Format

Send to

Choose Destination
Trends Psychiatry Psychother. 2017 Oct-Dec;39(4):257-263. doi: 10.1590/2237-6089-2016-0085. Epub 2017 Dec 4.

High burden and frailty: association with poor cognitive performance in older caregivers living in rural areas.

Author information

1
Programa de Pós-Graduação em Enfermagem, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
2
Departamento de Gerontologia, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
3
Faculty of Medicine and Health Sciences, School of Health Sciences, University of East Anglia, Norwich, United Kingdom.

Abstract

INTRODUCTION:

Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context.

OBJECTIVE:

To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities.

METHOD:

In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination - Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed.

RESULTS:

Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance.

CONCLUSION:

A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers.

PMID:
29211116
DOI:
10.1590/2237-6089-2016-0085
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online
Loading ...
Support Center