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- ItemAcesso aberto (Open Access)Dementia caregiver burden: reliability of the Brazilian version of the Zarit caregiver burden interview(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2004-04-01) Taub, Anita [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Hospital Israelita Albert Einstein; Universidade Federal de São Paulo (UNIFESP)The object of this article is to examine the reliability of the Brazilian version of the Zarit Caregiver Burden Interview (ZBI). The instrument is a 22-item scale assessing the extent to which caregivers view their responsibilities as having an adverse impact on their social life, health, emotional well-being, and finances. We assessed 50 primary informal caregivers of demented patients coming from 3 different health care centers, using the test-retest method. Analysis of the results showed an intraclass reliability coefficient of 0.88, while Cronbach's coefficient alpha was 0.77 for the test and 0.80 for the retest items. The Brazilian version of ZBI shows sufficient reliability, comparable to the original version.
- ItemEmbargoMedical Outcomes Study 36-Item Short Form Health Survey e Center for Epidemiological Studies-Depression em idosos com úlcera por pressão(Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Souza, Diba Maria Sebba Tosta de [UNIFESP]; Santos, Ivan Dunshee de Abranches Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Little is known about how pressure ulcers (PU) may affect the quality of life of the elderly living in different types of housing. Objective: To evaluate health-related quality of life (HRQoL) and depression in elderly patients with PU living in a hospital, long-term care facility (LTCF) or at home. Methods: A cross-sectional study was conducted with 110 elderly patients aged 60 and older, without cognitive impairment, with (n = 36) and without PU (n = 74). The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was used to assess HRQoL and the Center for Epidemiological Studies Depression Scale (CES-D) was used to assess depression. Results: Forty-eihgt ulcers were found in 36 patients. Patients with PU had significantly lower (worse) scores than patients without PU on physical functioning (hospital p<0,001, LTCF p<0,001, at home p<0,001) and role physical (hospital p=0,013, LTCF p=0,034, at home domicílio p=0,024) in the three types of housing. In the LTCF, patients with PU had significantly lower scores on the social functioning (p = 0.045) and role emotional (p = 0.036) subscales than patients without PU. The hospitalized elderly with PU had significantly higher scores on general health (p = 0.046) and vitality (p = 0.009) than those without PU. Among the elderly without PU, hospitalized patients had significantly lower scores on the bodily pain subscale than the other participants (p = 0.007). The patients with PU who were hospitalized or living in a LTCF reported significantly lower CES-D scores than those without PU (p = 0.007 and p = 0.003, respectively). Conclusion: The elderly with PU living in a LTCF reported lower scores on the physical functioning, role physical, social functioning, and role emotional subscales, reflecting a lower HRQoL. The elderly with PU who were hospitalized or living in a LTCF reported higher levels of depression.