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Contributions of a Nursing Intervention for the Family Caregivers of Elderly Person with Dependence at Home
Fernandes, Ana, *, Instituto Superior de Ciências Políticas da Universidade de Lisboa
Lopes, Maria, *, ESEL
Viegas, Laura, *, ESEL
Article

Contributions of a Nursing Intervention for the Family Caregivers of Elderly Person with Dependence at Home

Laura Viegas

Doutoranda do Programa de Doutoramento de Enfermagem UL/ESEL

Maria dos Anjos Pereira Lopes

PhD, Escola Superior de Enfermagem de Lisboa

Ana Fernandes

PhD, Instituto Superior de Ciências Políticas da Universidade de Lisboa

REASONING

The caregiving can be stress generator with repercussions on the physical and emotional health of the caregivers (Leone et al.,2013). It is therefore important to develop interventions with the caregivers (CF) to maintain health and improve your well-being (Au, A. et al., 2015). The model of care proposed by B. Neuman gives guidance to understand the stressors experienced by CF ( Russel, J, Hileman, J. & Grant, J. ;1995) and promote interventions that according Ducharme, Dubé, Lévesque, Saulnier & Giroux (2011) the most effective are the psychoeducational type.

OBJECTIVE

evaluate the effect of an individual nursing intervention based on a psychoeducational program for stress management, to raise the level of well-being of the CF of the elderly person with dependence at home

METHOD

 Study

Quasi-experimental

 Participants

CF recruited in UCC of a ACES (SRSLVT)

 Data collection tools

Questionnaire and Sclale CES-D (Radloff, 1977) evaluates depressive symptoms

 Procedures

• Pre-intervention T1

- Nurses training according manual.

- Obtain informed consent for the participation of CF and nurses.

- Application of instruments to CF

- CF distribuition not randomized to an Experimental Group(GE) (n=20) or a Control Group (GC)(n=20).

Intervention

Each CF GE received support and guidance, the case manager nurse, according psychoeducational program from Ducharme, Trudeau, & Ward (2008) (5 visits 30-45min).

Each CF GC received the usual nursing care.

• Post-intervention T2

Application of instruments to CF two months later.

RESULTS

CF GE care for older people with a higher level of dependence, have a higher percentage of time in care (years and hours / day) that the CF GC.

The nursing intervention showed that despite the slight decrease in depressive symptoms this was not representative in CF GE, according nonparametric Mann-Whitney test (p = . 095).

The results are in agreement with the study kajiyaama, B et al (2013) in which the psychoeducative online intervention program to reduce stress related symptoms caregiver has not improved the level of depressive symptoms using scale CES- D. The authors argue that the more effort spent in providing care for CF, they show less improvement in depressive symptoms.

Limitations:

Distribuition not randomized; time management constraints in with the nurses.

CONCLUSION

The nursing intervention contributes to the improvement of depressive symptoms of CF, although not statistically representative.

The appreciation of the “stressors” in the CF will allow nurses can intervene preventively. The gravity data reveals health problems that require CF be investigated in future studies.

Keywords: nursing Intervention, family caregivers, elderly with dependence, psychoeducational program, wellbeing.

REFERENCES

Au, A., et al. (2015). Behavioral activation for dementia caregivers: scheduling pleasant events and enhancing communications. Clinical Intervention in Aging,10, p. 611-619.

Burgio, L.; Solano,N.; Fisher,S.;Stevens,A.& Gallagher-Thompson,D. ( 2003). Skill Building: Psychoeducacional Strategies. In Coon,D. et al. (Eds). Innovative Interventions to Reduce Dementia Caregiver Distresss. A clinical Guilde. (119-138). New York:Springer Publishing Company, Inc

Ducharme, F; Trudeau, D.& Ward, J. ( 2008). Manuel de l’Intervenant – Gestion du stress- Programme psychoéducatif de gestion du stress destine aux proches-aidants d’un parent âgé à domiicile. Institut UniverSitaire de Gériatrie de Montréal- Université de Montréal. Montréal

Ducharme,F.; Dubé, V.; Lévesque, L.; Saulnier,D. & Giroux, F. (2011).An Online Stress Management Training Program as a Supportive Nursing Intervention for FamilY Caregiver of na elderly Person. Canadian Journal of Nursing Informatics, 6(2). Acedido fevereiro 20, 2016 em http://cjni.net/journal/?p=134

Kajiyama, B., et al.(2013).Exploring the effectiveness of an Internet-based program for reducing caregiver distress using the iCare stress management e-training Program. Aging & Mental Health,17(5), p.544-554.

Leone, D,.et al. (2013). A Pilot of an Intervention Delivered to Chinese and Spanish-Speaking carees of People With Dementia in Australia. American Journal of Alzheimer’s Disease and other dementias, 00(0), p.1-6.

Ory, M.; Yee,J.; Tennstedt,S. & Schulz, R. (2000).The extent and Impact of dementia Care: unique Challenges Experienced by Family Caregivers in Shultz, R.(Eds) Handbook on dementia Caregiving- Evidence Base Interventions for Family Caregivers .(1-32) Ed. Breadway, N.Y. : Spinger Publishing Company-Inc

Russel, J, Hileman, J. & Grant, J. (1995). Assessing and meeting the needs of home caregivers using the Neuman systems model. In Neuman,B. (Ed.),The Neuman Systems Model .3ª Edição,( 331-34