Resilience in In-Home Caregivers of Older Adults during the COVID-19 Pandemic

Keywords: Resilience, Elderly, Caregiver, COVID-19, Formal caregiver, Family

Abstract

Objective: This study aims to identify the resilience level in formal and informal in-home caregivers of older adults in Ibagué during the COVID-19 pandemic. Methods: Quantitative, descriptive, cross-sectional study with a convenience sample of 49 formal and informal in-home caregivers of older adults. We administered the Brief Resilient Coping Scale (BRCS), an instrument consisting of four items, to these caregivers. The questionnaire was self-completed and, in some cases, answered by telephone. The data were collected in April 2020. Results: 35 women and 14 men participated in this study. The formal (69.4 %) and informal caregivers, mostly family (30.6 %), were between 18 and 30 years old (65.30 %). Their resilience levels were high (16.3 %), moderate (61.3 %), and low (22.4 %). There was a significant association between caregiver type and resilience level (p ≤ 0.05). Other studied covariates did not show a significant association. Conclusions: Due to stressful situations caused by care during social isolation and the risk of death of the elderly by COVID-19, strategies to improve resilience related to emotional, cognitive, and sociocultural interventions in the caregiver should be considered.

Author Biographies

Elizabeth Fajardo Ramos, Universidad del Tolima

MSN. Nurse. Full professor, Universidad del Tolima. Ibagué, Colombia.

Martha Lucia Nuñez Rodríguez, Universidad del Tolima

MEd. Cardiorespiratory Nursing Specialist. Nurse. Associate professor, Universidad del Tolima. Ibagué, Colombia.

Angela Maria Henao Castaño, Universidad Nacional de Colombia

PhD in Nursing. MEd. Critical Care Nursing Specialits. Assistant professor, Nursing School, Universidad Nacional de Colombia. Bogotá, Colombia.

Downloads

Download data is not yet available.

Author Biographies

Elizabeth Fajardo Ramos, Universidad del Tolima

MSN. Nurse. Full professor, Universidad del Tolima. Ibagué, Colombia.

Martha Lucia Nuñez Rodríguez, Universidad del Tolima

MEd. Cardiorespiratory Nursing Specialist. Nurse. Associate professor, Universidad del Tolima. Ibagué, Colombia.

Angela Maria Henao Castaño, Universidad Nacional de Colombia

PhD in Nursing. MEd. Critical Care Nursing Specialits. Assistant professor, Nursing School, Universidad Nacional de Colombia. Bogotá, Colombia.

References

Sonis J, Kennedy M, Aaronson E, Baugh J, Raja A, Yun B, et al. Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion. West J Emerg Med [Internet]. 2020;21(3):0-4. https://doi.org/10.5811/westjem.2020.4.47596

Public Health England. COVID-19: guidance on residential care provision; 2020. Available from: https://www.paho.org/es/decada-envejecimiento-saludable-2020-2030

Instituto Nacional de Salud. COVID-19 Colombia; 2020 April 30. Available from: https://www.ins.gov.co/Noticias/Paginas/Coronaviru.

Wang H, Li T, Barbarino P, Gauthier S, Brodaty H, Molinuevo JL, et al. Dementia care during COVID-19. Lancet [Internet]. 2020;395(10231):1190-1. https://doi.org/10.1016/S0140-6736(20)30755-8

Ruisoto P, Contador I, Fernández-Calvo B, Serra L, Jenaro C, Flores N, et al. Mediating effect of social support on the relationship between resilience and burden in caregivers of people with dementia. Arch Gerontol Geriatr [Internet]. 2020;86(June 2019):103952. https://doi.org/10.1016/j.archger.2019.103952

Bekhet AK, Avery JS. Resilience from the Perspectives of Caregivers of Persons with Dementia. Arch Psychiatr Nurs [Internet]. 2018;32(1):19-23. https://doi.org/10.1016/j.apnu.2017.09.008

Valaitis RK, Markle-Reid M, Ploeg J, Butt ML, Ganann R, Murray N, et al. An evaluation study of caregiver perceptions of the Ontario's Health Links program. PLoS One [Internet]. 2020;15(2):1-22. https://doi.org/10.1371/journal.pone.0229579

Nkongho N. Caring ability inventory. In: Watson, J, editor. Assessing and measuring caring in nursing and health sciences. New York: Springer; 2009. p. 117-24.

Barrera L, Galvis C, Moreno ME, Pinto N, Pinzon ML, Romero E, et al. La habilidad de cuidado de los cuidadores familiares de personas con enfermedad crónica. Invest educ enferm. 2006;24(1):36-46.

Luthar SS, Cicchetti D, Becker B. The Construct of Resilience: A critical evaluation and guidelines for future work. Child Dev [Internet]. 2000 May;71(3):543-62. https://doi.org/10.1111/1467-8624.00164

Garcia Vesga MC, Domiguez De la Ossa E. Theoretical development of resilience and its application in adverse situations: An analytical review. Rev Latinoam Cienc Soc Niñez Juv [Internet]. 2013;11(1):63-77. Available from: http://www.scielo.org.co/scielo.php?pid=S1692-715X2013000100003&script=sci_arttext&tlng=pt

Jiménez-Picón N, Velasco-Sánchez MA, Romero-Martín M. To family resilience as an asset in helath. An Sist Sanit Navar [Internet]. 2019;42(1):121-4. https://doi.org/10.23938/ASSN.0589

Martínez Rodríguez L, Fernández Castillo E, González Martínez E, de la C. Ávila Hernández Y, Lorenzo Carreiro A, Vázquez Morales HL. Social support and resilience: protective factors in primary caregivers of hemodialysis patients. Enferm nefrol [Internet]. 2019;22(2):130-9. https://doi.org/10.4321/S2254-28842019000200004

Limonero JT, Tomás-Sábado J, Fernández-Castro J, Gómez-Romero MJ, Ardilla-Herrero A. Estrategias de afrontamiento resilientes y regulación emocional: Predictores de satisfacción con la vida. Behav Psychol Psicol Conduct [Internet]. 2012;20(1):183-96. Available from: https://www.researchgate.net/profile/Joaquin_Limonero2/publication/234139556_Resilient_coping_strategies_and_emotion_regulation_predictors_of_life_satisfaction_Estrategias_de_afrontamiento_resilientes_y_regulacion_emocional_predictores_de_satisfaccion_con_la_vida/links/0912f50f875b5c8ae5000000.pdf

Liu Y, Wang Z, Lü W. Resilience and affect balance as mediators between trait emotional intelligence and life satisfaction. Pers Individ Dif [Internet]. 2013;54(7):850-5. https://doi.org/10.1016/j.paid.2012.12.010

Greene RR, Galambos C, Lee Y. Resilience Theory: Theoretical and Professional Conceptualizations. J Hum Behav Soc Environ. 2004;8(4):75-91. doi: 10.1300/J137v08n04_05

https://doi.org/10.1300/J137v08n04_05

Teahan Á, Lafferty A, McAuliffe E, Phelan A, O'Sullivan L, O'Shea D, et al. Resilience in family caregiving for people with dementia: A systematic review. Int J Geriatr Psychiatry [Internet]. 2018;33(12):1582-95. https://doi.org/10.1002/gps.4972

Goldzweig G, Merims S, Ganon R, Peretz T, Altman A, Baider L. Informal caregiving to older cancer patients: Preliminary research outcomes and implications. Ann Oncol [Internet]. 2013;24(10):2635-40. https://doi.org/10.1093/annonc/mdt250

Córdoba AMC, Poches DKP. Resiliencia y variables asociadas en cuidadores informales de pacientes con Alzheimer. Rev Colomb Psicol [Internet]. 2016;25(1):33-46. https://doi.org/10.15446/rcp.v25n1.44558

Shahzad B, Collard J. The Role of Functional and Dysfunctional Negative Emotions, Resilience and Mindfulness in Well-Being. Psychol Behav Sci Int J [Internet]. 2019;13(2):001-0012. doi: 10.19080/PBSIJ.2019.10.555857.

Sinclair VG, Wallston KA. The development and psychometric evaluation of the Brief Resilient Coping Scale [Internet]. Assessment. 2004;11(1):94-101. https://doi.org/10.1177/1073191103258144

Caycho-Rodríguez T, Ventura-León J, García-Cadena CH, Tomás JM, Domínguez-Vergara J, Daniel L, et al. Evidencias Psicométricas de una Medida Breve de Resiliencia en Adultos Mayores Peruanos no Institucionalizados. Psychosoc Interv [Internet]. 2018;27(2):073-9. https://doi.org/10.5093/pi2018a6

Limonero JT, Tomás-Sábado J, Gómez-Romero MJ, Maté-Méndez J, Sinclair VG, Wallston KA, et al. Evidence for validity of the brief resilient coping scale in a young spanish sample. Span J Psychol [Internet]. 2014;17(2):1-9. https://doi.org/10.1017/sjp.2014.35

Cid-Ruzafa J, Damián-Moreno J. Valoracion de la discapacidad fisica: El Indice de Barthel. Rev Esp Salud Publica [Internet]. 1997;71(2):127-37. https://doi.org/10.1590/S1135-57271997000200004

Resolucion_008430_1993 [Internet]. Available from: http://www.urosario.edu.co/EMCS/Documentos/investigacion/resolucion_008430_1993/

Cerquera Córdoba AM, Galvis Aparicio MJ. Efectos de cuidar personas con Alzheimer: un estudio sobre cuidadores formales e informales. Pensam Psicológico [Internet]. 2014;12(1):149-67. https://doi.org/10.11144/Javerianacali.PPSI12-1.ecpa

González-Arratia López Fuentes NI, Valdez Medina JL. Resiliencia. Diferencias por Edad en Hombres y Mujeres Mexicanos. Acta Investig Psicológica [Internet]. 2015;5(2):1996-2010. https://doi.org/10.1016/S2007-4719(15)30019-3

Ferreira da Silva C, Silva JV da, Ribeiro MDP. Cuidadores formales y asistencia paliativa desde la mirada de la bioética. Rev Bioet. 2019;27(3):535-41. https://doi.org/10.1590/1983-80422019273338

Velázquez L. Un enfoque filosófico de la vejez y algunas consideraciones bioéticas. Bioeth Updat [Internet]. 2020;6(1):46-61. https://doi.org/10.1016/j.bioet.2020.03.001

Navarro-Abal Y, López-López MJ, Climent-Rodríguez JA, Gómez-Salgado J. Sobrecarga, empatía y resiliencia en cuidadores de personas dependientes. Gac Sanit [Internet]. 2019;33(3):268-71. https://doi.org/10.1016/j.gaceta.2017.11.009

Vaingankar JA, Chong SA, Abdin E, Picco L, Jeyagurunathan A, Zhang YJ, et al. Care participation and burden among informal caregivers of older adults with care needs and associations with dementia. Int Psychogeriatrics [Internet]. 2016;28(2):221-31. https://doi.org/10.1017/S104161021500160X

Ertl MM, Trapp SK, González Arredondo S, Rodríguez Agudelo Y, Arango-Lasprilla JC. Perceived stress, resilience, and health-related quality of life among Parkinson's disease caregivers in Mexico. Heal Soc Care Community [Internet]. 2019;27(5):1303-10. https://doi.org/10.1111/hsc.12767

Palacio GC, Krikorian A, Gómez-Romero MJ, Limonero JT. Resilience in Caregivers: A Systematic Review. Am J Hosp Palliat Med [Internet]. 2019;37(8):648-658. https://doi.org/10.1177/1049909119893977

Goudarzi F, Abedi H, Zarea K, Ahmadi F, Hosseinigolafshani SZ. The Resilient Care of Patients with Vegetative State at Home: a Grounded Theory. J Caring Sci [Internet]. 2018;7(3):163-75. https://doi.org/10.15171/jcs.2018.026

Petriwskyj A, Parker D, O'Dwyer S, Moyle W, Nucifora N. Interventions to build resilience in family caregivers of people living with dementia: a comprehensive systematic review. JBI database Syst Rev Implement reports [Internet]. 2016;14(6):238-73. https://doi.org/10.11124/JBISRIR-2016-002555

Wilks SE, Little KG, Gough HR, Spurlock WJ. Alzheimer's aggression: Influences on caregiver coping and resilience [Internet]. J Gerontol Soc Work. 2011;54(3):260-75. https://doi.org/10.1080/01634372.2010.544531

Ho L, Bloom PA, Vega JG, Yemul S, Zhao W, Ward L, et al. Biomarkers of Resilience in Stress Reduction for Caregivers of Alzheimer's Patients. NeuroMolecular Med [Internet]. 2016;18(2):177-89. https://doi.org/10.1007/s12017-016-8388-8

Rubio Acuña M, Doren FM, Campos Romero S, Rojas CA. Adaptando mi vida: vivencias de cuidadores familiares de personas con enfermedad de Alzheimer. GEROKOMOS [Internet]. 2018;29(2):54-8. Available from: http://scielo.isciii.es/scielo.php?pid=S1134-928X2018000200054&script=sci_arttext&tlng=pt

Rodríguez Esteban A, Pérez Álvarez L. Estrategias de afrontamiento en cuidadoras de personas con alzhéimer. Influencia de variables personales y situacionales. Rev Española Discapac [Internet]. 2019;7(1):153-71. https://doi.org/10.5569/2340-5104.07.01.08

Chavez J, Franco B, Gabriela L, Ocampo E, Rangel S, Tovar I, et al. Capacidad de autocuidado y estrategias de afrontamiento en la persona con enfermedad cronica. Verano la Cienc [Internet]. 2019;5(1). Available from: http://148.214.90.90/index.php/jovenesenlaciencia/article/view/3191/2673

Bello M, Leon G, Covena MI. Factores que predominan sobrecarga en el cuidador formal e informal geriatrico con deficit de autocuidado. Univ y Soc [Internet]. 2019;11(5):382-95. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2218-36202019000500385

Brigola A, Luchesi M, Rossetti S. Perfil de saúde de cuidadores familiares de idosos e sua relação com variáveis do cuidado: um estudo no contexto rural. Rev Bras Geriatr e Gerontol [Internet]. 2017;20(3):410-22. https://doi.org/10.1590/1981-22562017020.160202

González Guerra A, Fonseca Fernández M, Valladares González AM, Magda L, Angulo L. Factores moduladores de resiliencia y sobrecarga en cuidadores principales de pacientes oncológicos avanzados. Univ Ciencias Medicas [Internet]. 2017;7(1):26-32. Available from: http://scielo.sld.cu/pdf/rf/v7n1/rf05107.pdf

Henz U. Informal caregiving at working age: Effects of job characteristics and family configuration. J Marriage Fam [Internet]. 2006;68(2):411-29. https://doi.org/10.1111/j.1741-3737.2006.00261.x

Tarazona-Santabalbina FJ, Martínez-Velilla N, Vidán MT, García-Navarro JA. COVID-19, adulto mayor y edadismo: errores que nunca han de volver a ocurrir. Rev Esp Geriatr Gerontol [Internet]. 2020;7-8. https://doi.org/10.1016/j.regg.2020.04.001

Arriagada F., Jara P. Resiliencia como estrategia para la práctica de enfermería. Una propuesta teórica. Beness - Rev Enfermería [Internet]. 2016;1(1):58-67. Available from: http://benessere.uv.cl/images/revista/revista_n1/6_resiliencia.pdf

Carrillo GM, Gómez Ramírez OJ, Arias EM. Teorías de enfermería para la investigación y práctica en cuidado paliativo. Rev Latinoam Bioética [Internet]. 2016;17(1):60-79. https://doi.org/10.18359/rlbi.1764

Ramón Martínez Riera J, Gras-Nieto E. Atención Domiciliaria Y Covid-19. Antes, Durante Y Después Del Estado De Alarma. Enfermería Clínica [Internet]. 2020. https://doi.org/10.1016/j.enfcli.2020.05.003

Oñate L, Calvete E. Una aproximación cualitativa a los factores de resiliencia en familiares de personas con discapacidad intelectual en España. Psychosoc Interv [Internet]. 2017;26(2):93-101. https://doi.org/10.1016/j.psi.2016.11.002

Macaya BP, Aranda GF. Cuidado y autocuidado en el personal de salud: enfrentando la pandemia COVID-19. Rev Chil Anest [Internet]. 2020;49(3):356-62. https://doi.org/10.25237/revchilanestv49n03.014

How to Cite
Fajardo Ramos, E., Nuñez Rodríguez, M. L., & Henao Castaño, A. M. (2021). Resilience in In-Home Caregivers of Older Adults during the COVID-19 Pandemic. Revista Latinoamericana De Bioética, 20(2), 91–101. https://doi.org/10.18359/rlbi.4813
Published
2021-04-23
Section
Articles

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Scan to share
QR code to open and share this publication

Some similar items: