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Intervenção cognitiva domiciliar para cuidadores de idosos com alzheimer ; Home cognitive intervention for elderly with alzheimer's caregivers

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  • معلومة اضافية
    • Contributors:
      FAPESP
    • بيانات النشر:
      Universidade Federal de Pernambuco / Programa de Pós-graduação em Enfermagem
    • الموضوع:
      2018
    • Collection:
      Portal de Periódicos - UFPE (Universidade Federal de Pernambuco)
    • الموضوع:
    • الموضوع:
      Atualidade; pela condição de ser cuidador de um idoso com Alzheimer
    • نبذة مختصرة :
      RESUMO Objetivo: avaliar o efeito de intervenção cognitiva domiciliar sobre a cognição, a sobrecarga e o estresse em cuidadores de idosos com Doença de Alzheimer. Método: trata-se de estudo quantitativo, tipo quase-experimental, com 17 cuidadores informais de idosos com Doença de Alzheimer. Utilizaram-se o Addenbrooke’s Cognitive Examination-Revised (ACE-R), a Escala de Estresse Percebido (PSS) e a Escala de Sobrecarga de Zarit para a avaliação antes e depois da intervenção. Analisaram-se os resultados pelo SPSS, aplicando-se o test t de student para avaliar o efeito da intervenção. Resultados: identificaram-se mulheres (88,2%), com idade média de 52,5 anos e escolaridade média de 8,8 anos. Constatou-se melhora significativa na cognição geral pelo MEEM (p=0,008) e ACE-R (p= 0,003) e nos domínios atenção (p= 0,004), memória (p= 0,017) e fluência verbal (p= 0,023). Conclusão: avaliou-se pela intervenção cognitiva domiciliar melhora na cognição geral em cuidadores de idosos com Doença de Alzheimer, podendo ser uma importante ferramenta de promoção a saúde. Descritores: Idoso; Cuidadores; Cognição; Estresse Psicológico; Estudo de Intervenção, Geriatria.ABSTRACT Objective: to evaluate the effect of cognitive intervention on cognition, overload and stress in caregivers of elderly people with Alzheimer's disease. Method: this is a quasi-experimental quantitative study with 17 informal caregivers of elderly people with Alzheimer's disease. The Addenbrooke's Cognitive Examination-Revised (ACE-R), Perceived Stress Scale (PSS) and Zarit's Overload Scale were used for the evaluation before and after the intervention. The results were analyzed by the SPSS, applying the Student's t-test to evaluate the effect of the intervention. Results: women (88.2%) were identified, with a mean age of 52.5 years and mean schooling of 8.8 years. It was found a significant improvement in the general cognition by the MEEM (p = 0.008) and ACE-R (p = 0.003) and in the attention domains (p = 0.004), memory (p = 0.017) and verbal fluency (p = ...
    • File Description:
      application/pdf
    • Relation:
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Doi: http://dx.doi.org/10.5935/0034-7167.20140031 3. Godinho C, Camozzato AL, Onysko D, Chaves ML. Estimation of the risk of conversion of mild cognitive impairment of Alzheimer type to Alzheimer's disease in a south Brazilian population-based elderly cohort: the PALA study. Int Psychogeriatr. 2012 Apr;24(4):674-81. Doi:10.1017/S1041610211002043 4. Coelho GG, Teixeira PS, Novak JC, Galhardi M. Health impacts of the family caregiver of people with alzheimer's disease: a literature review. Rev Ciênc Estud Acad Med [Internet]. 2015 June [cited 2017 Dec 30];3:57-71. Available from: https://periodicos.unemat.br/index.php/revistamedicina/article/view/411/848 5. Lemos ND, Gazzola JM, Ramos LR. Caring for the Alzheimer's patient: the impact of the illness on the caregiver. Saude Soc. 2006 Dec; 15(3):170-9. Doi: http://dx.doi.org/10.1590/S0104-12902006000300014 6. Bauab, JP, Emmel MLG. Changes in the daily lives of caregivers of elderly in process of dementia. Rev Bras Geriatr Gerontol. 2014;17(2):339-52. Doi: http://dx.doi.org/10.1590/S1809-98232014000200011 7. Souza S. Planning the self-care for elderly caregivers: integrative review. J Nurs UFPE on line. 2016 May;10(5):1866-72. Doi:10.5205/reuol.9003-78704-1-SM.1005201636 8. Lopes LO, Cachioni M. Psychoeducational intervention for caregivers of elderly with dementia: a systematic review. J Bras Psiquiatr. 2012;61(4):252-61. Doi: http://dx.doi.org/10.1590/S0047-20852012000400009 9. Alzheimer’s Disease International. Alzheimer’s disease facts and figures. Rev Alzheimer's e Dementia [Internet]. 2015 [cited 2017 Dec 07];11(3):332. Available from: https://www.alz.org/facts/downloads/facts_figures_2015.pdf 10. Luchesi BM, Souza EN, Gratão ACM, Gomes GAO, Inouye K, Alexandre TS, et al. The evaluation of perceived stress and associated factors in elderly caregivers. Archi Gerontol Geriatr. 2016; 67:7-13. Doi:10.1016/j.archger.2016.06.017 11. Nolasco M, Bandeira M, Oliveira MS, Vidal CEL. Family caregivers? burden as a function of psychiatric patients diagnostics. J Bras Psiquiatr. 2014; 63(2):89-97. Doi: http://dx.doi.org/10.1590/0047-2085000000011. 12. Oliveira RS, Trezza BM, Busse AL, Jacob Filho W. Use of computerized tests to assess the cognitive impact of interventions in the elderly. Dement Neuropsychol. 2014;8(2):107-11 Doi: http://dx.doi.org/10.1590/S1980-57642014DN82000004 13. Casemiro FG, Rodrigues IA, Dias JC, Alves LCS, Inouye K, Gratão ACM. Impact of cognitive stimulation on depression, anxiety, cognition and functional capacity among adults and elderly participants of an open university for senior citizens. Rev Bras Geriatr Gerontol. 2016;19(4):683-94. Doi: http://dx.doi.org/10.1590/1809-98232016019.150214 14. Dias JC, Rodrigues IA, Casemiro FG, Monteiro DG, Luchesi BM, Chagas MHN, et al. Effects of a Health Education program on cognition, mood and functional capacity. Rev Bras Enferm. 2017 Aug;70(4):814-21. 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The memory and behavior problems checklist: 1987R and the burden interview (technical report). Pennsylvania State: University Park; 1987. 20. Scazufca, M. Brazilian version of the Burden Interview Scale for the assesstment of care in cares of people with mental illnesses. Rev Bras Psiquiatr. 2002 Mar;24(1):12-17. Doi: http://dx.doi.org/10.1590/S1516-44462002000100006 21. Brigola, AG, Luchesi, BM, Rossetti, ES, Mioshi, E, Inouye, K, Pavarini, SCI. Health profile of Family caregivers of the elderly and its association with variables of care: a rural study. Rev Bras Geriatr Gerontol. 2017 May/June;20(3):409-20. Doi: http://dx.doi.org/10.1590/1981-22562017020.160202 22. Santos BE, Koetz LCE. The Socio-epidemiological Profile and Self-perception of Family Caregivers about Interpersonal Relationships and Care for the Elderly. Rev ACRED. 2017;7(13):115-32. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=6130788 23. Rossi VEC, Soares MA, Vilela MBT, Alves A, Oliveira MG. Profiles of caregivers of elderly with Alzheimer’s disease in a municipality in the countryside of Minas Gerais. Rev Ciência et Práxis [Internet]. 2015 [cited 2018 Jan 06];8(16):115-32. Available from: http://revista.uemg.br/index.php/praxys/article/view/2220 24. Brandão GCG, Dias AM, Rached DS, Cartaxo RMS, Silveira MJO, Silva CM. Health profile of older caregivers: integrative literature review. RSC on line [Internet]. 2017 [cited 2018 Jan 07];6(2):96-13. Available from: http://www.ufcg.edu.br/revistasaudeeciencia/index.php/RSCUFCG/article/view/466/293 25. 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 Rev Enferm. 2017;21(1):115-22. Doi: http://dx.doi.org/10.5935/1414-8145.20170013 26. Sousa L, Sequeira C, Ferré-Grau C, Neves P, Lleixà-Fortuno M. Characteristics of a training program for family caregivers of a person with dementia living at home. Rev Portuguesa Enferm Saúde Mental. 2016 Apr; (Spe 3):33-8. Doi: http://dx.doi.org/10.19131/rpesm.0114 27. Cruz TJP, Sá SPC, Lindolpho MC, Caldas CP. Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver. Rev Bras Enferm. 2015 May/June;68(4):450-6. Doi: http://dx.doi.org/10.1590/0034-7167.2015680319i 28. Ferreira DPC, Aguiar VS, Meneses RMV. Quality of life in the content of family caregivers of elderly with alzheimer: integrative review. J Nurs UFPE on line. 2014 Aug; 8(8):2883-8. Doi:10.5205/reuol.6081-52328-1-SM.0808201440 29. Ferreira CR, Barham EJ. An intervention to reduce burden among caregivers who assist elderly people with Alzheimer’s disease. Rev Kairós [Internet]. 2016 [cited 2017 em Dec 23];19(4):111-30. 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    • الرقم المعرف:
      10.5205/1981-8963-v12i10a234859p2659-2666-2018
    • Rights:
      Direitos autorais 2019 Revista de Enfermagem UFPE on line ; https://creativecommons.org/licenses/by/4.0
    • الرقم المعرف:
      edsbas.C20A6220