scholarly journals Predicting Caregiver Burden in Informal Caregivers for the Elderly in Ecuador

Author(s):  
Pablo Ruisoto ◽  
Marina Ramírez ◽  
Belén Paladines-Costa ◽  
Silvia Vaca ◽  
Vicente Javier Clemente-Suárez

Informal caregivers are the main providers of care for the elderly. The aim of this study is to examine the predictive value of different variables regarding caregivers and their elderly patients with respect to the caregiver’s burden. A convenience sample of 688 informal caregivers and 688 elderly people from Ecuador was surveyed. Only households with one caregiver and one elderly person were considered for the study. For informal caregivers, the following standardized measures were obtained: burden (Zarit Burden Interview), neuroticism (Eysenck Personality Questionnaire Revised-Abbreviated, EPQR-A), caregiver’s general health (GHQ-12), and social support (modified Duke-UNC Functional Social Support Questionnaire, FSSQ11). For the elderly, we employed standardized measures of cognitive function (short portable mental status questionnaire, SPMSQ), Pfeiffer’s test, and functional dependency (Barthel scale/Index, BI). Females were over-represented in caregiving and reported significantly higher burden levels than those of males. In both male and female caregivers, the burden was best predicted by the time of caring, neuroticism, and elderly cognitive impairment. However, some predictors of burden were weighted differently in males and females. The functional independence of the elderly was a significant predictor of burden for male caregivers but not females, while caregiver competence was a significant predictor for females but not males. These variables accounted for more than 88% of the variability in informal caregivers.

Author(s):  
Divyanshu Raheja ◽  
Evelyn Davila ◽  
Eric Johnson ◽  
Rijalda Deović ◽  
Michele Paine ◽  
...  

The purpose of this study is to understand among a convenience sample of 400 adults aged 60 years of age or older (1) reasons for being willing or unwilling to participate in a vaccine clinical research study and (2) overall perceptions about vaccine clinical research. A cross-sectional study using a sample of older adults residing in the metro-Atlanta area and surrounding neighborhoods was conducted. The study questionnaire contained 37 questions, including questions about socio-demographics and perceptions about clinical trial processes. Statistical analysis was conducted using logistic regression. The adjusted modeling results indicated that sex, distance to research clinic, and being informed about the research findings played a role in the likelihood of an elderly person participating in a vaccine study. Males were more likely to participate in clinical trials as compared to females (OR: 2.486; CI: 1.042–5.934). Most participants were willing to travel up to 25 miles from the research clinic. Of the respondents, 45% were unlikely to participate if the results of the current trial are not shared. Improving access to clinical trials in terms of distance traveled and ensuring streamlined processes to inform participants about the results of the trial in the future would increase willingness to participate in vaccine clinical trials. The survey could serve as a useful tool for conducting vaccine studies and other clinical trials by understanding the barriers specific to the elderly.


2014 ◽  
Vol 31 (2) ◽  
pp. 215-223 ◽  
Author(s):  
Maria de Fátima Fernandes Martins Catão ◽  
Alice Fernanda Martins Grisi

This study was developed based on the reality of population aging, the Aging Era, and the matter of exclusion and psychosocial suffering experienced by elderly people, with the aim of analyzing the meanings of the construction of the life project, work and exclusion/inclusion of this population. A semi-structured interview was performed with 25 participants of the Care for the Elderly Person Program. The lexical and contextual Thematic Content Analysis was performed using the Alcest program for the quantitative analysis of textual data. Three themes were recovered: The world and I: process of exclusion/inclusion - represented 27.77% of the statements; The Future as the present - foremost expressed with 44.44%; Work and the Life Project as a way of social inclusion - 27.77%. The need for conscious actions was highlighted, with reference to the ethics of citizens who are involved and interested in experiencing aging in a healthier way, in order to humanize the living/aging relationship.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zofia Ignasiak ◽  
Anna Sebastjan ◽  
Teresa Sławińska ◽  
Anna Skrzek ◽  
Wojciech Czarny ◽  
...  

Abstract Background It’s really important to measure the actual functional physical fitness of elderly independent living persons from different environments to know the level and rate of decrease may inform about the threat of loss of functional independence, hence the need to monitor and assess the senior’s motor realm and adapt to it the appropriate programs and treatments in the care for the elderly person. Methods The study involved 5367 people (mean age 69,63 ± 7,06), including 4164 women (mean age 69,55 ± 7,11) and 1203 men (mean age 69,91 ± 6,86) aged 60 to 93 years old. We have measured basic anthropometric features and physical fitness (by using Senior Fitness Test). Results The average values in individual SFT tests significantly decrease along with age. After age of 80 and 85 there were no sex differences in SFT. The largest deficits concern the dynamic balance and the decrease reaches 69% in men and 62% in women A significantly higher rate of decline in aerobic capacity concerns men (43%) than women (36.9%). A clearly lower rate of loss occurs in the muscular strength of the lower and upper body and does not exceed 30%. Conclusions The results are of great clinical importance for the development of effective prevention and gerontological education programs in terms of promoting active lifestyle and successful ageing, at the same time limiting the economic consequences of treatment and hospitalisation.


2006 ◽  
Vol 46 (4) ◽  
pp. 456-463 ◽  
Author(s):  
Susan M. Friedman ◽  
Donald M. Steinwachs ◽  
Helena Temkin-Greener ◽  
Dana B. Mukamel

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Nurul Hudani Md Nawi ◽  
Puteri Hayati Megat Ahmad Hayati Megat Ahmad ◽  
Mohd Dahlan A. Malek ◽  
Getrude Cosmas ◽  
Habibie Ibrahim Ibrahim ◽  
...  

This study aims to identify the psychological and social supports on intergenerational relationships among adult children who care for the elderly (parents) in the multi-ethnic community of Sabah. The objective of the study was to examine the influence of emotional and social support on the intergenerational relationship in the elderly care. There are 200 questionnaires that can be used from 250 respondents consisting of young adults who play the role of guardians of the elderly. Three sets of questionnaires were used in this study: the Parent-Child Interaction Questionnaire-Revised (PACHIQ-R) (Lange, 2001) questionnaire was adapted in this study is the current version of the results of the modification from the First Phase version of The Parent- Child Interaction Questionnaire (PACHIQ) (Lange, Blonk & Wiers, 1998) to measure the intergeneration relationship. Next, The Emotional Support Scale questionnaire (ESS) developed by Hisada, Seng and Minoguchi (1989) was used to measure psychological support whereas Social Support Questionnaire (SSQ) by Sarason, Levine, Basham (1983) for measuring social support.  Regression analysis from SPSS software was used to analysis the influence between variables. Studies show that emotional support contributes to the intergenerational relationship. Social support contributes 27 percent to variance in intergenerational relationships. While the combination of two forms of social and emotional support contributes 40 percent variance to the intergenerational relationship, an increase of 13 percent. This finding shows that both forms of support can help improve intergenerational relationships between children acting as guardians with older parents. The implication of this study suggests that there is a need to develop a policy module based on the National Elderly Policy (DWEN) which needs to be done in holistic and integrated national action plans to ensure the welfare of the guardians as well as the elderly.


2020 ◽  
Vol 61 (2) ◽  
pp. 64-70
Author(s):  
Lucinei Paz Torquato ◽  
Debora Berger Schmidt

Introduction: For the year 2050, the estimate is to have more than two billion people over the age of 60 worldwide. This projection of population aging highlights the importance of assessing the oral health of the elderly and, consequently, highlighting the role of public policies and the dental surgeon in health promotion in this context. Objective: The purpose of this paper is to approach the main oral changes that occur in the elderly and the importance given to this by public policies. Discussion: The literature emphasizes the national health policy of the elderly and the duty of the professional to promote the quality of life while preserving the autonomy and functional independence of the patient. Conclusion: Several public policies ensure the rights guaranteed to people aged 60 years or older regarding whole health care for the elderly. However, much needs to be done for them to benefit and have full access to this service. Therefore, it’s the dental surgeon’s responsibility to bring awareness to this reality and need.


2013 ◽  
Vol 21 (spe) ◽  
pp. 216-224 ◽  
Author(s):  
Rosalina Aparecida Partezani Rodrigues ◽  
Sueli Marques ◽  
Luciana Kusumota ◽  
Emanuella Barros dos Santos ◽  
Jack Roberto da Silva Fhon ◽  
...  

OBJECTIVE: to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident. METHODOLOGY: an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diagnoses of first episode of cerebrovascular accident, capable of communicating, and requiring care from a main carer in their family. The data was collected through interviews, observation, existing documentation and field notes. Qualitative analysis techniques were used to codify and classify the data and to formulate significant categories, which generated typologies of care. RESULTS AND DISCUSSION: The central idea was the Transition of Care and showed the context in three typologies: The care process for the dependent elderly person, Strategies for the care process and Impact and acceptance of the limitations. CONCLUSION: The data indicates that caring for an elderly person after a cerebrovascular accident is a challenge for the family. The data permitted it possible to elaborate a proposal for a model for the organization of the work, with a view to holistic care delivery in the health services, forming a care network, which constitutes an advance for the area of nursing.


Author(s):  
Anabela Silva ◽  
Susana Silva ◽  
César Fonseca ◽  
José Garcia-Alonso ◽  
Manuel Lopes ◽  
...  

2017 ◽  
Vol 20 (3) ◽  
pp. 374-386 ◽  
Author(s):  
Elaine Cristina Salzedas Muniz ◽  
Flávia Cristina Goulart ◽  
Carlos Alberto Lazarini ◽  
Maria José Sanches Marin

Abstract Objective: To analyze the socio-demographic and pharmacotherapeutic profiles of elderly users of a private health plan. Method: A cross-sectional and descriptive study was conducted with 239 elderly users of a private health plan in a medium-size city in the state of São Paulo, Brazil. A structured questionnaire was used for data collection and absolute and relative frequencies were obtained. The pharmacotherapeutic survey estimated the prevalence and average number of medicines used in the 15 days prior to the interview, as well as adherence to treatment. Results: Of the respondents, 79% were female, with a mean age of 73 years. The main health problems reported were: arterial hypertension, rheumatism/arthritis, dyslipidemia and diabetes. A total of 97.1% of the elderly persons used medicine, and the most frequently used classes were for the cardiovascular and digestive systems. An average of 5.9 drugs/elderly person were used and 62.8% of the sample were undergoing polymedication. A total of 11.7% of the sample used medications that were unsuitable for the elderly, 51% had average adherence to medication and 12.1% had poor adherence. Conclusions: The majority of elderly people in the sample were female, lived with relatives and had a higher-level education. Despite the use of polymedication and the presence of multiple comorbidities, the percentage of elderly persons with low adherence to treatment was lower than that found in other studies. A high level of education and purchasing power, which facilitated the access to medication of the elderly patients under study, may be important predictors of adherence to treatment. The results support maintaining a model of care for the elderly centered on the treatment of diseases and pharmacotherapy.


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