Clinical and functional vulnerability of elderly caregivers of older adults with Alzheimer’s
DOI:
https://doi.org/10.15253/2175-6783.20192040851Keywords:
Geriatric Nursing; Nursing Care; Health of the Elderly; Alzheimer Disease; Vulnerability Analysis.Abstract
Objective: to evaluate the clinical and functional vulnerability of elderly caregivers of older adults with Alzheimer’s disease. Methods: it was a cross-sectional study with elderly caregivers registered in an Alzheimer’s Patient Care Association. A sociodemographic questionnaire and the Clinical-Functional Vulnerability Index-20 were used for data collection, which were analyzed using R statistical software, Spearman’s correlation, and Somers’ D. Results: 31 elderly caregivers participated, mostly women, aged between 60 and 74 years, married, with low schooling, and taking care of the spouse. A greater risk of vulnerability related to self-perceived health, cognition and mood was identified. Functionality in daily activities, communication, mobility, and multiple comorbidities was preserved. Conclusion: most elderly caregivers were at risk of frail, which did not stop them from providing care for the relative with Alzheimer’s. Professionals and institutions should work to prevent the functional decline of these elderly caregivers.
References
Vicente MC, Silva CRR, Pimenta CJL, Frazão MCLO, Costa TF, Costa KNFM. Resilience and self-care of elderly people with diabetes mellitus. Rev Rene. 2019; 20:e33947. http://dx.doi.org/10.15253/2175-6783.20192033947
Barbosa KTF, Costa KNFM, Pontes MLF, Batista PSS, Oliveira FMRL, Fernandes MGM. Aging and individual vulnerability: a panorama of older adults attended by the Family Health Strategy. Texto Contexto Enferm. 2017; 26(2):e2700015. doi: http://dx.doi.org/10.1590/0104-07072017002700015
Freitas MC, Campos TD, Gil CA. Expectativas e concepções de trabalho na velhice em homens na meia-idade. Est Inter Psicol. 2017; 8(2):43-64. doi: http://dx.doi.org/10.5433/2236-6407.2016v8n2p43
Davies N, Rait G, Maio L, Iliffe S. Family caregivers’ conceptualisation of quality end of life care for people with dementia: a qualitative study. Palliat Med [Internet]. 2017 [cited Jan 01, 2019]; 31(8):726-33. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5625846/pdf/10.1177_0269216316673552.pdf
Davies N, Walker N, Hopwood J, Iliffe S, Rait G, Walters K. A “separation of worlds”: the support and social networks of family carers of people with dementia at the end of life, and the possible role of the internet. Health Soc Care Community. 2019; 27(4):1-10. doi: https://doi.org/10.1111/hsc.12701
Ballesteros SM, Moreno-Montoya J. Individual - and state-level factors associated with functional limitation prevalence among Colombian elderly: a multilevel analysis. Cad Saúde Pública. 2018; 34(8):e00163717. doi: http://dx.doi.org/10.1590/0102-311x00163717
Moraes EN, Carmo JA, Moraes FL, Azevedo RS, Machado CJ, Montilla DER. Índice de Vulnerabilidade Clínico Funcional-20 (IVCF-20): reconhecimento rápido do idoso frágil. Rev Saúde Pública. 2016; 50:81. doi: http://dx.doi.org/10.1590/s1518-8787.2016050006963
Messias LAS, Gazetta FAD, Barbosa PMK, Calamita Z. Practical knowledge and life overload of caregivers of elderly with dementia. Sci Med. 2018; 28(3):ID30569. doi: http://doi.org/10.15448/1980-6108.2018.3.30569
Oliveira JF, Delfino LL, BatistoniSST, Neri AL, Cachioni M. Quality of life of elderly people who care for other elderly people with neurological diseases. Rev Bras Geriatr Gerontol. 2018; 21(4):428-38. http://dx.doi.org/10.1590/1981-22562018021.180077
Associação de Estudos Pesquisa e Assistência a Pessoas com Alzheimer. Estatuto da Associação de Estudos, Pesquisas e Auxílio às Pessoas de Alzheimer [Internet]. 2012 [citado 2019 jan 20]. Disponível em: http://www.aepapa.org.br/wp-content/uploads/2018/07/Estatuto_modificado.pdf
Freitas FFQ, Soares SM. Índice de vulnerabilidade clínico-funcional e as dimensões da funcionalidade em idosos. Rev Rene. 2019. 20:e39746. doi: http://dx.doi.org/10.15253/2175-6783.20192039746
Eby DW, Molnar LJ, Kostyniuk L, Louis RM, Zanier N. Characteristics of informal caregivers who provide transportation assistance to older adults. PloS One. 2017; 12(9):e0184085. doi: https://doi.org/10.1371/journal.pone.0184085
Santos-Orlandi AA, Brito TRP, Ottaviani AC, Rossetti ES, Zazzetta MS, Gratão ACM, et al. Profile of older adults caring for other older adults in contexts of high social vulnerability. Esc Anna Nery. 2017; 21(1):e20170013. doi: http://dx.doi.org/10.5935/1414-8145.20170013
Marcucci FCI, Martins VMM, Barros EML, Perilla AB, Brun MM, Cabrera MAS. Functional capacity of patients indicated for palliative care in primary care. Geriatr Gerontol Aging. 2018; 12(3):159-65. doi: http://dx.doi.org/10.5327/Z2447-211520181800026
Leite BS, Camacho ACLF, Jacoud MVL, Barros MSA, Assis CRC, Joaquim FL. Relationship between the epidemiological profile of caregivers of elderly people with dementia and overburden of care. Cogitare Enferm. 2017; (22)4:e50171. doi: http://dx.doi.org/10.5380/ce.v22i4.50171
Loredo-Figueroa MT, Gallegos-Torres RM, Xeque-Morales AS, Palomé-Veja G, Juárez-Lira A. Nivel de dependencia, autocuidado y calidad de vida del adulto mayor. Enfermería Universitaria. 2016; 13(3):159-65. https://doi.org/10.1016/j.reu.2016.05.002
Sheung-Tak C. Dementia caregiver burden: a research update and critical analysis. Curr Psychiatr Rep. 2017; 19(9):64. doi: https://doi.org/10.1007/s11920-017-0818-2
Alves EVC, Flesch LD, Cachioni M, Neri AL, Batistoni SST. The double vulnerability of elderly caregivers: Multimorbidity and perceived burden and their associations with frailty. Rev Bras Geriatr. Gerontol. 2018; 21(3):312-22. doi: http://dx.doi.org/10.1590/1981-22562018021.180050
Vaz LCS, Santos KOB, Ferraz DD. Condições de saúde e trabalho entre cuidadores de idosos frágeis. Rev Pesq Fisiol. 2018; 8(3):319-29. doi: http://dx.doi.org/10.17267/2238-2704rpf.v8i3.1987
Kessler M, Facchini LA, Soares UM, Nunes BP, França SM, Thumé E. Prevalence of urinary incontinence among the elderly and relationship with physical and mental health indicators. Rev Bras Geriatr Gerontol. 2018; 21(4):397-407. doi: http://dx.doi.org/10.1590/1981-22562018021.180015
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Rev Rene
This work is licensed under a Creative Commons Attribution 4.0 International License.