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Cuidar do cuidador: uma revisão sistemática de instrumentos que avaliam a qualidade do relacionamento familiar
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Advisor(s)
Abstract(s)
Introdução: O envolvimento da família é fundamental para o desenvolvimento e sucesso dos cuidados de saúde.
A percepção do cuidador acerca da qualidade do relacionamento com a pessoa dependente é um preditor chave
da presença ou falta de disposição para cuidar. Assim, emergiu a questão: Quais os instrumentos de recolha
de informação utilizados pelos profissionais de saúde para avaliar a qualidade do relacionamento familiar dos
cuidadores informais de pessoas idosas dependentes? O nosso objectivo é o de identificar e analisar os instrumentos
utilizados para avaliar a qualidade do relacionamento familiar dos cuidadores informais de pessoas idosas
dependentes.
Metodologia: Este estudo recorre ao método descrito em “Systematic Reviews – CRD´s guidance for undertaking
reviews in health care”. Utilizamos bases de dados nacionais e internacionais eletrónicas.
Análise de resultados: Os instrumentos identificados foram: “Family Assessment Device” (FAD) (Epstein, Baldwin
e Bishop, 1983); “Family Needs Survey” (FNS) (Bailey, Simeonsson, 1988) e “Family Strain Questionnaire”
(FSQ) (Rossi Ferrario, et al., 2004).
Discussão dos resultados: A escolha de um instrumento adequado deve ser baseada em três critérios: aplicabilidade
para uma população-alvo específica; multidimensionalidade que inclua aspectos positivos e negativos,
objetivos e subjetivos e boa propriedade psicométrica.
Conclusões: A avaliação da qualidade do relacionamento familiar dos cuidadores familiares ajuda a identificar
dimensões e aspetos relevantes que de outra forma seriam desvalorizados ou mesmo omitidos. Permitem ainda
intervir precocemente nas famílias disfuncionais.
Introduction: The real involvement of families is critical to the development and success of health care delivery at all levels of prevention. The informal caregiver’s perceptions about the quality of the relationship with the dependent person is a key predictor of the presence or lack of willingness to provide appropriate care. Given this problem, the follow question was emerged: what are the tools to obtain information used by health professionals to assess the quality of family relationships between informal caregivers and dependent elderly people? Our aim is to identify and analyze the tools used to evaluate the quality of family relationships of informal caregivers and their elderly dependents. Methodology: This study follows the method described in “Systematic Reviews - CRD’s guidance for undertaking reviews in health care.” We carry out the research using national databases and international networks. Analysis of results: The follow instruments were identified: “Family Assessment Device” (FAD) (Epstein, Baldwin and Bishop, 1983), “Family Needs Survey” (FNS) (Bailey, Simeonsson, 1988) and “Family Strain Questionnaire” (FSQ) (Rossi Ferrario, et al., 2004). Discussion of results: The choice of an adequate instrument must be based on three criteria: applicability for one specific population-target; multiple dimensions that includes positive and negative aspects, objective and subjective and good psychometrics properties. Conclusions: The evaluation of the family relationships quality of family caregivers helps to identify relevant aspects and dimensions that would otherwise be devalued or even omitted. They also allow early intervention in dysfunctional families, increasing the dependent elderly people caregivers’ quality of life.
Introduction: The real involvement of families is critical to the development and success of health care delivery at all levels of prevention. The informal caregiver’s perceptions about the quality of the relationship with the dependent person is a key predictor of the presence or lack of willingness to provide appropriate care. Given this problem, the follow question was emerged: what are the tools to obtain information used by health professionals to assess the quality of family relationships between informal caregivers and dependent elderly people? Our aim is to identify and analyze the tools used to evaluate the quality of family relationships of informal caregivers and their elderly dependents. Methodology: This study follows the method described in “Systematic Reviews - CRD’s guidance for undertaking reviews in health care.” We carry out the research using national databases and international networks. Analysis of results: The follow instruments were identified: “Family Assessment Device” (FAD) (Epstein, Baldwin and Bishop, 1983), “Family Needs Survey” (FNS) (Bailey, Simeonsson, 1988) and “Family Strain Questionnaire” (FSQ) (Rossi Ferrario, et al., 2004). Discussion of results: The choice of an adequate instrument must be based on three criteria: applicability for one specific population-target; multiple dimensions that includes positive and negative aspects, objective and subjective and good psychometrics properties. Conclusions: The evaluation of the family relationships quality of family caregivers helps to identify relevant aspects and dimensions that would otherwise be devalued or even omitted. They also allow early intervention in dysfunctional families, increasing the dependent elderly people caregivers’ quality of life.
Description
Keywords
Cuidador familiar Idoso dependente Relacionamento familiar
Citation
Publisher
Escola Superior de Enfermagem do Porto