THE BURDEN OF INFORMAL CAREGIVERS OF PEOPLE WITH PRESSURE INJURIES IN-HOME CARE

Authors

  • Anderson de Mello Fernandes Universidade de São Paulo – São Paulo (SP), Brazil.
  • Maria Girlane Sousa Albuquerque Brandão Universidade de São Paulo – São Paulo (SP), Brazil.
  • Maria Lorena Teodoro Universidade de São Paulo – São Paulo (SP), Brazil.
  • Patrícia Carla Vianna Universidade de São Paulo – São Paulo (SP), Brazil. https://orcid.org/0000-0002-9810-2835
  • Marta Cristiane Alves Pereira Universidade de São Paulo – São Paulo (SP), Brazil. https://orcid.org/0000-0002-0563-215X
  • Paula Cristina Nogueira Universidade de São Paulo – São Paulo (SP), Brazil.
  • Soraia Assad Nasbine Rabeh Universidade de São Paulo – São Paulo (SP), Brazil.

Abstract

Objective: To identify the overload of informal caregivers of people with pressure injuries in home care. Method: This is a descriptive and cross-sectional study carried out with 29 patients with pressure injuries and 29 informal caregivers, in March 2019, in the interior of São Paulo state, Brazil. An instrument was used to assess the sociodemographic and clinical profile of patients and caregivers, in addition to the Caregiver Burden Scale. Results: People with pressure ulcers were mostly men, elderly and with neurological problems. There was a predominance of female caregivers, with a mean age of 56 years. In the analysis of care overload, the most affected domains were isolation (x = 2.38), followed by general tension (x= 2.31) and disappointment (x = 2.06). The mean total burden was 2.02. As factors contributing to the burden, age, duration of injury, time dedicated to care, degree of kinship between the caregiver and the person with pressure injury and the presence of health problems self-reported by caregivers stood out. Conclusion: Informal caregivers of people with pressure injury have subjective impacts measured by the burden scale, mainly in the domains of isolation, general tension and disappointment, as a result of the involvement of a family member. Understanding the overload experience of care overload can contribute to the development of care strategies for family members/informal caregivers, to reduce the risk of exhaustion and illness.

Downloads

Download data is not yet available.

References

Mondragon N, Zito PM. Pressure Injury [Internet]. Treasure Island: StatPearls; 2022 [acessado em 22 jan. 2022]. Available at: https://www.ncbi.nlm.nih.gov/books/NBK557868/

Cicceri G, Vita F, Bruneo D, Merlino G, Puliafito A. A deep learning approach for pressure ulcer prevention using wearable computing. Hum Cent Comput Inf Sci. 2020;10:5. https://doi.org/10.1186/s13673-020-0211-8

Cascão TRV, Rasche AS, Piero KCD. Incidência e fatores de risco para lesão por pressão em unidade de terapia intensiva: Incidence and risk factors for pressure injury in intensive care unit. Rev Enferm Atual In Derme. 2019;87(25):1-8. https://doi.org/10.31011/reaid-2019-v.87-n.25-art.204

Lima Melo DP, Silva de Moura SR, Silva Rocha GM. A prevalência de lesão por pressão em um hospital escola. Recien. 2021;11(33):27-34. https://doi.org/10.24276/rrecien2021.11.33.27-34

Silva LL de O, Felix LG, Negreiros RV de, Abreu RA de. Prevalência e incidência de lesão por pressão em pacientes internados em unidades de clínica médica. Braz J Develop. 2022;8(3):16138-49. https://doi.org/10.34117/bjdv8n3-042

Santos SJ, Oliveira JC, Almeida CP, Magalhães FB, Pinheiro FGMS, Vieira RCA, Vasconcellos GMT, Jesus VMC, Santos ES. Occurrence of pressure injury in patients admitted to the intensive care unit. Rev Min Enferm. 2021;25:e-1367. https://doi.org/10.5935/1415.2762.20210015

Gama BG, Mola R, Fernandes FECV, Xavier SB. Prevalência e fatores associados à ocorrência de lesão por pressão em pacientes internados em unidade de terapia intensiva. Hu Rev. 2020;46(2):1-8. https://doi.org/10.34019/1982-8047.2020.v46.28248

García-Sánchez FJ, Martínez-Vizcaíno V, Rodríguez-Martín B. Barriers and facilitators for caregiver involvement in the home care of people with pressure injuries: A qualitative study. PLoS One. 2019;14(12):e0226359. https://doi.org/10.1371/journal.pone.0226359

Gonçalves JVRL, Vilabril F, Pereira M, Santos J. Cuidadores informais: um elemento fundamental na reabilitação. Rev SPMFR. 2019;33(1):1-7. https://doi.org/10.25759/spmfr.365

Rodrigues, AM, Ferreira PL, Ferré-Grau C. Providing informal home care for pressure ulcer patients: how it affects carers’quality of life and burden. J Clin Nurs. 2016;25(20):3026-35. https://doi.org/10.1111/jocn.13356

Ramos P, Borges C, Azevedo I, Almeida P, Soares A, Alves P, Magalhães A. Burden of informal caregivers of patients with pressure ulcers in a primary care setting. J Wound Care. 2022;31(10):864-71. https://doi.org/10.12968/jowc.2022.31.10.864

Mena LS, Zillmer JGV, Borges SF, Genz N, Soares ER, Barcellos CRB. Prevenção de lesão por pressão no domicílio: revisão integrativa. Braz J Hea Rev. 2020;3(4):8806-20. https://doi.org/10.34119/bjhrv3n4-126

Burston A, Miles SJ, Fulbrook P. Patient and carer experience of living with a pressure injury: A meta-synthesis of qualitative studies. J Clin Nurs. 2022;32(13-14):3233-47. https://doi.org/10.1111/jocn.16431

European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevenção e tratamento de úlceras/lesões por pressão: guia de consulta rápida [Internet]. EPUAP/NPIAP/PPPIA; 2019 [acessado em 15 jan. 2022]. Available at: https://www.epuap.org/wp-content/uploads/2020/11/qrg-2020-brazilian-portuguese.pdf

Nogueira PC, Rabeh SAN, Caliri MHL, Dantas RAS, Haas VJ. Sobrecarga do cuidado e impacto na qualidade de vida relacionada à saúde de cuidadores de indivíduos com lesão medular. Rev Latino-Am Enfermagem. 2012;20(6):1048-56. https://doi.org/10.1590/S0104-11692012000600006

Medeiros MMC, Ferraz MB, Quaresma MR, Menezes AP. Adaptation and validation of the caregiver burden scale to Brazilian cultural milieu. Rev Bras Reumatol. 1998;38(4):193-9.

Boyko TV, Longaker MT, Yang GP. Review of the Current Management of Pressure Ulcers. Adv Wound Care. 2018;7(2):57-67. https://doi.org/10.1089/wound.2016.0697

Rafiei H, Vanaki Z, Mohammadi E, Hosseinzadeh K. The Role of Family Caregivers in Pressure Injury Prevention Guidelines: A Scoping Review. Home Healthc Now. 2021;39(5):253-60. https://doi.org/10.1097/NHH.0000000000001000

Burston A, Miles SJ, Fulbrook P. Patient and carer experience of living with a pressure injury: A meta-synthesis of qualitative studies. J Clin Nurs. 2023;32(13-14):3233-47. https://doi.org/10.1111/jocn.16431

Mendes PN, Figueiredo ML, Santos AM, Fernandes MA, Fonseca RS. Sobrecargas física, emocional e social dos cuidadores informais de idosos. Acta Paul Enferm. 2019;32(1):87-94. https://doi.org/10.1590/1982-0194201900012

Doser K, Norup A. Caregiver burden in Danish family members of patients with severe brain injury: The chronic phase. Brain Inj. 2016;30(3):334-42. https://doi.org/10.3109/02699052.2015.1114143

Santos DJ, Oliveira Limeira FN, Braz de Oliveira Alves V. Percepção do cuidador diante da lesão por pressão de pacientes atendidos na atenção domiciliar. Rev Enferm Atual In Derme. 2022;96(37):e021196. https://doi.org/10.31011/reaid-2022-v.96-n.37-art.1281

Galvin M, Corr B, Madden C, Mays I, McQuillan R, Timonen V, et al. Caregiving in ALS - a mixed methods approach to the study of Burden. BMC Palliat Care. 2016;15(1):81. https://doi.org/10.1186/s12904-016-0153-0

Shiferaw WS, Akalu TY, Mulugeta H, Aynalem YA. The global burden of pressure ulcers among patients with spinal cord injury: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2020;21:334. https://doi.org/10.1186/s12891-020-03369-0

Aires M, Mocellin D, Fengler FL, Rosset I, Santos NO, Oliveira Machado D, Paskulin LMG. Associação entre responsabilidade filial no cuidado aos pais e sobrecarga dos cuidadores. Rev Bras Enferm. 2017;70(4):767-74. https://doi.org/10.1590/0034-7167-2017-0133

Published

2023-10-01

How to Cite

1.
Fernandes A de M, Brandão MGSA, Teodoro ML, Vianna PC, Pereira MCA, Nogueira PC, et al. THE BURDEN OF INFORMAL CAREGIVERS OF PEOPLE WITH PRESSURE INJURIES IN-HOME CARE. ESTIMA [Internet]. 2023 Oct. 1 [cited 2024 Apr. 27];21. Available from: https://www.revistaestima.com.br/estima/article/view/1433

Issue

Section

Original article

Most read articles by the same author(s)

1 2 > >>