Borghi Ana Carla, de Castro Vivian Carla, Marcon Sonia Silva, Carreira Lígia
Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brazil.
Rev Lat Am Enfermagem. 2013 Jul-Aug;21(4):876-83. doi: 10.1590/S0104-11692013000400007.
to compare the overload of the main and secondary family carers of patients with Alzheimer's Disease, and identify which dimension generates most impact.
a comparative study conducted in the city of Maringá, State of Paraná, with 20 primary carers of elderly patients with Alzheimer's Disease and 20 secondary caregivers. The data was collected in May and June 2012, using the Scale for Assessment of Overload of Members of Psychiatric Patients' Families (FBIS-BR), and the results were analysed using the Mann-Whitney test and analysis of variance.
the global objective overload, and also in each subscale, was significantly greater in the group of main caregivers; the subjective overload showed no difference between the groups. Comparing the subscales, the routine assistance provided to the patient had greater influence on objective overload in both groups, and the concern with the elderly patient was the dimension that had most influence on the subjective overload of main caregivers and also of secondary caregivers.
the differences in overload between the different groups reinforces the need for planning of health care actions for each type of caregiver, seeking to reduce these differences.
比较阿尔茨海默病患者主要和次要家庭照顾者的负担,并确定哪个维度产生的影响最大。
在巴拉那州马林加市进行了一项比较研究,研究对象为20名老年阿尔茨海默病患者的主要照顾者和20名次要照顾者。2012年5月和6月收集数据,使用精神科患者家属负担评估量表(FBIS-BR),并采用曼-惠特尼检验和方差分析对结果进行分析。
主要照顾者组的总体客观负担以及各分量表的负担均显著更高;两组之间的主观负担无差异。比较各分量表,为患者提供的日常护理对两组的客观负担影响更大,对老年患者的担忧是对主要照顾者和次要照顾者主观负担影响最大的维度。
不同组之间负担的差异强化了针对每种类型照顾者规划医疗保健行动的必要性,以寻求减少这些差异。