Funcionalidade familiar de idosos com alterações cognitivas: a percepção do cuidador

Abstract

Este trabalho objetivou caracterizar os cuidadores de idosos com alterações cognitivas morando em diferentes contextos de vulnerabilidade social, e avaliar a funcionalidade familiar desses idosos segundo a percepção dos cuidadores. A funcionalidade familiar foi avaliada utilizando o instrumento APGAR de família, durante entrevistas domiciliares com 72 cuidadores de idosos. Todos os cuidados éticos foram observados. Foi utilizada a correlação de Spearman e o teste de Mann-Whitney, com nível de significância de 5% (p<0,05). Os resultados mostram que 82% dos cuidadores relatam boa funcionalidade familiar; 14%, moderada disfunção familiar; e 4%, elevada disfunção familiar. Houve correlação estatisticamente significante entre o APGAR de Família e o número de pessoas que residem na casa (p=0,048). Investigações futuras poderiam verificar a relação entre funcionalidade familiar e sobrecarga do cuidador no contexto de idosos com demência.

Factors associated with family dysfunction among non-institutionalized older people

“…10 However, still in Portugal, in Tondela, the married elderly were more numerous than in this study at 59.5%, 36 similar to the province of Anhui, in China (97.38%). 7 Regarding HFD, this study's findings (7.9%) were close to those described by national authors in other geographical regions, such as the Southeast (7%) 11 and Northeast (8.8%). 32 Ascending values were also found, such as those described in the North (10.9%) 37 and South (25%).…”

“…This presents both a challenge and an opportunity for society to look for new models. 8 Regarding marital status, being married (47.65%) presented higher estimations than those found in other studies in the country, such as the ones conducted in the Southeast (45%) 11 and in the Northeast (45.8%), 35 and in comparison to the study conducted in Porto, with 31.8%. 10 However, still in Portugal, in Tondela, the married elderly were more numerous than in this study at 59.5%, 36 similar to the province of Anhui, in China (97.38%).…”

“…11,23 The evaluated BADL were: transferring, toileting, continence, dressing, bathing, and eating. To measure the dependence level, a scale was established that varied from A (independence in all activities) to G (dependence in all activities).…”

“…[5][6][7] In this sense, treatment and care for the elderly, the complexity of health conditions, and costs may determine the quality of family relationships and interfere with family functioning, which is recognized as a predictor variable for active and healthy aging. 8 Therefore, family functioning has been the subject of studies related to aging [9][10] associated with the caregiver's role [11][12][13] and with living with chronic conditions. 9,[14][15] By definition, a family is considered functional when there is the separation of tasks or roles that are clearly defined and accepted by family members in order to help with problem solving, using their own resources.…”

Idosos com doença de alzheimer: como vivem e percebem a atenção na estratégia saúde da família Elderly with alzheimer’s disease: how they live and notice the attention in the health strategy of the family

“…In older age groups, the prevalence of dementia increases, becoming alarming, since elderly people with dementia may be considered vulnerable. [6][7] The most common and prevalent form of dementia in the elderly is Alzheimer's disease (AD), understood as a neurodegenerative, progressive and irreversible disease of insidious onset, characterized by progressive loss of memory and other cognitive functions, that impair the patient at activities of daily life and in their social and occupational performances. [8][9] The aim of this study was to understand how seniors with Alzheimer's are living and their perceptions of the actions of the Family Health Strategy (ESF), which accompanies them.…”