Genaro Luís Eduardo, Marconato José Victor, Valsecki Júnior Aylton, Adas Saliba Tânia, Rosell Fernanda Lopez
Postgraduate Program in Collective Health in Dentistry, School of Dentistry, São Paulo State University, Araçatuba 16.015-050, São Paulo, Brazil.
School of Medicine, San Francisco University, Bragança Paulista 12.916-900, São Paulo, Brazil.
Geriatrics (Basel). 2025 Apr 29;10(3):61. doi: 10.3390/geriatrics10030061.
In this study, we aimed to identify the main factors that influence the quality of life of caregivers in the context of home care for the elderly. This is a mixed-methods study with a qualitative-quantitative approach, conducted with 138 home caregivers from the city of Itatiba, São Paulo, Brazil. Individual interviews were conducted, and the qualitative data were analyzed using the Collective Subject Discourse technique. Simultaneously, the quantitative approach involved the application of the EQ-5D questionnaire to assess health-related quality of life, and the data were analyzed using descriptive statistics and significance tests. The majority of caregivers were female, accounting for 92.03% of the total, with the predominant age group being over 50 years old (49.28%). The interviews highlighted the regularity of home visits by healthcare professionals, emphasizing the importance of these visits for the continuity of treatment at home. However, some caregivers expressed feelings of loneliness due to social isolation and emotional burden, reporting difficulties in resting at night and experiencing pain. In the quality of life assessment, statistically significant differences were identified in various dimensions of the EQ-5D. Women showed a higher proportion of extreme problems in usual activities ( < 0.001) and pain/discomfort ( = 0.02), while men reported more moderate problems with anxiety/depression ( = 0.03). This study highlights the importance of personalized and accessible care for patients. It underscores the need for emotional support and educational resources for caregivers to mitigate the negative impacts of prolonged caregiving on their physical and emotional health.
在本研究中,我们旨在确定在居家照顾老年人的背景下影响照顾者生活质量的主要因素。这是一项采用定性 - 定量方法的混合方法研究,研究对象为来自巴西圣保罗州伊塔蒂巴市的138名居家照顾者。我们进行了个人访谈,并使用集体主体话语技术对定性数据进行了分析。同时,定量方法涉及应用EQ - 5D问卷来评估与健康相关的生活质量,并使用描述性统计和显著性检验对数据进行分析。大多数照顾者为女性,占总数的92.03%,主要年龄组为50岁以上(49.28%)。访谈强调了医护人员家访的规律性,强调了这些家访对在家持续治疗的重要性。然而,一些照顾者因社会隔离和情感负担而表达了孤独感,报告称夜间休息困难且身体疼痛。在生活质量评估中,EQ - 5D的各个维度均发现了具有统计学意义的差异。女性在日常活动(<0.001)和疼痛/不适(=0.02)方面存在更高比例的极端问题,而男性在焦虑/抑郁方面报告的中度问题更多(=0.03)。本研究强调了为患者提供个性化和可及护理的重要性。它强调了为照顾者提供情感支持和教育资源的必要性,以减轻长期照顾对其身心健康的负面影响。