Miura Hiroko, Arai Yumiko, Yamasaki Kiyoko
Faculty of Health Science, Kyushu University of Health and Welfare, Miyazaki, Japan.
Psychiatry Clin Neurosci. 2005 Oct;59(5):551-5. doi: 10.1111/j.1440-1819.2005.01413.x.
The aim of the present study was to examine the relationship between feelings of burden and health-related quality of life (HRQOL) among family caregivers looking after the impaired elderly residing in a community located in southern Japan. Subjects were 85 pairs comprising elderly individuals requiring care and their respective family caregivers. Questionnaire items for the family caregivers related to demographic variables, caregivers' burden, HRQOL, use of public services, hours spent caregiving, duration of caregiving, and satisfaction with verbal communication with family. Questionnaire items for the elderly recipients of care concerned demographic variables, activities of daily living, and cognitive status. According to bivariate analysis, caregivers' burden was significantly related to cognitive status, hours spent caregiving, and each HRQOL subscore except physical function. From multiple regression analysis, subscore of HRQOL with respect to mental health and satisfaction with verbal communication were extracted as influential factors. Final regression coefficient was 0.72 (P<0.01) and coefficient of determination was 0.53. These results suggest that satisfactory mental health status plays an important role in limiting family caregivers' burden.
本研究旨在探讨日本南部某社区中照顾生活不能自理老人的家庭照顾者的负担感与健康相关生活质量(HRQOL)之间的关系。研究对象为85对老年受照顾者及其各自的家庭照顾者,其中老年受照顾者需要他人照料。针对家庭照顾者的问卷调查项目涉及人口统计学变量、照顾者负担、健康相关生活质量、公共服务的使用情况、照顾时长、照顾持续时间以及与家人言语交流的满意度。针对老年受照顾者的问卷调查项目涉及人口统计学变量、日常生活活动能力以及认知状态。根据双变量分析,照顾者负担与认知状态、照顾时长以及除身体功能外的各健康相关生活质量子评分显著相关。多元回归分析结果显示,心理健康子评分以及与言语交流的满意度被提取为影响因素。最终回归系数为0.72(P<0.01),决定系数为0.53。这些结果表明,良好的心理健康状况对于减轻家庭照顾者的负担起着重要作用。