A experi��ncia do idoso com fratura de f��mur

P��s-gradua����o em Sa��de Coletiva - FMB

Processo de desenvolvimento do instrumento de avalia����o do n��vel de dificuldade do cuidador informal ao cuidar do idoso

P��s-gradua����o em Sa��de Coletiva - FMB

A experi��ncia do cuidador familiar e da equipe multiprofissional com processo de cuidar de doentes renais cr��nicos em hemodi��lise

P��s-gradua����o em Enfermagem (mestrado profissional) - FMB

Perfil de pacientes portadores de gastrostomia e o papel dos cuidadores no domic��lio

P��s-gradua����o em Enfermagem (mestrado profissional) - FMB

Reconhecendo a sobrecarga e a qualidade de vida de cuidadores familiares de idosos fr��geis

OBJECTIVE: This study aimed to analyze the correlation between the levels of functional dependence of elderly living in the community, the burden related to care and the perception of quality of life in familiar caregivers. METHODS: This is an observational, descriptive and analytical study, using non probabilistic sampling selected by convenience in the period from December 2008 to May 2009, in the urban area of Curitiba and Colombo, state of Paran��, Brazil. Interviews were applied to caregivers, using demographic inquiry, functional evaluation of the aged, burden interview (Zarit-Burden-Interview) and quality of life instrument (WHOQOL-Bref). Spearman, Mann-Whitney and Kruskal Wallis coefficients were used to analyze the correlations between instruments and socio-demographic variables. Bivariate analyses identified which variables correlate with burden, and the most significant were included in a multiple linear regression. RESULTS: Forty-five caregivers were interviewed, mostly women (91.11%) with high educational level attending dependent elderly (66.77%). Moderate/severe burden was perceived in 75.55% of the sample. We found correlation between dependence, more severe burden in caregivers (r=-0.281, p=0.013) and worse perception of quality of life. The multiple linear regression identified strong association between burden related to care and psychological domain from WHOQOL-bref and time as caregiver (R��=0.58, p<0.001). CONCLUSION: In a sample of familiar caregivers, we identified correlations between lower burden related to care and better quality of life perceptions, as well as higher disability and less satisfactory quality of life perceptions.

Preval��ncia de h��bitos de suc����o n��o nutritivos em pr��-escolares e a percep����o dos pais sobre sua rela����o com maloclus��es

Este estudo transversal e descritivo objetivou verificar a preval��ncia de h��bitos de suc����o em pr��-escolares e a percep����o dos pais sobre a rela����o com a ocorr��ncia de maloclus��es. A popula����o do estudo constituiu-se por uma amostra representativa de pais de pr��-escolares de 4 meses a 6 anos de idade. Utilizou-se um question��rio semiestruturado, composto por quest��es abertas e fechadas, referentes �� frequ��ncia e conhecimentos dos pais frente aos h��bitos de suc����o n��o nutritivos. Dos 356 participantes da pesquisa, 70,8% afirmaram que as crian��as apresentavam algum h��bito bucal, sendo a suc����o de chupeta o mais frequente (45,6%). Apesar da grande maioria dos pesquisados (97,1%) relatarem saber que os h��bitos podiam causar preju��zo aos dentes, 70,2% deles j�� haviam oferecido chupeta �� crian��a, na maioria das vezes para acalm��-la (61,8%). Houve associa����o estatisticamente significativa entre a oferta da chupeta �� crian��a e o conhecimento sobre a rela����o da presen��a de h��bitos n��o nutritivos e a ocorr��ncia de maloclus��o (p < 0,0001 e Qui-quadrado = 60,123). A preval��ncia de h��bitos bucais na popula����o estudada �� alta e, apesar da maioria dos pais saberem que o h��bito de suc����o de chupeta pode causar danos �� sa��de bucal, ofertavam a chupeta a fim de acalmar a crian��a.

An��lise de protocolos com interven����o motora domiciliar para pacientes com doen��a de Alzheimer: uma revis��o sistem��tica

The regular practice of physical therapy is indicated as a non-pharmacological treatment of Alzheimer's disease by promoting cognitive, behavioral and functional benefits. However, little is known about the protocols with home-based motor intervention for this population. Thinking about it, this review aimed to investigate and analyze the protocols for home-based motor intervention for elderly with Alzheimer's disease described in scientific articles. A systematic search was performed in the following databases: Web of Science, PubMed, PsycINFO, and Scopus, using the following keywords and Boolean operators: home-based exercise OR home-based physical exercise OR home-based physical fitness OR home-based rehabilitation OR home-based physical therapy OR home-based physical activity OR home-based engine Intervention and AD OR Alzheimer's disease OR AlzheimerOR Alzheimer's dementia. We also conducted a manual search of reference lists of selected articles. Of the five articles that met the inclusion criteria adopted, three performed a protocol for home motor intervention, achieving good compliance with the program, improvement of general health and reduction of depressive symptoms. The other two studies were limited to describing the protocols. Although more studies are needed, with detailed protocols, this review allowed to show that protocols for home motor intervention can also produce positive effects for both patients and caregivers.

Influ��ncia de um programa sistematizado de dan��as circulares em aspectos psiconeuroimunol��gicos de idosos cuidadores de indiv��duos com doen��a de Alzheimer

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)

Indicadores de stress e sobrecarga em cuidadores formais e informais de pacientes oncol��gicos

The present study aimed to identify the presence of indicators of stress, levels of stress and overload with the formal and informal caregivers of cancer patients. Participated in the survey 33 caregivers of cancer patients in total, 16 formal and 17 informal. To collect data, we used: 1) Roadmap for characterization of participants; 2) Inventory of Stress Symptoms Lipp - ISSL and 3) Protocol Zarit Burden Interview - ZBT. The results revealed that 43 % of informal carers were in the resistance phase, 29 % in the burnout stage, 14 % at the stage of exhaustion and almost 14 % in the alert phase. Formal caregivers 25 % are in the exhaustion phase and 75 % in the resistance. The overload has also performed on a larger scale in informal than formal caregivers, 47 % to 18,7 % charge respectively. However, the results revealed no statistically significant difference between groups for the incidence of stress but indicated a difference against overloading pointing out that professional caregivers in the incidence is lower. The results suggest the need to implement support for informal and formal caregivers programs, develop coping strategies, handling the situations of overload and stress, aiming to better quality of life for the caregiver, and consequently for the patient who is receiving care.

Question��rio de qualidade de vida de crian��as com paralisia cerebral (cp qol-child): tradu����o e adapta����o para l��ngua portuguesa

The aim of this study was to verify the reliability of the Brazilian Portuguese version of the instrument Cerebral Palsy: quality of life questionnaire for children: primary caregiver questionnaire (CP QOLChild: primary caregiver) translated and culturally adapted. Thus, the translation and cultural adaptation of the instrument was made, and then the procedures to verify its reliability were performed. The translated and culturally adapted questionnaire was answered by 30 caregivers of children with cerebral palsy and inter and intra-observer analysis followed. The data allowed the authors to identify an internal consistency rangering from 0.649 to 0.858, intra-observer reliability from 0.625 to 0.809 and inter-observer reliability from 0.498 to 0.903. The analysis suggests that the instrument has acceptable psychometry.

An��lise do equil��brio e da qualidade de vida de idosos com Alzheimer e a influ��ncia na qualidade de vida do Cuidador

With the growing aging population will be an increase of chronic degenerative diseases such as dementia. Among the various forms of dementia Alzheimer���s disease (AD) is the most prevalent. In individuals with AD, there is a loss in the processing of sensory information, which may aggravate the imbalance and falls. As the disease progresses, the individual lose the ability to function independently, becoming dependent on a caregiver. This study aimed to analyze the balance of the mental state and quality of life of individuals with AD, to determine whether a correlation exists between these variables and analyze the influence on quality of life of caregivers. This study was conducted with thirty individuals (82.86 �� 9.07 years) with AD, both sexes, and their caregivers. The evaluation of the balance was accomplished by the Scale of Functional Balance of Berg (EEFB), the cognitive function for the Mini-exam of the Mental State (MEEM), and the quality of life (QV) for the scale ���life Quality - Disease of Alzheimer ��� (QdV - DA) that is composed for three versions: patient, caregiver and family The data were analyzed by coefficient of correlation of Spearman. The balance analyses (EEFB=32,17 �� 13,26 points) shows increased in the risk of falls in the elderly and negative correlation (R = - 0,55, p <0,01) with age and good correlation with MEEM (R=0,63 p <0,01). Already in relation of the MEEM and QV, can observed correlation between the familiar version and the MEEM ((R=0,40 p=0,02). In Relation the versions of the QV questionnaire, found significant correlation among: QdV-DA patient X caregiver (R=0,41 p=0,02), QdV-DA patient X family (R=0,40 p=0,03). In this way we can conclude that the individuals with DA, appraised in this study, present a deficit in the balance, so much related with the age as with to the cognitive decline, and the greater the cognitive decline worse the impression of caring about the QOL of their family, and still, that the worsening in the quality of the patient���s life contemplates in a worsening in the quality of your caregiver���s life.

O invent��rio portage operacionalizado e o desenvolvimento de beb��s

O acompanhamento do desenvolvimento de beb��s implica na considera����o de fatores de risco para os mesmos e na utiliza����o de instrumentos que possibilitem a identifica����o de defasagens, comportamentais, visando �� elabora����o de interven����es pontuais junto a pais e outros cuidadores. O presente estudo prendendeu descrever vari��veis distais e proximais do desenvolvimento de uma amostra de beb��s, a partir de suas caracter��sticas peculiares, bem como das dos seus familiares e avaliar o repert��rio comportamental dos beb��s, correlacionando-o com vari��veis de risco como prematuridade, baixo peso ao nascer e filhos de m��es adolescentes, comparando-o com beb��s sem condi����o de risco identificada. Pretendeu, tamb��m, identificar comportamentos t��picos nas ��res do desenvolvimento avaliadas pelo invent��rio portage operacionalizado, m��s a m��s, durante o primeiro ano de vida, utilizando os crit��rios de estabiliza����o, normaliza����o e aparecimento destes comportamentos entre os meninos e meninas. Participaram do estudo 217 beb��s que foram avaliados no decorrer do primeiro ano de vida, sendo que 33% eram prematuros, 28% filhos de m��es adolescentes, 11% com baixo peso nascidos a termo, 3% sindr��micos ou filhos de m��es portadoras de HIV+ e 25% do Grupo Controle, sem condi����es de risco identificado no nascimento. Os dados foram coletados a partir da entrevista inicial e da avalia����o mensal do invent��rio. Os dados foram coletados a partir da entrevista inicial e da aplica����o mensal do invent��rio portage operacionalizado (IPO), em um Centro de Psicologia Aplicada de uma universidade p��blica. Os desempenhos dos beb��s no IPO e as condi����es de risco identificadas foram submetidas ao tratamento por meio do Statistic Package Social for Science (SPSS, vers��o 12.0). para a identifica����o de comportamentos t��picos utilizaram-se os crit��rios de Estabiliza����o... (Resumo completo, clicar acesso eletr��nico abaixo)

N��veis de sobrecarga, ansiedade e depress��o de cuidadores de pacientes com doen��a de Alzheimer participantes e n��o participantes de grupos de apoio

Currently , as a result of the significant increase in the number of elderly, one can observe an increase in the number of chronic diseases , among them Alzheimer's disease (AD) , which affects both patients and their caregivers , that due care with the patient , just overwhelmed , anxious and depressed. Therefore, this study aims to draw a profile of caregivers of Alzheimer's patients, correlating the physical activity of patients with levels of overload, anxiety, depression caregivers. For both sample consisted of 40 patients with AD to characterize the physical activity levels and perform activities of daily living. In addition, we evaluated 40 caregivers. Patient assessment was made through a medical history, beyond the score Clinical Dementia Rating (CDR), Mini - Mental State Examination (MMSE), Modified Baecke Questionnaire for Older Adults (MBQ) , Functional Activities Questionnaire PFEFFER (QAFP) , and the Self Perception Performance in Activities of Daily Living (EAPAVD). For assessing the caregiver was also used an interview, then the Neuropsychiatric Inventory (NPI), anxiety and depression scale (HAD) Scale and the Zarit caregiver burden (Zarit). The data were processed using descriptive procedures for the analysis of characterization of samples, such as cognitive screening and physical activity level and profile of caregivers. There was a normal distribution of the data using the Shapiro Wilk, For data with normal distribution were used parametric descriptive procedures using One Way ANOVA to compare groups and applying a post hoc Bonferroni. As for the data that showed the destruction not normal was used to standardize the test by Z -score , and then treated by means of parametric statistical procedures , as presented earlier . The Pearson correlation was used to identify possible associations between variables. It was assumed significance level of 5 % (p ��� 0.05) for all analyzes. Given these results, we conclude that...

Reflex��o sobre preven����o de acidentes �� crian��a no ��mbito dom��stico

The aim was to reflect what action to prevent accidents used by caregivers / participants in the home. This is a prospecive cross-sectional descriptive study conducted at the Pediatric Inpatient Unit, Hospital of the Medical School of Botucatu ��� Unesp, during the months from May to August 2010.A questionnaire was used in the form of check list (Annex I) on measures to prevent accidents. The participant chose two alternatives taking into consideration the order of priority in the prevention of accidents. This study shows that for the age group from 29 days to 2 years, the companions chose these preventive measures for falls, burns, poisoning and drowning, ���do not put near the windows mobile��� (27.8%), ���no access the match, lighter and appliances (22.2%), leave toxic substances out of reach and sight of children (41.7%) and empty buckets, tubs and pools after use (27.8% ). Regarding the age group 2-6 years, the measures for these types of accidents were not put near the windows mobile (26.5%), do not have access to matches, lighters and household appliances (20.9% ), leave toxic products out of reach and sight of children (27.9%) and maintain tanks, tanks and wells or struck with some protection (20.2%). For ages 6 to 10 years, the measures chosen to more such accidents were dry liquid spilled on the ground (23.5%), do not have access to matches, lighters and household appliances (22.5% ), leave toxic products out of reach and sight of children (31%) and keep tanks, tanks and wells or struck with some protection (23.5%). One fact that attracted our attention was that the preventive measures most frequently used by caregivers, regardless of age, show results that differ in few alternatives. It is essential to the understanding of the escorts / participants on the importance of injury prevention. Even today is predominantly defined as accident, injury must be addressed through measures

Atividade f��sica e sintomas depressivos em cuidadores de idosos com dem��ncia de Alzheimer

The Alzheimer's dementia (AD) is a chronic, neurodegenerative and progressive disorder, characterized by cognitive decline, affecting brain functions like memory, reasoning and communication, occurrence of behavioral disturbances and difficulty in performing activities of daily living (ADLs). These conditions lead to patient���s dependence, which can cause depressive symptoms in caregivers, due to physical and mental burden caused by of the difficulties of the act of caring. Whereupon, it became necessary to find strategies to improve the caregivers��� quality of life. An interesting hypothesis is that physical activity can be considered a non-pharmacological alternative in reducing depressive symptoms, being an important factor for maintaining the physical and mental well-being of the general population, especially on positive changes in mood and social interaction. This study aimed to analyze the effects of a physical activity protocol on depressive symptoms and burden of caregivers of patients with AD. This experimental study, of longitudinal character, comprised a sample of 19 caregivers, of both genders, divided into two groups: a) intervention group ��� IG (10 caregivers who participated in a physical activity protocol) and b) control group ��� CG (9 caregivers who didn���t participate in the physical activity protocol). This protocol, which worked the components of functional ability and social interaction of participants, was held three times a week, being 48 sessions of 60 minutes each, for 16 weeks. Data collect was performed at pre and post-intervention for both groups. The assessment instruments used were: a) Zarit Burden Interview, b) Hospital Anxiety and Depression Scale (HAD) and c) battery of motor tests of the American Alliance for Health Physical Education Recreation and Dance (AAHPERD). Nonparametric statistics was used, with intra-group comparison by Wilcoxon test... (Complete abstract click electronic access below)