medigraphic.com
ENGLISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Mostrar índice
  • Números disponibles
  • Información
    • Información general        
    • Directorio
  • Publicar
    • Instrucciones para autores        
  • medigraphic.com
    • Inicio
    • Índice de revistas            
    • Registro / Acceso
  • Mi perfil

2022, Número 5

<< Anterior Siguiente >>

salud publica mex 2022; 64 (5)


Efecto de la sobrecarga del cuidador en la asociación entre discapacidad y calidad de vida en adultos mayores

Salinas-Rodríguez A, Manrique-Espinoza BS, Montañez-Hernández JC
Texto completo Cómo citar este artículo Artículos similares

Idioma: Español
Referencias bibliográficas: 38
Paginas: 507-514
Archivo PDF: 283.54 Kb.


PALABRAS CLAVE

calidad de vida, estudios de discapacidad, carga del cuidador, análisis de mediación.

RESUMEN

Objetivo. Estimar la asociación entre discapacidad y calidad de vida considerando el potencial rol mediador de la sobrecarga del cuidador en una muestra de adultos mayores mexicanos y sus cuidadores. Material y métodos. Estudio transversal con 93 díadas (ancianos/cuidadores) realizado en 2018 en cinco localidades (urbanas y rurales) del Estado de México. La calidad de vida (CdV) se determinó utilizando el instrumento Calidad de vida-OMS (WHOQoL). La discapacidad se midió mediante la evaluación de las actividades básicas de la vida diaria (ABVD) y la carga del cuidador mediante el puntaje Zarit. Resultados. La discapacidad de ABVD se asocia con una CdV más baja (efecto total: -14.3; IC95% -20.2,- 8.4), y una proporción significativa de esta asociación puede atribuirse a la carga del cuidador (25.0%; IC95%: 17.9,43.2). Conclusiones. Los hallazgos muestran la necesidad de diseñar intervenciones efectivas que prevengan o mejoren los efectos adversos de la carga del cuidador.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Lee K, So WY. Differences in the levels of physical activity, mental health,and quality of life of elderly Koreans with activity-limiting disabilities. IntJ Environ Res Public Health. 2019;16(15):2736. https://doi.org/10.3390/ijerph16152736

  2. Stineman MG, Xie D, Pan Q, Kurichi JE, Zhang Z, Saliba D, et al. All-cause1-, 5-, and 10-year mortality in elderly people according to activitiesof daily living stage. J Am Geriatr Soc. 2012;60(3):485-92. https://doi.org/10.1111/j.1532-5415.2011.03867.x

  3. Salinas-Rodríguez A, Rivera-Almaraz A, Scott A, Manrique-Espinoza B.Severity levels of disability among older adults in low- and middle-incomecountries: results from the Study on Global Ageing and Adult Health(SAGE). Front Med (Lausanne). 2020;7:562963. https://doi.org/10.3389/fmed.2020.562963

  4. Lestari SK, Ng N, Kowal P, Santosa A. Diversity in the factors associatedwith ADL-related disability among older people in six middle-incomecountries: a cross-country Comparison. Int J Environ Res Public Health.2019;16(8):1341. https://doi.org/10.3390/ijerph16081341

  5. Manrique-Espinoza B, Salinas-Rodríguez A, Moreno-Tamayo KM, Acosta-Castillo I, Sosa-Ortiz AL, Gutiérrez-Robledo LM, et al. Condiciones desalud y estado funcional de los adultos mayores en México. Salud PublicaMex. 2013;55(supl 2):S323-31. https://doi.org/10.21149/spm.v55s2.5131

  6. Payne CF, Wong R. Expansion of disability across successive Mexicanbirth cohorts: a longitudinal modelling analysis of birth cohorts born 10years apart. J Epidemiol Community Health. 2019;73(10):900-5. https://doi.org/10.1136/jech-2019-212245

  7. Akosile CO, Mgbeojedo UG, Maruf FA, Okoye EC, Umeonwuka IC,Ogunniyi A. Depression, functional disability and quality of life among Nigerianolder adults: prevalences and relationships. Arch Gerontol Geriatr.2018;74:39-43. https://doi.org/10.1016/j.archger.2017.08.011

  8. Fusco O, Ferrini A, Santoro M, Lo Monaco MR, Gambassi G, Cesari M.Physical function and perceived quality of life in older persons. Aging ClinExp Res. 2012;24(1):68-73. https://doi.org/10.1007/BF03325356

  9. Gobbens RJ. Associations of ADL and IADL disability with physical andmental dimensions of quality of life in people aged 75 years and older.PeerJ. 2018;6:e5425. https://doi.org/10.7717/peerj.5425

  10. Gureje O, Ogunniyi A, Kola L, Afolabi E. Functional disability in elderlyNigerians: results from the Ibadan Study of Aging. J Am Geriatr Soc.2006;54(11):1784-9. https://doi.org/10.1111/j.1532-5415.2006.00944.x

  11. Lindt N, van Berkel J, Mulder BC. Determinants of overburdeningamong informal carers: a systematic review. BMC Geriatr. 2020;20(1):304.https://doi.org/10.1186/s12877-020-01708-3

  12. Li J. Predictors of family caregiver burden in Shanghai. J Appl Gerontol.2021;40(7):703-12. https://doi.org/10.1177/0733464820951029

  13. Lu N, Liu J, Lou VW. Exploring the reciprocal relationship betweencaregiver burden and the functional health of frail older adults inChina: A cross-lag analysis. Geriatr Nurs. 2016;37(1):19-24. https://doi.org/10.1016/j.gerinurse.2015.08.014

  14. Bonds K, Whitlatch CJ, Song M, Lyons KS. Factors influencing qualityof life in African-American dementia dyads. Aging Ment Health.2021;25(4):703-10. https://doi.org/10.1080/13607863.2020.1711865

  15. Bonds K, Whitlatch CJ, Lyons KS. Factors influencing quality of lifein African-American dementia dyads. Innov Aging. 2018;2(supl 1):390-1.https://doi.org/10.1093/geroni/igy023.1456

  16. Hughes SL, Giobbie-Hurder A, Weaver FM, Kubal JD, Henderson W.Relationship between caregiver burden and health-related quality of life.Gerontologist. 1999;39(5):534-45. https://doi.org/10.1093/geront/39.5.534

  17. Du J, Shao S, Jin GH, Qian CG, Xu W, Lu XQ. Factors associatedwith health-related quality of life among family caregivers of disabledolder adults: a cross-sectional study from Beijing. Medicine (Baltimore).2017;96(44):e8489. https://doi.org/10.1097/MD.0000000000008489

  18. Salinas-Rodríguez A, Manrique-Espinoza B, Torres-Mussot I, Montañez-Hernández JC. Out-of-pocket healthcare expenditures in dependent olderadults: results from an economic evaluation study in Mexico. Front PublicHealth. 2020;8:329. https://doi.org/10.3389/fpubh.2020.00329

  19. Skevington SM, Lotfy M, O’Connell KA,WHOQOL Group. The WorldHealth Organization’s WHOQOL-BREF quality of life assessment: psychometricproperties and results of the international field trial. A reportfrom the WHOQOL group. Qual Life Res. 2004;13(2):299-310. https://doi.org/10.1023/B:QURE.0000018486.91360.00

  20. Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS.Active life expectancy. N Engl J Med. 1983;309(20):1218-24. https://doi.org/10.1056/NEJM198311173092005

  21. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly:correlates of feelings of burden. Gerontologist. 1980;20(6):649-55. https://doi.org/10.1093/geront/20.6.649

  22. Howe LD, Galobardes B, Matijasevich A, Gordon D, Johnston D, OnwujekweO, et al. Measuring socio-economic position for epidemiologicalstudies in low- and middle-income countries: a methods of measurementin epidemiology paper. Int J Epidemiol. 2012;41(3):871-86. https://doi.org/10.1093/ije/dys037

  23. Imai K, Keele L, Tingley D. A general approach to causal mediation analysis.Psychol Methods. 2010;15(4):309-34. https://doi.org/10.1037/a0020761

  24. Imai K, Keele L, Yamamoto T. Identification, inference and sensitivityanalysis for causal mediation effects. Statistical Science. 2010;25(1):51-71.Available from: www.jstor.org/stable/41058997

  25. Hicks R, Tingley D. Causal mediation analysis. Stata J. 2011;11(4):605-19. https://doi.org/10.1177/1536867X1201100407

  26. Groessl EJ, Kaplan RM, Rejeski WJ, Katula JA, King AC, Frierson G, et al.Health-related quality of life in older adults at risk for disability. Am J PrevMed. 2007;33(3):214-8. https://doi.org/10.1016/j.amepre.2007.04.031

  27. Thompson WW, Zack MM, Krahn GL, Andresen EM, Barile JP. Healthrelatedquality of life among older adults with and without functional limitations.Am J Public Health. 2012;102(3):496-502. https://doi.org/10.2105/AJPH.2011.300500

  28. Groessl EJ, Kaplan RM, Rejeski WJ, Katula JA, Glynn NW, King AC, et al.Physical activity and performance impact long-term quality of life in olderadults at risk for major mobility disability. Am J Prev Med. 2019;56(1):141-6. https://doi.org/10.1016/j.amepre.2018.09.006

  29. Forjaz MJ, Rodriguez-Blazquez C, Ayala A, Rodriguez-RodriguezV, de Pedro-Cuesta J, Garcia-Gutierrez S, et al. Chronic conditions,disability, and quality of life in older adults with multimorbidity inSpain. Eur J Intern Med. 2015;26(3):176-81. https://doi.org/10.1016/j.ejim.2015.02.016

  30. Sousa RM, Ferri CP, Acosta D, Albanese E, Guerra M, Huang Y, et al.Contribution of chronic diseases to disability in elderly people in countrieswith low and middle incomes: a 10/66 Dementia Research Grouppopulation-based survey. Lancet. 2009;374(9704):1821-30. https://doi.org/10.1016/S0140-6736(09)61829-8

  31. Sousa RM, Ferri CP, Acosta D, Guerra M, Huang Y, Jacob K, et al. Thecontribution of chronic diseases to the prevalence of dependence amongolder people in Latin America, China and India: a 10/66 Dementia ResearchGroup population-based survey. BMC Geriatr. 2010;10:53. https://doi.org/10.1186/1471-2318-10-53

  32. Rivera-Almaraz A, Manrique-Espinoza B, Ávila-Funes JA, Chatterji S,Naidoo N, Kowal P, et al. Disability, quality of life and all-cause mortalityin older Mexican adults: association with multimorbidity and frailty. BMCGeriatr. 2018;18(1):236. https://doi.org/10.1186/s12877-018-0928-7

  33. Riffin C, Van Ness PH, Wolff JL, Fried T. Multifactorial examination ofcaregiver burden in a national sample of family and unpaid caregivers. J AmGeriatr Soc. 2019;67(2):277-83. https://doi.org/10.1111/jgs.15664

  34. Guerriere D, Husain A, Zagorski B, Marshall D, Seow H, Brazil K, et al.Predictors of caregiver burden across the home-based palliative care trajectoryin Ontario, Canada. Health Soc Care Community. 2016;24(4):428-38. https://doi.org/10.1111/hsc.12219

  35. Isaac V, Stewart R, Krishnamoorthy ES. Caregiver burden andquality of life of older persons with stroke: a community hospitalstudy in South India. J Appl Gerontol. 2011;30(5):643-54. https://doi.org/10.1177/0733464810369340

  36. Clark PC, Dunbar SB, Shields CG, Viswanathan B, Aycock DM, WolfSL. Influence of stroke survivor characteristics and family conflictsurrounding recovery on caregivers’ mental and physical health. NursRes. 2004;53(6):406-13. https://doi.org/10.1097/00006199-200411000-00009

  37. Pucciarelli G, Vellone E, Savini S, Simeone S, Ausili D, Alvaro R, et al.Roles of changing physical function and caregiver burden on quality of lifein stroke: a longitudinal dyadic analysis. Stroke. 2017;48(3):733-9. https://doi.org/10.1161/STROKEAHA.116.014989

  38. Secretaría de la Función Pública. Elementos para discutir una EstrategiaNacional de Cuidados (ENAC) en México. México: ENAC, 2019 [cited2021 May 13]. Available from: http://aga.funcionpublica.gob.mx/aga/Home/Documento?doc=Producto%20cuidados.pdf




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2022;64

ARTíCULOS SIMILARES

CARGANDO ...