Abstract
BACKGROUND:Dementia affects not only the person with the disease, also the caregiver, who represents a fundamental part in the management of patients with dementia.
OBJECTIVE:The main objective of the present study was to describe the caregiver burden in a group of caregivers of patients with dementia at the Central Military Hospital, exploring possible associations between the burden and variables dependent on the care subject.
DESIGN:Longitudinal descriptive study.
CONTEXT:patients who come to a consultation at the Central Military Hospital between August 2016 and April 2018.
MEASUREMENTS:Demographic data were obtained from the caregiver and the patient with dementia (binomial: caregiver - patient), the Zarit scale was applied for the measurement of the degree of caregiver burden, and functional assessment of the patient with dementia (using Barthel scale and Clinical Dementia Rating -CDR), hospital admissions of the patient with dementia were recorded during 1 year.
RESULTS:50 caregivers and 50 patients with dementia were included in the study. 45 (90 %) caregivers were women, with an average age of 60 years (SD: 15 min-max 24-85). The caregiver burden was intense in 33 (66 %) caregivers, the feeling of self-abandonment was the main dimension of the burden reported. The higher burden is associated with the higher clinical deterioration of dementia (CDR = 3, P = 0.008), but not with the functional state on the Barthel scale.
References
Dua T, Nichols, P, Setoya Y, et al. Demencia una prioridad de salud pública. Informe Organización Mundial de la Salud. 2013.
Arango Lasprilla JC, Moreno A, Rogers H, Francis K. The effect of dementia patients physical, cognitive, and emotional/ behavioral problems on caregiver well-being: Findings from a Spanish-speaking sample from Colombia, South America. Am J Alzheimers Dis Other Demen. 2009;24(5):384-95.
Zarit JM. Predictors of burden and distress for caregivers of senile dementia patients. Diss Abstr Int. 1983; Dissertati(892):43(3-B).
Moreno JA, Nicholls E, Ojeda N, et al. Caregiving in Dementia and its Impact on Psychological Functioning and Health-Related Quality of Life: Findings from a Colombian Sample. J Cross Cult Gerontol. 2015;30(4):393-408.
Pinquart M, Sórensen S. Correlates of physical health of informal caregivers: A meta-analysis. Journals Gerontol - Ser B Psychol Sci Soc Sci. 2007;62(2):126-37.
Cerquera A, Granados F, Buitrago A. Sobrecarga en cuidadores de pacientes con demencia tipo Alzheimer. Psychol Av la Discip [Internet]. 2012;6(1):35-45. Available from: http://revistas.usbbog.edu.co/index.php/Psychologia/article/view/207
Avila Toscano, J. H., García Cuadrado, J. M., & Gaitán Ruiz J. Habilidades para el cuidado y depresión en cuidadores de pacientes con demencia. Rev Colomb Psicol. 2010;19(1):71-84.
Cerquera, A. M., Pabón, D. K., Uribe DM. Nivel de depresión experimentada por una muestra de cuidadores informales de pacientes con demencia tipo Alzheimer. Psicol desde el Caribe Univ del Norte. 2012;29(2):360-84.
Arango JC, Lehan T, Drew A, et al. Health related quality of life in caregivers of individuals with dementia from Colombia. Am J Alzheimers Dis Other Demen. 2010;25(7):556-61.
Moreno JA, Arango L JC, Rogers H. Necesidades familiares y su relación con las características psicosociales que presentan los cuidadores de personas con demencia. Psicol desde el Caribe Univ del Norte. 2010; 26:1-35.
Gort AM, Mingot M, Gomez X, et al. Use of the Zarit scale for assessing caregiver burden and collapse in caregiving at home in dementias. Int J Geriatr Psychiatry. 2007;22(10):957-62.
Hughes CP, Berg L, Danziger, WL et al. A new clinical scale for the staging of dementia. Br J Psychiatry. 1982;140(6):566-72.
Custodio Capuñay N, Becerra Becerra Y, Alva Díaz C, et al. Validación y precisión de la escala de deterioro global (GDS) para establecer severidad de demencia en una población de Lima. Rev CES Med. 2017;31(1):14-26.
Barreto RV, Campos ME, Carrillo GM, et al. Entrevista Percepción de Carga del Cuidado de Zarit: pruebas psicométricas para Colombia. Aquichan. 2015;15(3):368-80.
Barrero CL, García S, Ojeda A. Índice de Barthel (IB): Un instrumento esencial para la evaluación funcional y la rehabilitación. Plast y restauración neurológica. 2005;4(1-2):81-5.
Nyunt MSZ, Chong MS, Lim WS, et al. Reliability and Validity of the Clinical Dementia Rating for Community-Living Elderly Subjects without an Informant. Dement Geriatr Cogn Dis Extra. 2013;3(1):407-16.
Olde Rikkert MGM, Tona KD, Janssen L, Burns A, Lobo A, Robert P, et al. Validity, Reliability, and Feasibility of Clinical Staging Scales in Dementia: A Systematic Review. Am J Alzheimers Dis Other Demen. 2011;26(5):357-65.
Cerquera AM, Pabón DK. Resiliencia y variables asociadas en cuidadores informales de pacientes con Alzheimer. Rev Colomb Psicol. 2016;25(1):33-46.
Hospital Militar Central B. Caracterización de usuarios 2018 [Internet]. 2018. Available from: https://www.hospitalmilitar.gov.co/caracterizacion-de-usuarios-del-homic/caracterizacion-de-usuarios-2018
Ocampo JM, Herrera J, Torres P, et al. Sobrecarga asociada con el cuidado de ancianos dependientes. Colomb Med. 2007;38(1):40-6.
Cardona D, Segura A, Dedsy Y, et al. Prevalencia y factores asociados al síndrome de sobrecarga del cuidador primario de ancianos. Rev Fac Nac Salud Pública. 2013;31(1):30-9.
Carreño S, Chaparro LP. Agrupaciones de cuidadores familiares en Colombia: perfil, habilidad de cuidado y sobrecarga. Pensam Psicológico. 2017;15(1):87-101.
Arango JC, Moreno A, Rogers H, et al. The Effect of Dementia Patient's Physical, Cognitive, and Emotional/Behavioral Problems on Caregiver Well-Being: Findings From a Spanish-Speaking Sample from Columbia, South America. Am J Alzheimer's Dis Other Dementias. 2009;24(5):384-95.
Salmerón M, Alonso P. Factores asociados a la institucionalización de pacientes con demencia y sobrecarga del cuidador. Rev Del Minist Trab Y Asuntos Soc. 2006;(60):129-47.
Orem DE CSJ. Modelo de Orem. 4a ed. Barcelona: Salvat; 1993.
Rodriguez RM, Landeros ME. Sobrecarga del agente de cuidado dependiente y su relación con la dependencia funcional del adulto mayor. Enfermería Univ. 2014;11(3):87-93.
Cardona D, Segura AM, Berbesí DY, et al. Características demográficas y sociales del cuidador en adultos mayores. Investig Andin. 2011;13(22):178-93.
Livingston G., Sommerlad A, Vasiliki O, et al. Dementia prevention, intervention, and care. Lancet. 2017;390(10113):2673-734.

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