HealtH InterVentIons In tHe communIty
NURSING INTERVENTION PROGRAM FOR FAMILy CAREGIVERS
Ricardo MeloI,a, Marília RuaII,b, Célia SantosIII,c
IInstituto Ciências Biomédicas Abel Salazar. Universidade
do Porto. Porto, Portugal
IIEscola Superior de Saúde. Universidade de Aveiro.
Aveiro, Portugal
IIIEscola Superior de Enfermagem do Porto. Porto, Portugal
Introduction: Population aging leads to an increase of dependence, not only due to the loss of autonomy, but also associated with the increase of diseases. In this sense, family caregivers play a crucial role in the care of their love ones, to ensure the satisfaction of their basic needs and maintain essential quality of life.
Objective: The aim of this study is to compile a set of nursing interventions in a structured program, providing emotional and instrumental support necessary to facilitate the transition to the role of family caregivers.
Methods: After the analysis of the scientific literature in the field of nursing interventions for caregivers in transition and their needs, we selected the most evidenced ones, which we submit to scrutiny of an expert group with eleven ele- ments through a Delphi technique, performed in 5 rounds, until obtained consensus around an intervention program. Results: This work culminated in a 93 nursing interven- tions program in the field of emotional support (Promoting the Role of Caregiver, Promoting Social Support, Stress Prevention) and instrumental needs (all Self-Care), where all these interventions included in this structured intervention program achieved high reliability values (greater than 4.5). Conclusions: This work presents a consensual and struc- tured nursing intervention program, in the emotional and instrumental areas, which aims to be a facilitating factor in the transition to the role of family caregivers, in order to meet their main needs and correspond to better care to their dependents. Its application to different environments and contexts can lead to optimal results throughout the transition process.
Descriptors: Nursing Intervention; Emotional Support;
Instrumental Support; Delphi Technique.
a rmcmelo@hotmail.com b mrua@ua.pt c celiasantos@esenf.pt
HEALTH AND PHySICAL ACTIVITy IN COMMUNITy-DwELLING OLDER ADULTS
Emília Martinsa, Francisco Mendesb, Rosina Fernandesc,
Maria João Amanted, Susana Fonsecae, Cátia Magalhãesf,
Lia Araújog
Escola Superior de Educação. Instituto Politécnico de Viseu. Viseu, Portugal
Introduction: Changes resulting from the aging process
have an impact on functional capacity, which tends to decline with advancing age, leading to dependency and health problems (Paulo, 2010). It is known that an active life style contributes to a healthy aging. In this sense, phys- ical activity plays an important role.
Objective: This study explores health status (objective
and subjective) and variation of physical activity dimen- sions (household, sports and leisure time activities) in a community-dwelling older adults sample.
Methods: Participated in this study 73 community-dwelling
older adults (71.2% women; 28.8% men) aged 73.8±6.6. For data collection we used a sociodemographic ques- tionnaire with health status questions and the Modified Baecke Questionnaire which evaluates three physical activity domains (household, sports and leisure time activ- ities). Descriptive and inferential analyses were conducted, with a p value ≤.05 considered as statistically significant.
Results: Participants who reported illness revealed higher
results (.22±.89) than others who don’t reported illness (.15±2.96) on sports dimension of physical activity. Subjective health status was correlated positively with physical activity dimension of sports (r=.29; p=.04). This perception of health was also correlated positively with household activities (r=.34; p=.003).
Conclusions: The implementation of strategies to pro-
mote physical activity especially in older adults seems very important according to these results. In general, it’s clear that the promotion of physical activity, either through daily household activities or through sports initiatives, has significant benefits in objective and subjective health, par- ticularly in the process of aging.
Descriptors: Health. Physical activity. Older adults.
Household activities. Sports.
a emiliamartins@esev.ipv.pt b fmendes@esev.ipv.pt c rosina@esev.ipv.pt d majoa@esev.ipv.pt e susanafonseca@esev.ipv.pt f cmagalhaes@esev.ipv.pt g liajaraujo@esev.ipv.pt
AGING, PHySICAL ACTIVITy AND SELF PERCEPTION OF PHySICAL DISCOMFORT MANIFESTATIONS
Francisco Mendesa, Emília Martinsb, Maria João Amantec,
Rosina Fernandesd, Susana Fonsecae, Paula Xavierf,
Lia Araújog
Escola Superior de Educação. Instituto Politécnico de Viseu. Viseu, Portugal
Introduction: According to WHO (2004), physical inac-
tivity is one of the main risk factors to the emergence of non-communicable diseases. Global Recommendations on Physical Activity for Health were developed under this assumption. Other studies (Evans & Sleap, 2012) highlight the benefits of water activities to the elderly.
Objective: Identify and quantify the Physical Discomfort
Manifestations among middle-age and older adults practi- tioners and non-practitioners of hydro gymnastics.
Methods: A sample of Portuguese (N=77) practitioners
(N=42) and non-practitioners was evaluated with the Physical Discomfort Manifestations Questionnaire (Questionário de
Manifestações Físicas de Mal-Estar; Ribeiro, 2003) compre-
hends a total score (ST) and 4 sub scales: Nervous System (NS), Respiratory (RS), Muscular (MS) and Digestive (DS).
Results: The manifestations of MS are the highest
(4,33±3,88), followed by NS (2,68±3,22), SD (1,82±2,56) and RS (1,40±1,89). In every analysis there is a significant difference (Mann-Whitney p<.05) between practitioners and non-practitioners, favourable to the first ones, despite the highest age average of the practitioners (61,7±8,16 vs 56,23±5,34). Moreover, the ST is not significant when groups of age are compared. The correlations (Pearson) between age and Physical Discomfort Manifestations are negative (p<.05) except in DS. The practice/non-practice of hydro gymnastics correlates (Spearman) positively (p<05) with manifestations of physical discomfort, with lower scores on the practitioners.
Conclusions: The practice of hydro gymnastics, regard-
less of age, seems to reduce the perception of physical discomfort manifestations, and due the relation between that perception and objective health, this practice may help to prevent the development of new and severe discomfort (Ribeiro, 2003).
Descriptors: Elder. Physical activity. Health. Water aer-
obics. Physical discomfort.
a fmendes@esev.ipv.pt b emiliamartins@esev.ipv.pt c majoa@esev.ipv.pt d rosina@esev.ipv.pt e susanafonseca@esev.ipv.pt f paulaxavier@esev.ipv.pt g liajaraujo@esev.ipv.pt
HEALTH PROMOTION (HP) – ESSS/UMIS