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Impacto da Saúde Mental dos Cuidadores Formais na qualidade dos cuidados prestados a pessoas idosas
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O presente estudo teve como objetivo analisar o impacto da saúde mental dos cuidadores formais na qualidade dos cuidados prestados a pessoas idosas em contexto institucional. Recorreu-se a um estudo de caso numa instituição particular de solidariedade social do Porto, com uma metodologia mista, de natureza descritiva e exploratória. Participaram 13 Ajudantes de Ação Direta (AAD), que responderam a um questionário sociodemográfico e às escalas Patient Health Questionnaire-9 (PHQ-9) e Generalized Anxiety Disorder-7 (GAD-7). Foram ainda realizadas entrevistas semiestruturadas, analisadas segundo a técnica de análise de conteúdo categorial temática. Os resultados mostraram que a maioria das participantes não apresentou sintomas depressivos clinicamente relevantes, embora 46,2% tenham revelado níveis moderados ou graves de ansiedade. A análise qualitativa destacou fatores de risco, como sobrecarga física, conflitos interpessoais e falta de tempo relacional, e fatores protetores, incluindo motivação intrínseca, reconhecimento, espiritualidade e estratégias de coping. Conclui-se que a saúde mental dos cuidadores formais influencia de forma significativa a qualidade dos cuidados prestados. O estudo confirma a aplicabilidade do modelo Job Demands-Resources, salientando a necessidade de estratégias de intervenção organizacionais, formativas e individuais que reforcem os recursos disponíveis, promovam o bem-estar profissional e assegurem cuidados mais humanizados
This study aimed to analyse the impact of formal caregivers’ mental health on the quality of care provided to older people in an institutional context. A case study was carried out in a private social solidarity institution in Porto, using a mixed-method, descriptive and exploratory approach. Thirteen Direct Action Assistants (AAD) participated, completing a sociodemographic questionnaire and the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scales. In addition, semi-structured interviews were conducted and analysed using thematic categorical content analysis. The results showed that most participants did not present clinically relevant depressive symptoms, although 46.2% reported moderate or severe anxiety levels. The qualitative analysis highlighted risk factors such as physical overload, interpersonal conflicts and lack of relational time, as well as protective factors including intrinsic motivation, acknowledgement, spirituality and coping strategies. It is concluded that the mental health of formal caregivers significantly influences the quality of care provided. The study confirms the applicability of the Job Demands-Resources model, emphasising the need for organisational, training and individual intervention strategies that strengthen available resources, promote professional well-being and ensure more humanised care.
This study aimed to analyse the impact of formal caregivers’ mental health on the quality of care provided to older people in an institutional context. A case study was carried out in a private social solidarity institution in Porto, using a mixed-method, descriptive and exploratory approach. Thirteen Direct Action Assistants (AAD) participated, completing a sociodemographic questionnaire and the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scales. In addition, semi-structured interviews were conducted and analysed using thematic categorical content analysis. The results showed that most participants did not present clinically relevant depressive symptoms, although 46.2% reported moderate or severe anxiety levels. The qualitative analysis highlighted risk factors such as physical overload, interpersonal conflicts and lack of relational time, as well as protective factors including intrinsic motivation, acknowledgement, spirituality and coping strategies. It is concluded that the mental health of formal caregivers significantly influences the quality of care provided. The study confirms the applicability of the Job Demands-Resources model, emphasising the need for organisational, training and individual intervention strategies that strengthen available resources, promote professional well-being and ensure more humanised care.
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Saúde mental Cuidadores formais Qualidade dos cuidados