RESUMO
INTRODUCTION: Caregiver burden syndrome has been highlighted as a neglected problem, in which a dependent person's caregiver must change their lifestyle while facing a range of stressors which they cannot always overcome. This leads to a state of physical and mental exhaustion, hindering the caregiver's performance at their work environment. OBJECTIVE: To define the caregiver burden syndrome prevalence among formal caregivers of mentally-ill dependent patients at Clínica del Oriente in the period 2016 II (July-December) and 2017 I (January-June). MATERIALS AND METHODS: A descriptive cross-sectional observational study was carried out in a population of formal caregivers of with mental illness institutionalised at either of the two facilities of Clínica del Oriente, La Ceja and El Carmen de Viboral. We used a survey with sociodemographic, clinical and work-related variables, and the Zarit Burden Interview. RESULTS: 53 caregivers were analysed; 11 had the syndrome (20.8%), 17% had mild burden and 3.8% severe burden. CONCLUSION: The prevalence of caregiver burden syndrome in formal caregivers was lower than found in studies on informal caregivers.
Assuntos
Cuidadores , Transtornos Mentais , Sobrecarga do Cuidador , Efeitos Psicossociais da Doença , Estudos Transversais , Humanos , Transtornos Mentais/epidemiologia , PrevalênciaRESUMO
RESUMEN Introducción: El síndrome de carga del cuidador se ha destacado a través del tiempo como una problemática ignorada, en la que el cuidador de una persona dependiente debe permutar su estilo de vida y enfrentarse a diferentes factores estresores que, en ocasiones, no alcanza a controlar, lo que desencadena un estado de agotamiento físico y mental, obstaculizando su desenvolvimiento en el entorno laboral. Objetivo: Definir la prevalencia de síndrome de carga del cuidador en cuidadores formales de paciente dependiente con enfermedad psiquiátrica en la Clínica del Oriente para el semestre 2016 II (julio-diciembre) y 2017 I (enero-junio). Materiales y métodos: Se ejecutó un estudio observacional descriptivo de corte transversal en una población de cuidadores formales de pacientes con enfermedad psiquiátrica institucionalizados en la Clínica del Oriente, la cual tiene 2 sedes, ubicadas en La Ceja y en El Carmen de Viboral. La investigación se realizó por medio de una encuesta con variables sociodemográficas, clínicas y laborales, y la escala de sobrecarga de Zarit y Zarit. Resultados: Se analizó a 53 cuidadores, 11 cuidadores presentaron el síndrome (20,8%), el 17% presentaba sobrecarga leve y el 3,8% sobrecarga intensa. Conclusión: La prevalencia del síndrome de carga del cuidador en cuidadores formales fue menor a lo encontrado en estudios sobre cuidadores informales.
ABSTRACT Introduction: Caregiver burden syndrome has been highlighted as a neglected problem, in which a dependent person's caregiver must change their lifestyle while facing a range of stressors which they cannot always overcome. This leads to a state of physical and mental exhaustion, hindering the caregiver's performance at their work environment. Objective: To define the caregiver burden syndrome prevalence among formal caregivers of mentally-ill dependent patients at Clínica del Oriente in the period 2016 II (July-December) and 2017 I (January-June). Materials and methods: A descriptive cross-sectional observational study was carried out in a population of formal caregivers of with mental illness institutionalised at either of the two facilities of Clínica del Oriente, La Ceja and El Carmen de Viboral. We used a survey with sociodemographic, clinical and work-related variables, and the Zarit Burden Interview. Results: 53 caregivers were analysed; 11 had the syndrome (20.8%), 17% had mild burden and 3.8% severe burden. Conclusion: The prevalence of caregiver burden syndrome in formal caregivers was lower than found in studies on informal caregivers.
RESUMO
INTRODUCTION: Caregiver burden syndrome has been highlighted as a neglected problem, in which a dependent person's caregiver must change their lifestyle while facing a range of stressors which they cannot always overcome. This leads to a state of physical and mental exhaustion, hindering the caregiver's performance at their work environment. OBJECTIVE: To define the caregiver burden syndrome prevalence among formal caregivers of mentally-ill dependent patients at Clínica del Oriente in the period 2016 II (July-December) and 2017 I (January-June). MATERIALS AND METHODS: A descriptive cross-sectional observational study was carried out in a population of formal caregivers of with mental illness institutionalised at either of the two facilities of Clínica del Oriente, La Ceja and El Carmen de Viboral. We used a survey with sociodemographic, clinical and work-related variables, and the Zarit Burden Interview. RESULTS: 53 caregivers were analysed; 11 had the syndrome (20.8%), 17% had mild burden and 3.8% severe burden. CONCLUSION: The prevalence of caregiver burden syndrome in formal caregivers was lower than found in studies on informal caregivers.
RESUMO
Introducción. El manejo no operatorio del trauma esplénico cerrado es el método preferencial para la preservación esplénica; sin embargo, los criterios para decidir qué pacientes pueden ser manejados sin cirugía sigue siendo materia de debate. El objetivo de este estudio fue describir las características generales de estos pacientes, los resultados del manejo no operatorio y explorar los factores asociados a su falla. Métodos. Es un estudio descriptivo de los pacientes con diagnóstico de trauma esplénico cerrado, admitidos a un centro de atención de alta complejidad, durante el periodo comprendido entre enero de 2003 y marzo de 2009. Los pacientes se clasificaron en dos grupos: manejo operatorio y manejo no operatorio; en el último se analizaron los pacientes en los que falló dicho manejo. Un valor de p menor de 0,05 se consideró de significancia estadística. Resultados. Se incluyeron 82 pacientes. Después de la evaluación primaria o secundaria, el 25,6 % recibió manejo operatorio y, el 74,4 %, manejo no operatorio; el tratamiento no quirúrgico falló en el 22,9 %. Esta falla se asoció con un puntaje Injury Severity Score (ISS) mayor o igual a 20 (RR=6,4; IC95% 2,34-17,86), presencia de hemoperitoneo en la tomografía axial de ingreso (p=0,02) y el grado de lesión esplénica (p<0,001). Las complicaciones ocurrieron en el 31,7 % y las infecciones fueron la causa más frecuente en ambos grupos. La mortalidad global fue 7,3 % (3 pacientes en el grupo de manejo no operatorio y 3 en el de manejo operatorio), debida a las lesiones asociadas en la mayoría de los pacientes. Conclusiones. La mayoría de pacientes con trauma cerrado de bazo puede recibir manejo no operatorio, siendo este un método seguro y efectivo para la preservación esplénica, si se mantiene una vigilancia clínica continua, especialmente en casos de trauma grave.
Background: Nonoperative Management (NOM) of blunt splenic injuries is the preferred method of management for splenic preservation; however, the criteria for deciding what group of patients can be managed non-operatively remain controversial. The aim of this study was to describe the general features of this group of patients as well as to explore the results and factors related to failure of NOM. Methods: We described patients who were admitted to a first level trauma center with a diagnosis of blunt splenic injury between January 2003 and March 2009. The patients were classified in two groups: operative management and NOM; in the last group we analyzed the factors associated with failure. Results: A total of 82 patients were included in the study. Operative Management during the primary or secondary survey was performed on 25.6 % of patients, while 74.4% under went NOM. Of those who underwent NOM, 22.9% failed treatment. An Injury Severity Score (ISS) ≥20 (RR: 6.4 – CI 95%: 2.34-17.86), hemoperitoneum on the initial computed tomography (CT) scan (p=0.02), and splenic injury grade were factors associated with failed NOM (FNOM). The overall mortality rate was 7.3%; 14.3% for OM and 4.9% for NOM groups, respectively. Conclusions: The majority of blunt splenic trauma patients are candidates for NOM, as it is a safe and effective technique for splenic preservation if continuous medical surveillance is maintained.
