Qualidade de vida e sobrecarga de estresse do cuidador de idoso com histórico de acidente vascular encefálico.

Abstract

The stroke is one of the major causes of disability among the elderly people. Those elderly in most cases require a caregiver to assist them in achieving their life activities daily. Due to the long-term care it is required from the caregiver overload that can lead him or her to have physical, psychological, social and financial problems that can affect their quality of life. The goals of this study were to characterize the caregivers of elderly with a history of stroke according to the variables demographics, type and number of morbidities; measure the quality of life and the burden of stress caregiver; correlate the number of morbidities with scores of quality of life of the caregiver and scores overload stress scores; correlate scores of quality of life with the score of stress overload caregiver; identify factors associated with overload stress and quality of life of the caregiver. It is a cross sectional household survey. There were 46 interviewed caregivers of an elderly with stroke. The data were collected through instruments: semi-structured, BOMFAQ, WHOQOLBREF and ZBI. The descriptive analysis, Pearson correlation and multiple linear regression (Enter Method) were developed, through the software SPSS 17.0. This research was approved by the Beings Human Research Ethic Committee from Federal University of Triângulo Mineiro, Protocol Nº 1512. The prevalence of caregivers was female (93,5%), mean age 55,4 years old (DP±14,17), married or living with a partner (58,7%), with 4├8 years of education (28,3%) and income of a minimum wage (34,8%). They had a mean of 4,65 morbidities (DP±2,75), and the more frequent problems were: vision problems (69,6%), back problems (69,5%) and trouble in sleeping (58,7%). In the analysis of quality of life was obtained higher scores for social relationships (67,57) and physical (64,52) domains and lower in the environment domain (54,82). The stress burden of the caregiver obtained a score of 27,22, consistent with a moderate overload. The higher number of caregiver morbidity correlated with the lower scores in physical (r= -0,556; p= 0,000), psychological (r= -0,512; p= 0,000), environment (r= - 0,365; p= 0,013) and social relationships (r= - 0,280; p= 0,059) domains of the quality of life. The higher score overload stress was correlated with lower scores physical (r= -0,0392; p= 0,007), psychological (r= -0,461; p= 0,001), social relationships (r= -0,379; p =0,009) and environment (r= -0.416; p= 0,004) domains of the quality of life. The number of morbidities was the predictor that most contributed the to lower scores in the physical (b= -0,492) and psychological (b =-0,424) domains of the quality of life. The higher score overload caregiver burden was a predictor of lower scores for the domain for quality of life of social relationships (b= -0,303; p= 0,039). These data can provide information to the health team to propose strategies to improve the quality of life of the caregiver and consequently improve the care offered to elderly affected by stroke.