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唐氏综合征儿童及青少年照料者的负担

Burden of caregivers of children and adolescents with Down Syndrome.

作者信息

Barros Alina Lúcia Oliveira, Barros Amanda Oliveira, Barros Geni Leda de Medeiros, Santos Maria Teresa Botti Rodrigues

机构信息

Unidade de Diagnóstico Oral e Odontológico para Pacientes Especiais, Universidade Federal de Sergipe. R. Cláudio Batista - lado par, Santo Antônio. 49060-102 Aracaju SE Brasil.

Universidade Tiradentes. Aracaju SE Brasil.

出版信息

Cien Saude Colet. 2017 Nov;22(11):3625-3634. doi: 10.1590/1413-812320172211.31102016.

DOI:10.1590/1413-812320172211.31102016
PMID:29211168
Abstract

The aim of this study was to evaluate the profile and burden of caregivers of children/adolescents with and without Down syndrome. The evaluations were performed through questionnaires about the profile and burden of the caregivers (Zarit Burden Interview) and the profile of the children/adolescents. These questionnaires were applied to 168 caregivers. The chi-square test, Fisher's exact test, and analysis of variance were used with a significance level set at a = 5%. Both groups were composed of 84 participants, and the caregivers of the disabled group had a significantly higher percentage of females (p = 0.001), those in the 41-60 age group (p < 0.001), those who had no occupation (p < 0.001), those with a low per capita income (p < 0.001), those with a low level of schooling (p = 0.021), those who were Catholic in religion (p = 0.001), those who had more health problems (p < 0.001), those who continued the use of medication (p < 0.001), and those with a moderate level of burden (p < 0.001). The children/adolescents with disabilities needed significantly more help for eating (p = 0.051), bathing (p = 0.006), dressing (p = 0.042), sphincter control (p = 0.027), and intimate hygiene (p < 0.001). The caregivers of children/adolescents with Down syndrome presented a moderate burden compared to the caregivers of normoreactive children/adolescents.

摘要

本研究的目的是评估患有和未患有唐氏综合征的儿童/青少年照顾者的概况及负担。通过关于照顾者概况及负担的问卷( Zarit负担访谈)和儿童/青少年概况问卷进行评估。这些问卷应用于168名照顾者。采用卡方检验、 Fisher精确检验和方差分析,显著性水平设定为α = 5%。两组均由84名参与者组成,残疾组的照顾者中女性比例显著更高(p = 0.001)、年龄在41 - 60岁组的比例更高(p < 0.001)、无职业者比例更高(p < 0.001)、人均收入低者比例更高(p < 0.001)、受教育程度低者比例更高(p = 0.021)、宗教信仰为天主教者比例更高(p = 0.001)、健康问题更多者比例更高(p < 0.001)、持续用药者比例更高(p < 0.001)以及负担水平为中等者比例更高(p < 0.001)。残疾儿童/青少年在进食(p = 0.051)、洗澡(p = 0.006)、穿衣(p = 0.042)、括约肌控制(p = 0.027)和私密卫生方面(p < 0.001)需要显著更多的帮助。与正常反应性儿童/青少年的照顾者相比,唐氏综合征儿童/青少年的照顾者负担为中等。

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