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- The informal caregiver's socioeconomic prism and its implications on state of mindPublication . André, Suzana; Cunha, Madalena; Martins, MM; Rodrigues, VítorIntroduction: The act of caring for a dependent elderly victim of cerebrovascular accident exerts different impacts on caregivers. Knowledge of their socioeconomic level by health professionals supports the planning and implementation of actions appropriate to the reality of the elderly and their caregivers. Objective: To determine whether socioeconomic status predicts informal caregivers’ state of mind (depression). Design: Cross-sectional, descriptive study in the Dão Lafões sub-region. Participants: Non-probabilistic sample of 636 informal caregivers, aged 17-85 years (mean = 50.19 ± 14.30). Measuring instruments: The Beck Depression Inventory and the Graffar Socioeconomic Level Scale. Results: We found class III (middle class family/reasonable socioeconomic status) was the most common (40.4%), class IV (upper lower class family/low socioeconomic level) with 37.7%. A majority of the sample (62.9%) does not have depressive symptoms, with their presence observed in 37.1% of informal caregivers, in which 24.3% are men and 39.6% women. The results sustain that socioeconomic level (P = .004) in the total sample predicts state of mind, inferring that caregivers with poorer socioeconomic status have a worse state of mind. Conclusions: The evidence found from the research show that informal caregivers with depressive symptoms have a poorer socioeconomic status, so that it is compulsory to consider these variables when planning interventions whose primary focus of attention is aimed at caregivers and elderly cerebrovascular accident victims experiencing situations of transition
- Adaptation and validation of the Instrumental Expressive Social Support Scale in Portuguese older individualsPublication . Lima, Ligia; Santos, Célia; Bastos, Celeste; Guerra, Marina; Martins, MM; Costa, Patrícioto adapt and validate the Instrumental Expressive Social Support Scale (IESS) in a sample of older people.
- Construction and validation of a scale of assessment of self-care behaviors with arteriovenous fistula in hemodialysisPublication . Sousa, Clemente Neves; Apóstolo, João Luís Alves; Figueiredo, Maria; Dias, Vanessa Filipa Ferreira; Teles, Paulo; Martins, MMSeveral guidelines recommend the importance of educating the patient about the care of vascular access. Nurses have a key role in promoting the development of self-care behaviors by providing the necessary knowledge to patients, so that they develop the necessary skills to take care of the arteriovenous fistula (AVF). This article describes the process of building a scale of assessment of self-care behaviors with arteriovenous fistula in hemodialysis (ASBHD-AVF). This is a cross-sectional study in which the development, construction, and validation process followed the directions of the authors Streiner and Norman. This is a convenience sample, sequential, and nonprobabilistic constituted by 218 patients. The study was conducted in two stages during 2012-2014. The first phase corresponds to the scale construction process, 64 patients participated, while the second corresponds to the evaluation of metric properties and 154 patients participated. The principal component analysis revealed a two-factor structure, with factorial weights between 0.805 and 0.511 and between 0.700 and 0.369, respectively, explaining 39.12% of the total variance of the responses. The Cronbach's alpha of the subscale management of signs and symptoms is 0.797 and from the subscale prevention of complications is 0.722. The ASBHD-AVF revealed properties that allow its use to assess the self-care behaviors in the maintenance and conservation of the AVF.
- Prevalence and factors associated with polypharmacy in the older people: 2006-2014Publication . Carmona-Torres, Juan Manuel; Cobo-Cuenca, Ana Isabel; Recio-Andrade, Beatriz; Laredo-Aguilera, José Alberto; Martins, MM; Rodríguez-Borrego, María AuroraTo analyse the prevalence, risk factors and evolution over time of polypharmacy and self-medication in the older people in Spain from 2006-2014.
- An evaluation of a nurse-led rehabilitation programme (the ProBalance Programme) to improve balance and reduce fall risk of community-dwelling older people: A randomised controlled trialPublication . Gouveia, Bruna Raquel; Jardim, Helena Gonçalves; Martins, MM; Gouveia, Élvio Rúbio; de Freitas, Duarte Luís; Maia, José António; Rose, Debra J.This study aims to assess the effect of a nurse-led rehabilitation programme (the ProBalance Programme) on balance and fall risk of community-dwelling older people from Madeira Island, Portugal.
- The effect of the ProBalance Programme on health-related quality of life of community-dwelling older adults: A randomised controlled trialPublication . Gouveia, Bruna R.; Gouveia, Élvio R.; Ihle, Andreas; Jardim, Helena G.; Martins, MM; Freitas, Duarte L.; Kliegel, MatthiasHealth-related quality of life (HRQoL) is an important health outcome in older adults. This study aimed to assess the efficacy of the ProBalance rehabilitation programme on HRQoL of community-dwelling older adults with balance impairments and to investigate whether effects differ between age groups and/or HRQoL components.