Evaluation Of The Overload Of Care In Families Of Psychiatric Patients In Psychosocial Care Center

Introduction: The burden of care in family refers to the weight caused by the primary caregiver role to psychiatric patients and the difficulties encountered in performing this function in daily life. Objectives: Assessing the objective and subjective overload of family members who live with the reality of psychiatric disorder in a child day-care psychosocial care center. Methods: Cross-sectional study, descriptive-exploratory, of quantitative approach, with non-probabilistic samples of accidental type with 80 families of psychiatric patients held in a Psychosocial Care Center. For overload evaluation, the subscales "B" and "D" of the Family Overload Rating Scale (FBIS-BR) were used. Results: The study was conducted with 80 families of psychiatric patients. The average age of female caregivers was 39,6 years old, and 40,7 years old for male caregivers, with female predominance (87,5%) compared to men (12,5%), with low education for both genres. Family caregivers presented high objective burden due to excessive demand attention (p<0,001), heteroaggressiveness (p<0,001) and perplexing behavior of psychiatric patients regarding the supervision of problematic behaviors (p<0,001). The items on the impact on the family's daily routine have not helped to generate objective overload for the family members. On subjective overload, it was clear to observe familiar members with high degree of disturbance in all the dimensions assessed (p < 0,001). Conclusion: The high degree of care overload observed in family members indicates the need to develop contacts with the family of the psychiatric patient to answer questions, offer support and assistance to the family caregiver. Keywords: Caregivers. Patients. Mental Health Services

Causas e consequências de quedas de idosos atendidos em hospital público

Objetivo: Identificar os fatores de riscos e consequências associadas a quedas em idosos atendidos em um hospital do interior do Maranhão. Métodos: Estudo descritivo, exploratório com abordagem quantitativa realizado com idosos vítimas de quedas, em atendimento em um hospital público na cidade de Caxias (MA). A coleta de dados ocorreu por meio de um questionário semiestruturado. Resultados: Participaram do estudo 20 idosos vítimas de quedas. Houve predominância do gênero feminino (60%); idade entre 70 e 75 anos (45%); casados (45%) e com baixa escolaridade. As causas das quedas relacionavam-se à perda de tônus muscular e força, tontura ou falta de iluminação do ambiente. As principais consequências sofridas foram o medo de cair novamente, fraturas e dor. Conclusão: As causas das quedas são multifatoriais, indo desde pisos irregulares à perda de tônus muscular. Quanto as consequências destacam-se fraturas, internações, dores e medo de cair novamente