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Corrêa L, Ottaviani AC, Bregola AG, de Oliveira NA, Bento SR, Pavarini SCI. Cognitive performance, burden and stress in aged caregivers of older adults with and without cognitive impairment. Dement Neuropsychol 2023; 17:e20220073. [PMID: 37396717 PMCID: PMC10311962 DOI: 10.1590/1980-5764-dn-2022-0073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 03/03/2023] [Accepted: 04/12/2023] [Indexed: 07/04/2023] Open
Abstract
There is an increasing number of aged people who provide care for other older people. Commonly existing burden and stress can change the forms of cognitive performance depending on the context of the aged caregivers. Objective To compare the cognitive performance, burden and stress of aged caregivers of older adults with and without signs of cognitive impairment. Methods A cross-sectional and quantitative study conducted with 205 aged caregivers of older adults with signs of cognitive impairment and 113 aged caregivers of older adults without signs of cognitive impairment treated in Primary Health Care. They were evaluated for sociodemographic characteristics, cognition, burden, and stress. Descriptive (Kolmogorov-Smirnov test) and comparative (Student's t-test and Pearson's χ² test) analyses were performed. Results Aged caregivers of older adults with signs of cognitive impairment were older, had lower schooling levels, and a higher percentage of daily care hours compared to the aged caregivers of older adults without signs of cognitive impairment. Regarding cognitive performance, the means were lower for all domains. In addition, this same group had higher scores, with a statistically significant difference for perceived stress and burden. Conclusion Aged caregivers of older adults with signs of cognitive impairment showed lower cognitive performance, as well as higher burden and stress levels. These findings guide the planning of interventions with aged caregivers in the Primary Health Care.
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Affiliation(s)
- Larissa Corrêa
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
| | | | - Allan Gustavo Bregola
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
- Central London Community Healthcare NHS Trust, London, England
| | | | - Sirlei Ricarte Bento
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
| | - Sofia Cristina Iost Pavarini
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
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Cubero-Plazas L, Sancho-Cantus D, de la Rubia Ortí JE, Prieto-Contreras L, Forero-Rincón O, Cunha-Pérez C. Impact of Family Function on the Quality of Life and Health Perception of Non-Institutionalized Dementia Patients. J Alzheimers Dis 2023:JAD230324. [PMID: 37355908 DOI: 10.3233/jad-230324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
BACKGROUND Dementia is one of the pathologies that has increased the most among the older population (mainly Alzheimer's disease), and it has a direct impact on the quality of life (QoL), cognitive performance, and health of these patients. Family functionality can play a role in this QoL if these patients are not institutionalized. OBJECTIVE To analyze the role of family function in the QoL and health perception of non-institutionalized dementia patients, as well as related variables such as anxiety, depression, optimism, or pessimism. METHODS Cross-sectional study with a sample of 54 patients diagnosed with some type of dementia, non-institutionalized, or in outpatient care, from different centers in the province of Valencia (Spain). The EQ-5D, MMSE, Apgar Family or general health, and Goldberg anxiety and depression questionnaires were utilized. RESULTS The correlation of the Apgar Family with the General Health Questionnaire-new onset problems variable (GHQ) and Chronicity and General Health Questionnaire-chronic problems (CGHQ) of the Goldberg Quality of Life questionnaire was statistically significant and negative (GHQ r = -0.310; p = 0.034. CGHQ r = -0.363; p = 0.012); as well as between Apgar Family and Anxiety-Depression (r = -0.341; p = 0.020). The correlation of the Apgar Family with the Life Orientation Test-Pessimism variable (LOT) was statistically significant and negative (r = -0.270; p = 0.061). Finally, severe dysfunction of Apgar Family has a negative correlation with self-perception of health (p = 0.036 B = -16.589) determined by the Visual Analogue Scale (VAS). CONCLUSION Family functionality directly influences anxiety, depression, optimism, and pessimism. This could explain why family function is related to the QoL of patients and their self-perception of health.
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Pavarini SCI, Bregola AG, Luchesi BM, de Oliveira NA, Ottaviani AC. Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study. Dement Neuropsychol 2023; 17:e20220030. [PMID: 37223833 PMCID: PMC10202313 DOI: 10.1590/1980-5764-dn-2022-0030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 07/04/2022] [Accepted: 09/01/2022] [Indexed: 05/25/2023] Open
Abstract
The task of caring can negatively affect the physical and mental health; therefore, it is important to understand which factors are associated with burden in older caregivers of older adults. Objective This study aimed to explore sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers of older adults. Methods This is a cross-sectional study developed with 349 older caregivers who were registered at a Family Health Unit of a city in the state of São Paulo, Brazil. Household interviews were conducted and data were collected on the sociodemographic (profile, family income), clinical (self-reported pain, sleep, frailty), and psychosocial (burden, family functioning, depressive symptoms, stress) characteristics of the caregivers as well as dependence on activities of daily living and cognition in the care recipients. Results Women predominated in the sample (76.5%) and mean age was 69.5 years. The mean burden score was 18.06 points, with 47.9% above the cutoff of 16 points, denoting excessive burden. The bivariate model revealed associations between burden and financial insufficiency, family dysfunction, difficulty sleeping, pain, perceived stress, depressive symptoms, frailty, and multimorbidity among the caregivers as well as worse functional and cognitive performance in the care recipients. The controlled model revealed an association between burden and depressive symptoms (β=16.75; 95%CI 1.80-31.68). Conclusions We identified an association between burden and depressive symptoms, underscoring the need for the planning and implementation of specific actions directed at caregivers in order to minimize the impact on health and to improve the quality of life.
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Affiliation(s)
- Sofia Cristina Iost Pavarini
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Programa de Graduação em Enfermagem, São Carlos SP, Brazil
| | | | - Bruna Moretti Luchesi
- Universidade Federal do Mato Grosso do Sul, Programa de Graduação em Enfermagem,Três Lagoas MS, Brazil
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Arruda MSD, Macedo MNGF, Ottaviani AC, Nunes DP, Cardoso JDFZ, Santos KCD, Brito TRPD, Santos-Orlandi AAD. Correlation of family functionality and burden of informal caregivers of hospitalized older adults. Rev Gaucha Enferm 2022; 43:e20210081. [PMID: 35920478 DOI: 10.1590/1983-1447.2022.20210081.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 12/16/2021] [Indexed: 11/22/2022] Open
Abstract
AIM to analyze the relationship between family functionality and burden of informal caregivers of hospitalized older people. METHODS this is a cross-sectional study conducted with 98 informal caregivers of hospitalized older people in an inpatient unit of a large hospital in São Carlos, São Paulo. For data collection were used questionnaires to sociodemographic and care context characterization, to evaluate burden and family functionality. Descriptive analyzes and Spearman's correlation coefficient were used. RESULTS female caregivers predominated, who took care of their parents and had no training. Approximately 59.8% of caregivers had good family functionality and 49.5% scored for mild to moderate burden. There was a negative correlation, moderate magnitude, between family functionality and burden (p<0,001). The higher the burden score, the lower the family functionality score and vice versa. CONCLUSION caregivers with high burden had worse family functionality. Therefore, nurses need to identify such conditions early and implement assertive interventions so that the family functions as a therapeutic resource.
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Affiliation(s)
- Marcos Soares de Arruda
- Universidade Federal de São Carlos (UFSCar), Departamento de Enfermagem. São Carlos, São Paulo, Brasil
| | | | - Ana Carolina Ottaviani
- Universidade Federal de São Carlos (UFSCar), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. São Carlos, São Paulo, Brasil
| | - Daniella Pires Nunes
- Universidade Estadual de Campinas (Unicamp), Faculdade de Enfermagem. Campinas, São Paulo, Brasil
| | - Juliana de Fátima Zacarin Cardoso
- Universidade Federal de São Carlos (UFSCar), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. São Carlos, São Paulo, Brasil
| | - Kelly Cristina Dos Santos
- Universidade Federal de São Carlos (UFSCar), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. São Carlos, São Paulo, Brasil
| | | | - Ariene Angelini Dos Santos-Orlandi
- Universidade Federal de São Carlos (UFSCar), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. São Carlos, São Paulo, Brasil
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Liu CC, Lin YT, Cheng KC, Pan HH, Chiou CP. Predictors of Depression Level among Community-Dwelling Elderly Persons. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159414. [PMID: 35954771 PMCID: PMC9367993 DOI: 10.3390/ijerph19159414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 07/09/2022] [Accepted: 07/11/2022] [Indexed: 12/03/2022]
Abstract
Elderly people in the community have difficulty taking care of themselves because of their inability to care for themselves in daily life as well as their poor social support system, which leads to loneliness, resulting in depression. The primary objective was to investigate the level of depression and related factors among community-dwelling elderly persons (CDEP). This was a cross-sectional study, and 150 participants were interviewed. The questionnaires included demographics, the Functional Independence Measure, the Interpersonal Support Evaluation List, the UCLA Loneliness Scale, and the Geriatric Depression Scale Short Form. It was found that participants with different levels of depression accounted for 26%, and education level, living status, chronic disease, daily life function, social support, and loneliness were all significant factors influencing the depression level among the CDEP that could significantly predict 63.4% of the variation in depression level. Nursing staff must understand the level of depression and its influencing factors, encourage the elderly in the community to increase social networks, and integrate leisure into their lives, thereby enhancing the sense of value and meaning of life and reducing feelings of loneliness and depression.
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Affiliation(s)
- Chin-Chen Liu
- Department of Family Medicine, E-Da Dachang Hospital, Kaohsiung City 82445, Taiwan;
| | - Yi-Tung Lin
- Department of Nursing, E-Da Hospital, Kaohsiung City 82445, Taiwan;
| | - Kung-Chuan Cheng
- Division of Colorectal Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 83340, Taiwan;
| | - Hsueh-Hsing Pan
- School of Nursing, National Defense Medical Center, Taipei City 11420, Taiwan
- Correspondence: (H.-H.P.); (C.-P.C.); Tel.: +886-2-87923100 (ext. 18166) (H.-H.P.); +886-9-21299091 (C.-P.C.)
| | - Chou-Ping Chiou
- School of Nursing, I-Shou University, No. 8, E-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang, Kaohsiung City 84020, Taiwan
- Correspondence: (H.-H.P.); (C.-P.C.); Tel.: +886-2-87923100 (ext. 18166) (H.-H.P.); +886-9-21299091 (C.-P.C.)
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Arruda MSD, Macedo MNGF, Ottaviani AC, Nunes DP, Cardoso JDFZ, Santos KCD, Brito TRPD, Santos-Orlandi AAD. Correlação da funcionalidade familiar e sobrecarga de cuidadores informais de idosos hospitalizados. Rev Gaucha Enferm 2022. [DOI: 10.1590/1983-1447.2022.20210081.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo analisar a relação entre funcionalidade familiar e sobrecarga de cuidadores informais de idosos hospitalizados. Método estudo transversal, quantitativo, realizado com 98 cuidadores informais de idosos hospitalizados em São Carlos, São Paulo. Para a coleta de dados, foram utilizados questionários para caracterização sociodemográfica e do contexto de cuidado, para avaliação da sobrecarga e da funcionalidade familiar. Foram usadas análises descritivas e coeficiente de correlação de Spearman. Resultados predominaram cuidadores do sexo feminino, que cuidavam de seus progenitores e não possuíam capacitação. Aproximadamente 59,8% deles apresentaram boa funcionalidade familiar, e 49,5%, sobrecarga leve a moderada. Houve correlação negativa, de moderada magnitude, entre funcionalidade familiar e sobrecarga (p<0,001). Quanto maior o escore de sobrecarga, menor o escore de funcionalidade familiar e vice-versa. Conclusão cuidadores com alta sobrecarga apresentaram pior funcionalidade familiar. Diante disso, enfermeiros precisam identificar precocemente tais condições e implementar intervenções assertivas para que a família funcione como um recurso terapêutico.
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Undi M, Jeeragyal D, Udayar S, Annadani R. The impact of interaction with orphanage children on quality of life of elderly females residing in old-age homes in a South Indian District: A comparative study. ACTA MEDICA INTERNATIONAL 2021. [DOI: 10.4103/amit.amit_165_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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