study was to characterize dependent elderly people and their main family caregivers and the association between functional capacity of the elderly and the burden of caregivers. This cross-sectional study was conducted with 112 elderly people and caregivers connected to a primary care service in Porto Alegre, Brazil. The applied instruments related to care and socioeconomic variables were Physical and Instrumental Activities of Daily Living (PADL and IADL) and the Burden Interview. The Spearman correlation coefficient was also used. Average age of the elderly individuals in this study was 81.41 years, while the average score for PADL was 10.36 and 6.25 for IADL. Of the 112 elderly individuals, 71.4% had severe dependence. Among caregivers, 75% were women, 61.6% were the sons or daughters with an average age of 57.98 and an average burden of 29.53, which is equivalent to moderate burden. Results revealed a significant correlation between functional capacity of the elderly and caregiver burden. It was verified that the higher the dependence of elderly people, the greater the burden of caregivers.A investigacao objetivou caracterizar os idosos dependentes e seus cuidadores familiares principais e verificar a associacao entre a capacidade funcional do idoso e a sobrecarga do cuidador. Estudo transversal com 112 idosos/cuidadores vinculados a uma unidade basica de Porto Alegre. Instrumento com variaveis socioeconomicas, relacionadas ao cuidadoe escalas de Atividades Fisicas e Instrumentais de Vida Diaria (AFVDs e AIVDs) eBurden Interview foram aplicados.Utilizou-se teste de Correlacao de Spearman. A media de idade dos idosos foi de 81,41 anos, o escore medio para as AFVDs foi 10,36 e6,25 para AIVDs. Dos 112 idosos, 71,4% possuiam dependencia grave. Dos cuidadores, 75% eram mulheres, 61,6%, filhos, com media de idade de 57,98 anos e de sobrecarga de 29,53, equivalente a sobrecarga moderada. Houve correlacao significativa entre a capacidade funcional dos idosos e a sobrecarga do cuidador. Verificou-se que, quanto maior a dependencia do idoso, maior a sobrecarga do cuidador.

The perceptions of workers in a long-term care institution for older adults regarding the family

This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions. DESCRIPTORS: Homes for the aged. Workers. Family. Aged.This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions.

Needs of family caregivers in home care for older adults

Objetivo: descubrir las necesidades sentidas y normativas de los cuidadores primarios familiares en la prestacion de apoyo instrumental a ancianos registrados en un Programa de Atencion Domiciliaria en una Unidad Basica de Salud en el sur de Brasil. Metodos: usando la Taxonomia de Necesidades de Bradshaw para explorar las necesidades sentidas (necesidades declaradas) y normativas (definidas por profesionales), fue desarrollado un estudio exploratorio mixto en tres etapas: Etapa descriptiva cuantitativa, involucrando 39 ancianos y sus cuidadores, mediante una hoja de datos basada en el archivo del paciente; Etapa exploratoria cualitativa, basada en entrevistas con 21 cuidadores, analizadas mediante el analisis de contenido; Observacion sistematica, aplicando un manual de observacion a 16 cuidadores, con analisis estadistico descriptivo. Resultados: las necesidades sentidas estaban relacionadas a informaciones sobre actividades de apoyo instrumental y aspectos subjetivos de la atencion. Los cuidadores presentaron mayor numero de necesidades normativas asociadas al cuidado con medicaciones. Conclusion: comprender las necesidades de los cuidadores permite a los enfermeros planificar intervenciones basadas en sus particularidades.

Associação entre a capacidade funcional de idosos dependentes e a sobrecarga do cuidador familiar

The aim of this study was to characterize dependent elderly people and their main family caregivers and the association between functional capacity of the elderly and the burden of caregivers. This cross-sectional study was conducted with 112 elderly people and caregivers connected to a primary care service in Porto Alegre, Brazil. The applied instruments related to care and socioeconomic variables were Physical and Instrumental Activities of Daily Living (PADL and IADL) and the Burden Interview. The Spearman correlation coefficient was also used. Average age of the elderly individuals in this study was 81.41 years, while the average score for PADL was 10.36 and 6.25 for IADL. Of the 112 elderly individuals, 71.4% had severe dependence. Among caregivers, 75% were women, 61.6% were the sons or daughters with an average age of 57.98 and an average burden of 29.53, which is equivalent to moderate burden. Results revealed a significant correlation between functional capacity of the elderly and caregiver burden. It was verified that the higher the dependence of elderly people, the greater the burden of caregivers.A investigacao objetivou caracterizar os idosos dependentes e seus cuidadores familiares principais e verificar a associacao entre a capacidade funcional do idoso e a sobrecarga do cuidador. Estudo transversal com 112 idosos/cuidadores vinculados a uma unidade basica de Porto Alegre. Instrumento com variaveis socioeconomicas, relacionadas ao cuidadoe escalas de Atividades Fisicas e Instrumentais de Vida Diaria (AFVDs e AIVDs) eBurden Interview foram aplicados.Utilizou-se teste de Correlacao de Spearman. A media de idade dos idosos foi de 81,41 anos, o escore medio para as AFVDs foi 10,36 e6,25 para AIVDs. Dos 112 idosos, 71,4% possuiam dependencia grave. Dos cuidadores, 75% eram mulheres, 61,6%, filhos, com media de idade de 57,98 anos e de sobrecarga de 29,53, equivalente a sobrecarga moderada. Houve correlacao significativa entre a capacidade funcional dos idosos e a sobrecarga do cuidador. Verificou-se que, quanto maior a dependencia do idoso, maior a sobrecarga do cuidador.

Percepção de trabalhadores de uma instituição de longa permanência para idosos acerca da família

This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions. DESCRIPTORS: Homes for the aged. Workers. Family. Aged.This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions.

Necessidades dos cuidadores familiares na atenção domiciliar a idosos

Objetivo: descubrir las necesidades sentidas y normativas de los cuidadores primarios familiares en la prestacion de apoyo instrumental a ancianos registrados en un Programa de Atencion Domiciliaria en una Unidad Basica de Salud en el sur de Brasil. Metodos: usando la Taxonomia de Necesidades de Bradshaw para explorar las necesidades sentidas (necesidades declaradas) y normativas (definidas por profesionales), fue desarrollado un estudio exploratorio mixto en tres etapas: Etapa descriptiva cuantitativa, involucrando 39 ancianos y sus cuidadores, mediante una hoja de datos basada en el archivo del paciente; Etapa exploratoria cualitativa, basada en entrevistas con 21 cuidadores, analizadas mediante el analisis de contenido; Observacion sistematica, aplicando un manual de observacion a 16 cuidadores, con analisis estadistico descriptivo. Resultados: las necesidades sentidas estaban relacionadas a informaciones sobre actividades de apoyo instrumental y aspectos subjetivos de la atencion. Los cuidadores presentaron mayor numero de necesidades normativas asociadas al cuidado con medicaciones. Conclusion: comprender las necesidades de los cuidadores permite a los enfermeros planificar intervenciones basadas en sus particularidades.

Necesidades de los cuidadores familiares en la atención domiciliaria a ancianos

Objetivo: descubrir las necesidades sentidas y normativas de los cuidadores primarios familiares en la prestacion de apoyo instrumental a ancianos registrados en un Programa de Atencion Domiciliaria en una Unidad Basica de Salud en el sur de Brasil. Metodos: usando la Taxonomia de Necesidades de Bradshaw para explorar las necesidades sentidas (necesidades declaradas) y normativas (definidas por profesionales), fue desarrollado un estudio exploratorio mixto en tres etapas: Etapa descriptiva cuantitativa, involucrando 39 ancianos y sus cuidadores, mediante una hoja de datos basada en el archivo del paciente; Etapa exploratoria cualitativa, basada en entrevistas con 21 cuidadores, analizadas mediante el analisis de contenido; Observacion sistematica, aplicando un manual de observacion a 16 cuidadores, con analisis estadistico descriptivo. Resultados: las necesidades sentidas estaban relacionadas a informaciones sobre actividades de apoyo instrumental y aspectos subjetivos de la atencion. Los cuidadores presentaron mayor numero de necesidades normativas asociadas al cuidado con medicaciones. Conclusion: comprender las necesidades de los cuidadores permite a los enfermeros planificar intervenciones basadas en sus particularidades.

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.

Transplante renal: percepção de pacientes em hemodiálise fora da lista de espera

Aim: to describe the perception about renal transplant of patients on hemodialysis that have not yet entered the waiting list. Method: this qualitative and exploratory study was developed with 15 patients on hemodialysis of a renal clinic. Data collection occurred from March to July 2012 through narrative interview of experiences. Data were submitted to thematic analysis. Results: patients see renal transplantation as a treatment that still requires care especially with medications, and involve risks such as infection, rejection and death. However, the transplant is perceived as the possibility of a better life, with more freedom and fewer restrictions. Conclusion: the positive and negative perceptions of patients about a renal transplantation influence their decision of entering a waiting list to perform a transplant, since it implies changes and limitations in their daily life for which they are not prepared yet