Onishi Joji, Suzuki Yusuke, Umegaki Hiroyuki, Nakamura Akira, Endo Hidetoshi, Iguchi Akihisa
Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-Cho, Showa-Ku, Nagoya, Aichi 466-8550, Japan.
Arch Gerontol Geriatr. 2005 Sep-Oct;41(2):159-68. doi: 10.1016/j.archger.2005.01.004. Epub 2005 Mar 21.
With increasing population of older adults in need of care, caregiver's burden is becoming a major concern. We investigated the relative contributions of BPSD of care recipients, caregiver's background and the care environment to caregiver's burden assessed by using Zarit burden interview (ZBI). Among BPSD, inability of finding the way home, inability of managing money and fecal incontinence were the most difficult symptoms to cope with. A path analysis, by which we constructed a network model to clarify the contributions of the factors examined to the caregiver's burden, indicated that the severity of dementia, the feeling of "would rather die than be in the same condition" and the physical pain of the caregivers showed great direct influences on the score of the ZBI. In conclusion, we clarified kinetic and dynamic interactions of factors affecting caregiver's burden by using a path analysis. The model indicates that the caregiver's burden can be affected not merely by the illness of the care recipients but by the caregiver's background and the care environment.
随着需要护理的老年人数量不断增加，照顾者的负担正成为一个主要问题。我们通过使用 Zarit 负担访谈（ZBI），调查了受照顾者的行为和心理症状紊乱（BPSD）、照顾者背景以及护理环境对照顾者负担的相对影响。在 BPSD 中，找不到回家的路、不会管理钱财和大便失禁是最难应对的症状。通过路径分析构建网络模型以阐明所研究因素对照顾者负担的影响，结果表明痴呆的严重程度、“生不如死”的感觉以及照顾者的身体疼痛对 ZBI 评分有很大的直接影响。总之，我们通过路径分析阐明了影响照顾者负担的因素的动态相互作用。该模型表明，照顾者的负担不仅会受到受照顾者疾病的影响，还会受到照顾者背景和护理环境的影响。
