Elderly who take care of elderly: a study on the Frailty Syndrome

Santos-Orlandi, Ariene Angelini dos; Brito, Tábatta Renata Pereira de; Ottaviani, Ana Carolina; Rossetti, Estefani Serafim; Zazzetta, Marisa Silvana; Pavarini, Sofía Cristina Iost

doi:10.1590/0034-7167-2016-0474

Cited by 16 publications

(26 citation statements)

References 28 publications

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“…The prevalence of frailty in the elderly caregivers of the sample was 20.8%, higher than a study carried out with elderly caregivers inserted in a context of high social vulnerability (10%) (16) and the study conducted in an outpatient clinic (18%) (17) . A systematic review has shown that the prevalence of the syndrome in the Brazilian elderly can vary from 7% to 59%, depending on the place of study, the inclusion criteria of the participants and the size of the sample (26) , which makes it difficult to compare of data.…”

Section: Resultscontrasting

confidence: 57%

“…Currently, there are several studies related to the frailty syndrome in the elderly. When it comes to elderly caregivers, data are still scarce (16)(17) . In Brazil, a study carried out with 50 elderly caregivers of elderly people attended in an outpatient clinic identified that there is an association between depressive symptoms and frailty.…”

Section: Introductionmentioning

confidence: 99%

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Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

et al. 2019

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Objective: to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers. Method: a cross - sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables). Results: there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility. Conclusion: elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.

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Section: Resultscontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

et al. 2019

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“…In this study, 32% of the caregivers were frail, and only 4% were robust, suggesting that they were not in much better condition physically to look after the care-recipients. In fact, our study had the highest proportion of frail caregivers in comparison with other studies which reported the proportion of frail caregivers ranged from 8%-17% (Dassel & Carr, 2014;Santos-Orlandi et al, 2017;Sugimoto et al, 2018). However, it may be inappropriate to compare results across studies because of the heterogeneity between the study populations and the different types of frailty assessment tools that were used.…”

Section: Factors Associated With the Four Types Of Caregiver Reactionsmentioning

confidence: 56%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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Aims To examine factors associated with the four types of caregiver reactions according to the modified Caregiver Reaction Assessment (mCRA) and assess the differences in the narrative assessment from spouse caregivers between the high‐positive and high‐negative caregiver reactions. Background There is a limited understanding of the factors contributing to positive and negative reactions among older spouse caregivers with chronic illnesses. Narrative assessment from spouse caregivers has not been studied before. Design The study design was a paired‐sample, mixed‐method survey design. Data were collected from spouse caregivers (≥55 years old) and care‐recipients in one medical institute from February 2017–December 2017. This manuscript used STROBE checklist to ensure complete reporting. Methods Demographic, socioeconomic, Frailty Index, perceived stress, and quality of life data were gathered from caregiver dyads. mCRA, relationship, and life satisfaction data were collected from caregivers. mCRA identified the four types of caregiver reactions: (a) high‐positive, low‐negative; (b) high‐positive, high‐negative; (c) low‐positive, high‐negative; and (d) low‐positive, low‐negative. A qualitative interview was conducted to understand the differences in the narrative and choice of words used to describe caregiving experience. Results Seventy‐five caregiver dyads were recruited. Total perceived stress was found to be negatively associated with high‐positive, low‐negative caregiver reaction (baseline category: low‐positive, high‐negative) by multinomial logistic regression. Content analyses showed that low‐positive and high‐negative caregivers used words that implied a lack of volition. Caregivers with positive experience viewed caregiving as a responsibility; the opposite viewed it as having ‘no choice’. Conclusions Perceived stress is an important indicator of caregiver reactions. Words used when describing caregiving experiences can potentially depict the spouse caregivers' current state of being as a caregiver. Relevance to clinical practice Spouse caregiver's narrative of their caregiving experience may provide easy and quick insights if interventions are needed. Early identification of negative reactions will allow for prompt interventions in mitigating caregivers' stress.

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“…There was a predominance of elderly people with low educational level, an indicator of risk to negatively impact the health of the elderly and cause adverse effects. Evidence indicates that low schooling may present mental health problems, chronic conditions and, consequently, be an end to frailty, in addition to social exclusion, less access to information and unfavorable socioeconomic conditions (5) .…”

Section: Discussionmentioning

confidence: 99%

“…It should be emphasized that the frailty can be aggravated by the absence of social support, since the lack of it can affect the body's defense systems, making the individual more susceptible to illness (5) . It is presumed that maintaining family support relationships and social relationships promotes better health conditions for the elderly, favoring resilience in cases of stressful situations (6) .…”

Section: Introductionmentioning

confidence: 99%

Frailty and social support of the elderly in contexts of social vulnerability

2018

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Objective: to analyze the relationship between of frailty and the family social relationships of the elderly in a context of social vulnerability. Methods: a cross-sectional study with elderly people enrolled in five Reference Centers for Social Assistance. Sample for convenience composed of 247 elderly. For data collection, a sociodemographic questionnaire, Edmonton Frailty Scale, Genogram and Eco-maps were used. Social vulnerability characterized according to Social Vulnerability Index. Results: of the respondents, 41.7% did not present frailty, 21.5% were apparently vulnerable and 36.8% frail. There was no significant difference between frailty and family relationship. There was significant difference between frailty and external attachment (p=0.010), indicating that elderly individuals with frailty at some level had a limited external link. Conclusion: elderly people who have a close relationship with family members, did not present frailty, while the majority of the elderly who do not have external ties, presented some level of frailty. Descriptors: Frail Elderly; Social Support; Social Vulnerability.Objetivo: analisar a relação entre o nível de fragilidade e as relações familiares e sociais de idosos em contexto de vulnerabilidade social. Métodos: estudo transversal, realizado com idosos cadastrados em cinco Centros de Referência de Assistência Social. Amostra por conveniência composta por 247 idosos. Para coleta de dados, utilizou-se questionário sociodemográfico, Escala de Fragilidade de Edmonton, Genograma e Ecomapa. A vulnerabilidade social foi caracterizada segundo Índice de Vulnerabilidade Social. Resultados: dos respondentes, 41,7% não apresentaram fragilidade, 21,5% estavam aparentemente vulneráveis e 36,8% estavam frágeis. Não houve diferença significativa entre fragilidade e relação familiar. Houve diferença significativa entre fragilidade e vínculo externo (p=0,010), indicando que idosos com algum nível de fragilidade em apresentaram fragilidade, enquanto que a maior parte dos idosos que não possuem vínculos externos, apresentou algum nível de fragilidade.

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Elderly who take care of elderly: a study on the Frailty Syndrome

Cited by 16 publications

References 28 publications

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms

The types of caregiving reactions experienced by the older spouse caregivers

Frailty and social support of the elderly in contexts of social vulnerability

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