scholarly journals FATORES ASSOCIADOS À SOBRECARGA E QUALIDADE DE VIDA DE CUIDADORES DE IDOSOS COM DEMÊNCIA

Author(s):  
Felipe Lima Rebêlo ◽  
Mário Jorge Jucá ◽  
Clara Maria De Araújo Silva ◽  
Alynne Iasmin Batista Santos ◽  
João Victor Pereira Barbosa

O presente estudo objetivou analisar os fatores associados à sobrecarga e qualidade de vida de cuidadores de idosos com demência a partir das características do idoso e do cuidador. Trata-se de um estudo transversal, realizado na cidade de Maceió, Alagoas. A amostra foi composta por 170 indivíduos, 85 pares cuidador/idoso, sendo os idosos com diagnóstico de síndrome demencial e seus respectivos cuidadores principais. A coleta foi realizada por meio de entrevistas com aplicação de escalas validadas. Foi avaliada a sobrecarga e a qualidade de vida do cuidador, através da escala Zarit Burden Interview e do Whoqol-bref, respectivamente, e o estado cognitivo e capacidade funcional dos idosos com a Clinical Dementia Rating (CDR) e o Índice de Katz. Para os cuidadores, predominou o sexo feminino (88,2%), com média de idade de 51,9 (± 12,0), estado civil casado (55,3%), nível educacional acima de nove anos de estudo (77,6%) e renda per capita de até um salário (43,6%). A maior média de qualidade de vida foi encontrada no domínio físico e a menor no ambiental. Encontrou-se relação estatisticamente significativa entre a capacidade funcional e a sobrecarga. Correlação inversa estatisticamente significativa foi evidenciada entre sobrecarga e qualidade de vida. Os achados desta pesquisa sugerem que o declínio funcional dos idosos com demência mostrou exercer influência sobre a sobrecarga dos cuidadores principais, onde foi identificado maior sobrecarga com níveis intermediários de demência.

2012 ◽  
Vol 24 (11) ◽  
pp. 1846-1854 ◽  
Author(s):  
Wee Kooi Cheah ◽  
Huey Charn Han ◽  
Mei Sian Chong ◽  
Philomena Vasantha Anthony ◽  
Wee Shiong Lim

ABSTRACTBackground: We aimed to examine the multidimensionality of the Zarit Burden Interview (ZBI) beyond the conventional dual-factor structure among caregivers of persons with cognitive impairment in a predominantly Chinese multiethnic Asian population, and ascertain how these dimensions vary across the spectrum of disease severity.Methods: We studied 130 consecutive dyads of primary caregivers and patients attending a memory clinic over a six-month period. Caregiver burden was measured by the 22-item ZBI, and disease severity was staged via the Clinical Dementia Rating (CDR) scale. We performed principal component analysis (PCA) with varimax rotation to determine the factor structure of the ZBI. The magnitude of burden in each factor was expressed as the item to total ratio (ITR) and plotted against the stages of cognitive impairment. Descriptive and inferential statistics were applied to study the relationships between dimensions with disease and caregiver characteristics.Results: We identified four factors: demands of care and social impact, control over the situation, psychological impact, and worry about caregiving performance. ITRs of the first three factors increased with severity of disease and were related to recipients’ functional status and disease characteristics. ITR in the dimension of worry about performance was endorsed highest across the spectrum of disease severity, starting as early as the stage of mild cognitive impairment and peaking at CDR 1.Conclusion: Multidimensionality of ZBI was confirmed in our local setting. Each dimension of burden was unique and expressed differentially across disease severity. The dimension of worry about performance merits further study.


Author(s):  
Steven H. Zarit ◽  
Karen E. Reever ◽  
Julie Bach-Peterson

2009 ◽  
Vol 29 (S 01) ◽  
pp. S16-S18 ◽  
Author(s):  
B. Brand ◽  
N. von der Weid

SummaryThe Swiss Haemophilia Registry of the Medical Committee of the Swiss Haemophilia Society was established in 2000. Primarily it bears epidemiological and basic clinical data (incidence, type and severity of the disease, age groups, centres, mortality). Two thirds of the questions of the WFH Global Survey can be answered, especially those concerning use of concentrates (global, per capita) and treatment modalities (on-demand versus prophylactic regimens). Moreover, the registry is an important tool for quality control of the haemophilia treatment centres.There are no informations about infectious diseases like hepatitis or HIV, due to non-anonymisation of the data. We plan to incorporate the results of the mutation analysis in the future.


2015 ◽  
pp. 30-53
Author(s):  
V. Popov

This paper examines the trajectory of growth in the Global South. Before the 1500s all countries were roughly at the same level of development, but from the 1500s Western countries started to grow faster than the rest of the world and PPP GDP per capita by 1950 in the US, the richest Western nation, was nearly 5 times higher than the world average and 2 times higher than in Western Europe. Since 1950 this ratio stabilized - not only Western Europe and Japan improved their relative standing in per capita income versus the US, but also East Asia, South Asia and some developing countries in other regions started to bridge the gap with the West. After nearly half of the millennium of growing economic divergence, the world seems to have entered the era of convergence. The factors behind these trends are analyzed; implications for the future and possible scenarios are considered.


2018 ◽  
pp. 71-91 ◽  
Author(s):  
I. L. Lyubimov ◽  
M. V. Lysyuk ◽  
M. A. Gvozdeva

Well-established results indicate that export diversification might be a better growth strategy for an emerging economy as long as its GDP per capita level is smaller than an empirically defined threshold. As average incomes in Russian regions are likely to be far below the threshold, it might be important to estimate their diversification potential. The paper discusses the Atlas of economic complexity for Russian regions created to visualize regional export baskets, to estimate their complexity and evaluate regional export potential. The paper’s results are consistent with previous findings: the complexity of export is substantially higher and diversification potential is larger in western and central regions of Russia. Their export potential might become larger if western and central regions, first, try to join global value added chains and second, cooperate and develop joint diversification strategies. Northern and eastern regions are by contrast much less complex and their diversification potential is small.


2016 ◽  
pp. 67-93 ◽  
Author(s):  
A. Zaytsev

Using level accounting methodology this article examines sources of per capita GDP and labor productivity differences between Russia and developed and developing countries. It considers the role played by the following determinants in per capita GDP gap: per hour labor productivity, number of hours worked per worker and labor-population ratio. It is shown that labor productivity difference is the main reason of Russia’s lagging behind. Factors of Russia’s low labor productivity are then estimated. It is found that 33-39% of 2.5-5-times labor productivity gap (estimated for non-oil sector) between Russia and developed countries (US, Canada, Germany, Norway) is explained by lower capital-to-labor ratio and the latter 58-65% of the gap is due to lower technological level (multifactor productivity). Human capital level in Russia is almost the same as in developed countries, so it explains only 2-4% of labor productivity gap.


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