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Burden changes in caregivers of patients with type 2 diabetes: A longitudinal study

Costa, M. Suely Alves ; Machado, José C. ; Pereira, M. Graça

Journal of advanced nursing, 2018-10, Vol.74 (10), p.2322-2330 [Periódico revisado por pares]

England: Wiley Subscription Services, Inc

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  • Título:
    Burden changes in caregivers of patients with type 2 diabetes: A longitudinal study
  • Autor: Costa, M. Suely Alves ; Machado, José C. ; Pereira, M. Graça
  • Assuntos: Adult ; Aged ; Aged, 80 and over ; amputated ; Amputation ; Amputees ; burden ; Caregiver burden ; Caregivers ; Caregivers - psychology ; chronic disease ; Cost of Illness ; Diabetes ; Diabetes Mellitus, Type 2 - nursing ; Diabetes Mellitus, Type 2 - surgery ; Female ; Humans ; Imbalance ; longitudinal ; Longitudinal Studies ; Lower Extremity - surgery ; Male ; Middle Aged ; nurse ; Nursing ; Patients ; Portugal ; Questionnaires ; Social Support ; stress ; Stress, Psychological ; Surgery ; Type 2 diabetes mellitus ; Young Adult
  • É parte de: Journal of advanced nursing, 2018-10, Vol.74 (10), p.2322-2330
  • Notas: Funding information
    This study was supported by a scholarship from the Coordination Foundation for the Improvement of Higher Education Personnel/Full Doctoral Program Abroad Financed by CAPES – Brazil (reference number 1010‐14)
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  • Descrição: Aims The aim of this study was to explore changes in the burden of caregivers of patients with type 2 diabetes experiencing lower limb amputation after surgery. Background Literature suggests the burden overload experienced by the caregivers of new amputees is related to an imbalance between the demands and the resources available to these caregivers. Design The study followed a longitudinal design assessing caregiver burden at 1 (T1), 7 (T2) and 10 (T3) months after the patient's surgery. Methods We used a convenience sample of caregivers of patients with type 2 diabetes amputated with recent lower limb amputation. Data were collected in several hospital units over 18 months in 2014‐2015. Sample size included at T1, T2 and T3 110, 101 and 84. Participants completed the socio‐demographic questionnaire, the Burden Assessment Scale and the Self‐Assessment Caregiver Questionnaire scale. Results Caregivers who received help reported lower levels of burden from at baseline with no variation over time. Those caregivers with high levels of stress showed an increase in burden over time, although these results were not significant. Also, caregivers who did not receive help showed higher levels of burden and stress over time compared with the initial baseline that decreased over time. Conclusion These results highlight the importance of receiving help, in care, especially among caregivers who care for patients who have undergone major amputation. 摘要 目的 本研究旨在探讨手术后下肢截肢的2型糖尿病患者的看护人负担的变化。 背景 有文献表明,刚完成截肢手术的患者的看护人所承受的负担过重与这些看护人的需求及其可用资源之间的不平衡有关。 设计 该研究采用纵向设计来评估患者手术后1(T1)个月、7(T2)个月和10(T3)个月的看护人的负担。 方法 我们使用了刚完成下肢截肢手术的2型糖尿病患者的看护人的便利样本。收集了几个医院从2014年至2015年18个月的数据。样本量包括患者手术后T1、T2和T3 110、101和84的看护人。参与者完成了社会人口统计调查问卷,负担评估量表和看护人自我评估调查表。 结果 接受过帮助的护理人汇报:相比于基线负担水平来说,其负担水平较低,随着时间的推移没有发生变化。那些压力较大的看护人表示:随着时间的推移负担加重,尽管这些结果并不显著。此外,与初始基线(随着时间的推移逐渐下降)相比,未接受帮助的看护人随着时间的推移表现出更高的负担水平和压力水平。 结论 这些结果强调了在护理中接受帮助的重要性,特别是对于照顾经历大型截肢手术的患者的看护人来说,接受帮助尤为重要。
  • Editor: England: Wiley Subscription Services, Inc
  • Idioma: Inglês
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