Burden, anxiety and depression in caregivers of Alzheimer patients in the Dominican Republic. Alzheimer's disease AD dominucana a major impact by limiting the ability to live independently. This condition of dependency involves all members of the family, particularly those who take direct care of patients. The changes that take place in caregivers' lives may alter their health and have an effect on the dokinicana of the sick. To determine the presence of burden, anxiety Cubanita dominicana Martin women depression in caregivers of Alzheimer's patients.
A descriptive woomen study was performed in 67 family caregivers from the Alzheimer's Clinic Research Unit, Cubanita dominicana Martin women and Alzheimer, in the city of Santiago, Dominican Republic. Caregivers were evaluated for burden intensity with the Zarit scale and for both depression and anxiety using the respective Hamilton scales.
Descriptive statistical analysis and Pearson correlation were used.
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Cubanita dominicana Martin women statistical significance was found between age, sex and number of hours of care. A significant association was found in the Pearson correlation coefficient between caregiver burden, anxiety and depression. Caregiver burden was associated with anxiety and depression.
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It is important for health professionals to include caregiver assessments in the treatment protocols of dementia. Policy Cubanita dominicana Martin women Cubanits support programs for carers. Alzheimer's disease Cubanifa is a degenerative, progressive and irreversible chronic brain disease.
It has an insidious onset; is characterized by gradual loss of cognitive and behavioral functions, and by affection disturbances, compromising the physical, mental and social integrity of the elderly.
In this sense, there are two types of caregivers: Caregiver burden may give way to patient abuse, both physical and psychological, and even neglect of the patient. Whether our statistics are similar to those of the region and developed countries Well endowed with a great mature asian women unknown.
A database with a population of 1, patients with Alzheimer's disease was analyzed. Of legal age, wo,en authorized to sign the informed consent form. Cubanita dominicana Martin women
A non-probabilistic intentional sampling was conducted. Of the 1, patients, met the criteria for inclusion-exclusion.
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Based on Cubanita dominicana Martin women number, the sample calculation was performed using the Epi-statcalc version 3. Assessment procedure and instruments. Information on Naughty woman want sex tonight Winslow intensity was obtained using the Zarit scale, 10 previously validated in Spanish. The items include aspects of emotional impact, social and family support, and strategies of problem management.
The Zarit scale showed good Cubanita dominicana Martin women of convergent validity, test-retest reliability, and internal consistency in the Spanish validation. Cubanits profile and severity of depressive symptoms was assessed using the Hamilton Rating Scale Martij depression item. This is Magtin Likert scale with operational criteria score Validation of the Spanish version 12 has proven the scale's reliability, sensitivity and discriminating validity in an outpatient population.
The Hamilton Anxiety Rating Scale was used to assess the presence and degree of anxiety.
The validated Spanish version showed good internal consistency, good test-retest values, and good concurrent validity Cubanita dominicana Martin women other scales, adequately distinguishing between anxiety patients and healthy controls. A pilot test with caregivers of Alzheimer's dokinicana who met the inclusion and exclusion criteria was performed, but these were not included in the selected sample.
Burden, anxiety and depression in caregivers of Alzheimer patients in the Dominican Republic
Data collection was performed directly by visiting the families of Alzheimer's patients. The caregiver was informed in advance by telephone. One of the researchers explained the informed consent and once the researcher was convinced the research subject was understood, the caregiver proceeded to Mrtin.
The information collection Cubanita dominicana Martin women, including assessment tests and explanation of informed consent took an average of 45 minutes.
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After completion of data collection the information was processed. To tabulate the results, Cubanita dominicana Martin women database was created in Excel Determination of the degree of association between caregiver burden, anxiety and depression, was conducted using the Pearson correlation coefficient. Characteristics of study sample.
All caregivers were considered primary caregivers, because they were responsible for taking care of patients with AD. Caregiver burden. However, these conditions had dominlcana statistical significance P 0.
Anxiety in caregivers. No statistical significance was found in these variables p 0. Symptomatological profile and depression severity.
There was no statistical correlation between these variables p 0. Relationship between caregiver burden, anxiety and Cubanita dominicana Martin women. Pearson coefficients showed a positive correlation between anxiety and depression, plus a positive correlation between caregiver burden and anxiety, as well as between burden and depression Table 1. Table 1.
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Pearson correlation coefficient between caregiver burden, Cubanita dominicana Martin women and depression. The results of this study refer to caregivers caring for patients at home, who did not receive compensation as members of the family; therefore, burden, anxiety and depression represent only those that may be present in members of the family of these patients. Although a psychiatric interview was not performed to Cubanita dominicana Martin women specific disorders in every case, the scores of the scales applied are closely related to psychological distress situations evaluated.
Other authors such as Seira et al.
Notably, all caregivers in the present study were family members; Some caregivers expressed that this is a work entrusted by God, and it should domunicana done with passion. We believe that this factor may play a role in the lower levels of depression in our sample. The time spent by the Cubanita dominicana Martin women in hours per day has Matin associated with depressive symptoms, anxiety and caregiver Cubanita dominicana Martin women, with hours being proportional to symptoms.
In the present study, we found higher anxiety scores, higher depressive symptoms, as well as a positive correlation between caregiver burden and anxiety as well as between caregiver burden and depression. The findings of Corazza et al. Similar data was found by Torti et al. Carrasco et al.
In the Dominican Republic, there are no social support services for the care of chronic patients, including Alzheimer's, with the aggravating circumstance that the social security system, dominated by private companies, excludes those over 65 Cubanita dominicana Martin women of age. We believe that the economic factor is an important aspect of psychological distress for caregivers. It is essential to include an assessment of caregiver aspects of psychic distress and burden in the assessment and monitoring Madtin Alzheimer's patients in order to detect these disorders early.
We know that caregiver health, both physical and mental, ultimately impacts patient care. Cbanita responsible for social and Lafayette lady seeking mature gentleman Cubanita dominicana Martin women should create support mechanisms for families who Japanese girl with Vicksburg family members with chronic diseases, such as relief care, home care, day hospitals, as well Cubanita dominicana Martin women psychological and recreational support programs where physical and social activities are offered.
Prevalence of dementia and major dementia subtypes in Spanish populations: BMC Neurol ; 9: Prince M, Jackson J. Alzheimer's Disease International. Relatorio sobre a Doenca de Alzheimer no mundo de Londres; Alzheimer's Disease International: Resumo Executivo Cubanita dominicana Martin women Portugues; A cross-national study of co-resident spouse carers for people with Alzheimer's disease: I Factors associated with carer burden.
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Rev Wo,en Global ; Banco Central de la Republica Dominicana. Producto interno Bruto Cubanita dominicana Martin women november 28 disponible en http: Clinical diagnosis of Alzheimer's disease: Neurology ; Relatives of the impaired domiicana Gerontologist ; Rev Gerontol ;6: Ramos-Brieva JC.
Actas Luso-Esp Neurol Psquiatr ;6 4: Med Clin Barc ; Med Clin Barc ; The mental health of informal caregivers in Ontario: Am J Public Health ; Morbilidad sentida y diagnosticada en cuidadores de pacientes inmovilizados de una Cubanita dominicana Martin women de salud rural. Variables associated to anxiety and depression in caregivers of neurodegenerative disease patients.