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1. DURATION OF TREATMENT HOURS AND LEVEL OF DEPENDENCE OF CANCER PATIENTS AFFECT CAREGIVER’S STRESS LEVEL

Author

Yesiana Dwi Wahyu Werdani

Subjects
duration of treatment hours, level of dependence, stress level, caregivers, cancer patients, Gynecology and obstetrics, RG1-991
Abstract

Introduction: Cancer is a disease with complex side effects that can interfere with the body functions, impacting on increasing patient dependence on caregivers. Objectives: This study objectives was to prove the duration of treatment hours and the level of dependence of cancer patients affect caregiver’s stress level. Methods: This was a cross-sectional study. Population 50 caregivers who live at the Indonesian Cancer Foundation East Java Branch Surabaya Indonesia and only 30 samples were chosen based on inclusion criteria. Instruments used duration of treatment hours questionnaire, KATZ index and caregiver stress self-assessment. All instruments had been tested validity and reliability. Ethical procedures were done before the research starts. After the data collected it was analyzed used a multinomial logistic regression test with p < 0.05. Result: The majority of participants taking care of cancer patients for 4 – 6 hours/day (56.7%), most of the cancer patients who treated by caregivers, experienced moderate levels of dependence (50%) and the majority of caregivers experienced stress at moderate levels (56.7%). There was a significant effect between the duration of treatment hours and the level of dependence of cancer patients on the caregiver’s stress level. The duration of treatment hours affect 34.3% on caregiver’s stress level (p = 0.03) and level of patient’s dependence affect 41.9% (p = 0.01). Conclusion: The longer hours of care lead to less caregiver’s free time for their personal needs, so that most of the time is used for patient care. Likewise, the higher the level of patient dependence on caregivers, the more time is given for care and can further trigger stress on caregivers.

Published
2020
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2. Association between motor proficiency and oral health in people with intellectual disabilities

Author

Juliana Balbinot Hilgert, Rafaela Soares Rech, Alexandre Baumgarten, Bárbara Niegia Garcia de Goulart, and Joana Cunha-Cruz

Subjects
medicine.medical_specialty, Oral health, Psychological intervention, Destreza motora, Oral Health, Proficiency test, Dental Caries, Oral hygiene, symbols.namesake, Caregiver exhaustion, Arts and Humanities (miscellaneous), Intellectual Disability, Humans, Medicine, Saúde bucal, Esgotamento psicológico, Poisson regression, Association (psychology), Periodontal Diseases, Motor skill, Dependência, business.industry, Rehabilitation, Motor proficiency, People with intellectual disabilities, Confidence interval, Psychiatry and Mental health, Cross-Sectional Studies, Neurology, Physical therapy, symbols, Level of dependence, Neurology (clinical), Saúde da pessoa com deficiência, business
Abstract

Background People with intellectual disabilities (IDs) may be at increased risk of developing periodontal diseases and dental caries due to poor oral hygiene. Our aim was to investigate motor proficiency factors associated with presence of visible plaque and gingival bleeding in people with IDs. We were particularly interested in the level of dependence, manual coordination and fine manual control of people with ID, as well as the level of exhaustion of the primary caregiver. Methods In this cross-sectional study, 299 people with ID were evaluated for oral hygiene using the simplified Visible Plaque Index and for gum inflammation using the Gingival Bleeding Index. The Bruininks-Oseretsky Motor Proficiency Test assessed motor proficiency through fine manual control (fine motor integration and fine motor precision) and manual coordination (manual dexterity and upper limb coordination). The level of dependence was assessed by the Katz dependency index, and the caregiver was tested for exhaustion using the fatigue severity scale. Prevalence ratios [and 95% confidence intervals (CI)] were calculated using crude and adjusted Poisson regression with robust variance. Results The exhaustion of the caregiver was associated positively to visible plaque [prevalence ratio (PR) = 1.36; 95% CI 1.06-1.65]. For gingival bleeding, people with IDs that had better fine motor integration (PR = 0.49; 95% CI 0.33-0.75) and precision (PR = 0.50; 95% CI 0.26-0.94), as well as manual dexterity (PR = 0.62, 95% CI 0.49-0.77), presented better results. Conclusion Poor oral hygiene and gum inflammation were associated with motor proficiency of people with IDs and caregivers' exhaustion. Interventions to improve the oral health of people with IDs should take into account such conditions.

Published
2021
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