Idosos dependentes de cuidadores

Minayo, Maria Cecília de Souza

doi:10.1590/1413-81232020261.36602020

Cited by 5 publications

(7 citation statements)

References 2 publications

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“…Those who receive some type of financial support generally consider the contribution insufficient and those who live on little or no income have fewer options when providing for the needs of the care recipient. 1 This demonstrates the economic vulnerability of caregivers, which intensifies the degree of stress and burden 31 , 32 .…”

Section: Discussionmentioning

confidence: 99%

“…The aging of the population has culminated in an increase in longevity but has also resulted in an increased need for providing care to older adults. Such care, especially in the home setting, is mainly offered by informal caregivers and family members who provide varied types of care without pay 1 . Most of these informal caregivers are women (wife or daughter) who reside with the care recipient, provide care without assistance, and have no training in caregiving 1 , 2 .…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Pavarini

Bregola

Luchesi

et al. 2023

Dement. neuropsychol.

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Pavarini

Bregola

Luchesi

et al. 2023

Dement. neuropsychol.

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“…Ensaio teórico sobre as políticas de apoio aos idosos em situação de dependência encontrou que os países europeus incluíram as políticas sobre a dependência nos marcos de seu sistema de seguridade social; alguns oferecem proteção total, disponibilizando cuidadores formais, capacitação, treinamento e remuneração aos familiares, outros apenas auxiliam parcialmente o idoso e o cuidador familiar. Em nenhum deles a pessoa idosa dependente deixa de receber os cuidados de que precisa (Minayo et al, 2021). No Brasil, temos duas experiências locais: em Belo Horizonte, o Programa Maior Cuidado oferta cuidadores formais custeados pelo município aos idosos com algum grau de dependência que possuam familiares e estejam em extrema vulnerabilidade financeira; e, em São Paulo, o Programa de Acompanhante de Idosos oferece cuidado domiciliar com profissionais e acompanhantes a idosos em situação de fragilidade clínica, vulnerabilidade social, isolamento ou exclusão social devido à insuficiência de suporte familiar ou social (Minayo et al, 2021;Sousa et al, 2022).…”

Section: Discussionunclassified

“…Em nenhum deles a pessoa idosa dependente deixa de receber os cuidados de que precisa (Minayo et al, 2021). No Brasil, temos duas experiências locais: em Belo Horizonte, o Programa Maior Cuidado oferta cuidadores formais custeados pelo município aos idosos com algum grau de dependência que possuam familiares e estejam em extrema vulnerabilidade financeira; e, em São Paulo, o Programa de Acompanhante de Idosos oferece cuidado domiciliar com profissionais e acompanhantes a idosos em situação de fragilidade clínica, vulnerabilidade social, isolamento ou exclusão social devido à insuficiência de suporte familiar ou social (Minayo et al, 2021;Sousa et al, 2022).…”

Section: Discussionunclassified

Iniquidades de gênero entre cuidadoras de idosos dependentes

Sousa,

Silva,

Brasil

et al. 2023

Saude soc.

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Resumo Esta pesquisa tem como objetivo compreender as experiências e os sentidos atribuídos pelas mulheres para se tornarem cuidadoras de idosos dependentes, à luz da análise da socialização de gênero. Estudo qualitativo com 53 cuidadoras familiares, realizado de junho a setembro de 2019, nas cidades de Belo Horizonte, Rio de Janeiro, Porto Alegre, Araranguá, Manaus, Fortaleza e Teresina. A análise das informações guiou-se pelo referencial teórico-metodológico da hermenêutica-dialética. Os achados foram organizados em quatro categorias: a função cuidadora como algo “natural” da mulher; homens ausentes no ato de cuidar e a manutenção da masculinidade; a responsabilidade marital de esposas e a identidade de gênero para o cuidar; a economia e o cisheteropatriarcado como norteadores para assumir o cuidado. As mulheres exercem o cuidado em decorrência da socialização de gênero. Esse fato é potencializado pelas circunstâncias de estarem solteiras, residirem com a pessoa idosa, ausência masculina na partilha do cuidado, responsabilidade marital e pressão para se retirarem do mercado de trabalho. Em conclusão, o modelo de cuidado centrado na família é sustentado pelas mulheres devido as dinâmicas sociais construídas em uma sociedade capitalista e centrada no cisheteropatriarcado. Isto sinaliza para a necessidade de a sociedade intervir, refletir e propor ações para um cuidado equilibrado entre homens e mulheres.

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“…A growing prevalence of chronic diseases (multimorbidity) is associated with aging, and it is important to consider lifelong care to achieve quality aging [ 9 , 10 , 11 ]. The WHO [ 8 ] defines chronic illness as a permanent, disabling illness that results from irreversible pathological changes, requiring special education of the person for rehabilitation or which may require long periods of care or supervision.…”

Section: Introductionmentioning

confidence: 99%

Person-Centered Health Intervention Programs, Provided at Home to Older Adults with Multimorbidity and Their Caregivers: Protocol for a Systematic Review

Nascimento

Fonseca

Pinho

et al. 2022

JPM

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The WHO has been promoting the paradigm shift in health care towards person-centered care, considering this strategy as fundamental for the personalization of care, but globally, the implementation of person-centered health intervention programs is still in an early stage. Older adults have high morbidity rates, which are often precursors to functional dependence on informal caregivers. Person-centered health intervention programs may answer the vulnerability of older adults and their caregivers, but they are not yet intensively implemented. This systematic literature review aims to identify which person-centered health programs exist in-home settings for this population and show the health gains. Methods: A systematic review of the literature will be conducted in the following databases: PubMed, CINAHL, MedicLatina, Scopus, and MEDLINE. The search strategy will contain the following MesH terms or similar: “older adults”, “caregivers”, “home care”, and “patient-centered care.” Criteria inclusion: Person-centered health intervention programs performed to older adults and their caregivers’ in-home context; scientific articles from 2017 to 2022. For the extraction and synthesis, two independent reviewers will quality analyze the inclusion and exclusion criteria and the data quality analysis. Disagreements will be resolved by a third reviewer.

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Idosos dependentes de cuidadores

Cited by 5 publications

References 2 publications

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers: a cross-sectional study

Iniquidades de gênero entre cuidadoras de idosos dependentes

Person-Centered Health Intervention Programs, Provided at Home to Older Adults with Multimorbidity and Their Caregivers: Protocol for a Systematic Review

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