Physical and social environment in the occupational therapeutic intervention process for elderly with Alzheimer's disease and their caregivers: a systematic review of the literature.

Introduction: Alzheimer's disease has a significant impact on patients and their families. The restriction on participation is understood in its totality only if considered the context and environment in which the activities happen. In occupational therapeutic intervention, the actions aimed to the...

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Publicado en:Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional Vol. 26; no. 2; pp. 463 - 478
Autores principales: Dias Bernardo, Lilian, Marquine Raymundo, Taiuani
Formato: research systematic review tables/charts Journal Article
Publicado: Cadernos de Terapia Ocupacional da UFSCar abr-jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Cadernos de Terapia Ocupacional da UFSCar
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        atl: Physical and social environment in the occupational therapeutic intervention process for elderly with Alzheimer's disease and their caregivers: a systematic review of the literature.
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          Dias Bernardo, Lilian
          Marquine Raymundo, Taiuani
        affil: Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro -- IFRJ, Rio de Janeiro, RJ, Brasil
      sug:
        subj:
          Occupational Therapy Brazil
          Alzheimer's Disease Brazil
          Caregivers Brazil
          Brazil
          Human
          Systematic Review
          Medline
          PubMed
          CINAHL Database
          Psycinfo
          Home Environment
          Assistive Technology
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        Introduction: Alzheimer's disease has a significant impact on patients and their families. The restriction on participation is understood in its totality only if considered the context and environment in which the activities happen. In occupational therapeutic intervention, the actions aimed to the environment have been effective in engaging the elderly in significant occupations. Objective: Analyze the intervention process directed to the physical and social environment of the elderly with Alzheimer's disease. Method: A systematic review was conducted, in a 10-year period (2006-2015), in English, Portuguese, and Spanish. The Web of Science, MEDLINE / PubMed, CINAHL, PsycINFO®, LILACS, SciELO, OTSeeker, and PEDro databases were used as sources of information. The inclusion criteria were selected for deeper analysis: scientific publications related to Alzheimer's disease in elderly with the participation of at least one occupational therapist as an author and that considered the environmental interventions, or to discuss occupational therapy in Alzheimer's disease without restrictions on the stage of the disease. Results: A total of 141 articles were found, of which only 9 met the selection criteria. National and international studies have shown close association of these interventions with the patient's functionality, humor and quality of life of the dyad, better sense of competence among caregivers, less burden of work, and better cost-effectiveness. Conclusion: Occupational therapy, through environmental modification and educational actions, promotes improvement in the quality of life of the dyad.
        Introdução: A Doença de Alzheimer (DA) tem um impacto significativo sobre o idoso e seus familiares. A restrição na participação só é compreendida, em sua totalidade, se forem considerados o contexto e o ambiente em que as atividades acontecem. Na intervenção terapêutica ocupacional, as ações direcionadas ao ambiente têm se mostrado eficazes no engajamento do idoso em ocupações significativas. Objetivo: Analisar o processo de intervenção direcionado ao ambiente físico e social dos idosos com DA. Método: Foi realizada revisão sistemática da literatura por um período de 10 anos (2006 a 2015), nos idiomas inglês, português e espanhol. Optou-se pela busca nas seguintes fontes de informação: Web of Science, MEDLINE/PubMed, CINAHL, PsycINFO®, LILACS, SciELO, OTseeker e PEDro. Os critérios de inclusão adotados foram: publicações científicas relacionadas a DA em idosos, que abordem as intervenções ambientais e que tenham participação de terapeuta ocupacional na autoria, sem se restringir à fase da doença. Resultados: Foi localizado um total de 141 artigos, sendo que apenas nove atenderam aos critérios de seleção. Os estudos apresentaram estreita associação dessas intervenções com a funcionalidade do paciente, o humor e a qualidade de vida da díade, melhor senso de competência entre os cuidadores, menor sobrecarga de trabalho, além de melhor custo-efetividade. Conclusão: A terapia ocupacional, por meio de modificação ambiental e ações educativas, promove melhoria na qualidade de vida da díade.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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