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The purpose of this study is to evaluate the effect of home-care nursing intervention on the burden of family caregivers for older adults surviving a stroke. A randomised clinical trial blinded for outcome evaluation. Forty-eight family caregivers of older adults surviving a stroke took part in the study. The intervention group (IG) received three home visits by nurses in 1 month after hospital discharge for guidance on the disease and care activities for the elderly people. The control group (CG) relied on the service network that had access. The Caregiver Burden Scale was applied to assess the burden outcome 1 week, 60 days and 1 year after hospital discharge. The caregivers of the intervention and CGs had no difference regarding baseline data. There was an interaction effect between the CG and the IG in the isolation domain (p = 0.037) and in the emotional involvement domain (p = 0.003) over time. These findings provide support for strengthening a care line for the elderly people after a stroke, with adequate discharge planning, indicating the importance of integrating care network services such as primary care, home care and hospital care with a view to achieving an effective care transition. It is also necessary to construct a specific instrument to evaluate other outcomes, such as the knowledge and learning of caregivers in relation to the care activities taught. This study is registered in the Clinical Trials with name Nursing Home Care Intervention Post Stroke (SHARE) and under number NCT02807012.

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BACKGROUND: There are few formal outreach and out-patient support services to help family caring for older adults who have had a stroke in developing countries. Family caregivers experience negative changes in their quality of life. AIM: To assess quality of life perceptions of spouse and non-spouse caregivers of older adult stroke survivors. METHODS: A longitudinal survey study. A convenience sample of forty-eight family caregivers was recruited from the Special Care Stroke Unit at a University Hospital in South Brazil. Quality of life was measured using the World Health Organization's Quality of Life BREF survey upon discharge from the hospital (Time 1) and two months after (Time 2). RESULTS: Non-spouse caregivers had the lowest Social Relationship scores at Time 1 (p < .001) and at Time 2 (p = .005), both in terms of personal relationship, the quality of their sex lives and support received from others. CONCLUSION: Unfortunately, formal community support programs for family caregivers in Brazil are lacking. Post-stroke caregiving is largely a family affair. Quality of Life assessments among family caregivers of older adult stroke survivors are crucial, particularly after discharge.

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OBJECTIVE: To assess the association between gender and age groups and socioeconomic and health variables among older adults. METHODS: Cross-sectional study carried out in the a city in Southern Brazil, in 2004. Elderly over 60 years of age (N= 292) were selected through two-stage probabilistic sampling. Data from socioeconomic and demographic variables were collected through household survey. Health conditions were self-referred. Descriptive statistics, and Pearson's Chi-square test with linear-by-linear association model were used for data analysis. RESULTS: Among the elderly, 67.8% were female, 84% were between 60 to 79 years and 81% considered themselves healthy. Compared to men, women were more likely to live alone (p=0.046), have no partner (p<0.001), be less educated (p=0.021), report more health conditions (p=0,003), use more medications (p=0.016), exercise less (p=0.015), be more dependent to perform activities of daily living (p<0.001), receive lower pension benefits (p<0,001), have less paid jobs (p=0.002). But women perceived themselves as having more social support (p=0.023), consumed less alcohol (p=0.003) and were not smokers (p<0.001). Those with more advanced age were less educated (p<0.001), had poorer economic conditions (p=0.004), received lower pension benefits (p<0,001), were less likely have a partner (p<0.001) and were more dependent to perform activities of daily living (p<0.001) but perceived themselves with more social support (p=0.014) and were not smokers (p<0.001). CONCLUSIONS: Differences between gender and age group were evidenced and they were more marked among women and those with more advanced age.

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OBJETIVO: Avaliar a associação entre sexo e grupo etário com variáveis socioeconômicas e de saúde dos idosos. MÉTODOS: Estudo transversal realizado no Distrito Noroeste de Porto Alegre, Rio Grande do Sul, em 2004. Foram estudados indivíduos acima de 60 anos (N=292), selecionados por amostra probabilística em dois estágios. Os dados de variáveis socioeconômicas e demográficas foram coletados por inquérito domiciliar. As condições de saúde foram auto-referidas. Foram realizadas análises descritivas, de qui-quadrado de Pearson e tendência linear. RESULTADOS: Entre os idosos, 67,8 por cento eram do sexo feminino, 84 por cento encontravam-se na faixa dos 60 aos 79 anos, 81 por cento consideravam-se saudáveis. Em comparação com os homens, as mulheres moravam mais sozinhas (p=0,046), sem companheiro (p<0,001), tinham menor escolaridade (p=0,021); relatavam mais problemas de saúde (p=0,003) e uso de medicação sistemática (p=0,016); realizavam menos atividades físicas (p=0,015) e eram mais dependentes nas atividades de vida diária (p<0,001), recebiam menos aposentadoria (p<0,001), exerciam menos atividades remuneradas (p=0,002), mas se percebiam mais apoiadas pela rede social informal (p=0,023), consumiam menos bebidas alcoólicas (p=0,003) e não eram fumantes (p<0,001). Os mais idosos tinham menor escolaridade (p<0,001), piores condições econômicas (p=0,004), recebiam menos aposentadoria (p<0,001), não tinham companheiro (p<0,001), eram mais dependentes nas atividades de vida diária (p<0,001), mas se percebiam mais apoiados pela rede social informal (p=0,014) e não eram fumantes (p<0,001). CONCLUSÕES: Foram evidenciadas diferenças quanto a gênero e grupo etário para variáveis socioeconômicas e de saúde, sendo piores para as mulheres e para os idosos mais velhos.

OBJECTIVE: To assess the association between gender and age groups and socioeconomic and health variables among older adults. METHODS: Cross-sectional study carried out in the a city in Southern Brazil, in 2004. Elderly over 60 years of age (N= 292) were selected through two-stage probabilistic sampling. Data from socioeconomic and demographic variables were collected through household survey. Health conditions were self-referred. Descriptive statistics, and Pearson's Chi-square test with linear-by-linear association model were used for data analysis. RESULTS: Among the elderly, 67.8 percent were female, 84 percent were between 60 to 79 years and 81 percent considered themselves healthy. Compared to men, women were more likely to live alone (p=0.046), have no partner (p<0.001), be less educated (p=0.021), report more health conditions (p=0,003), use more medications (p=0.016), exercise less (p=0.015), be more dependent to perform activities of daily living (p<0.001), receive lower pension benefits (p<0,001), have less paid jobs (p=0.002). But women perceived themselves as having more social support (p=0.023), consumed less alcohol (p=0.003) and were not smokers (p<0.001). Those with more advanced age were less educated (p<0.001), had poorer economic conditions (p=0.004), received lower pension benefits (p<0,001), were less likely have a partner (p<0.001) and were more dependent to perform activities of daily living (p<0.001) but perceived themselves with more social support (p=0.014) and were not smokers (p<0.001). CONCLUSIONS: Differences between gender and age group were evidenced and they were more marked among women and those with more advanced age.

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