Kuzuya Masafumi, Masuda Yuichiro, Hirakawa Yoshihisa, Iwata Mitsunaga, Enoki Hiromi, Hasegawa Jun, Izawa Sachiko, Iguchi Akihisa
Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Int J Geriatr Psychiatry. 2006 Aug;21(8):740-5. doi: 10.1002/gps.1554.
Little attention has been paid to the impact on caregivers who provide care to a family member who has falls. The purpose of the current study was to determine whether falls of care recipients are associated with caregivers' burden.
A cross-sectional study of 1874 community-dwelling care recipients and 1478 caregivers was conducted. We examined the characteristics of care recipients and caregivers, including demographic characteristics, depressive mood as assessed by the Geriatric Depression Scale (GDS-15), the basic activities of daily living (bADL), fall history in the past 6 months, and physician-diagnosed chronic diseases to determine whether there was an association with caregivers' burden as assessed by the Zarit Burden Interview (ZBI).
A total of 567 care recipients (30.3%) had a history of falls in the past 6 months. The mean ZBI score of caregivers with falls was significantly higher than that of caregivers without falls. There were negative correlations between the ZBI score and recipient bADL score and positive correlations between the ZBI score and GDS-15 scores of the recipient and caregiver, the level of severity of dementia, and the Charlson comorbidity index. Male recipient, fall history, behavioral disturbance, and dementia had significantly higher ZBI scores than those of controls. The stepwise multiple regression analyses found that the GDS-15 score of caregivers and recipients, level of severity of dementia, bADL score, and fall history were independently associated with the ZBI score.
Among the community-dwelling frail elderly, falls are associated with caregiver burden even when controlling for various possible confounding factors.
照顾家中跌倒亲人的照护者所受影响很少受到关注。本研究旨在确定受照护者跌倒是否与照护者负担相关。
对1874名社区居家受照护者和1478名照护者进行了一项横断面研究。我们调查了受照护者和照护者的特征，包括人口统计学特征、用老年抑郁量表（GDS-15）评估的抑郁情绪、日常生活基本活动能力（bADL）、过去6个月的跌倒史以及医生诊断的慢性病，以确定是否与用 Zarit 负担访谈量表（ZBI）评估的照护者负担存在关联。
共有567名受照护者（30.3%）在过去6个月中有跌倒史。跌倒受照护者的照护者ZBI平均得分显著高于未跌倒受照护者的照护者。ZBI得分与受照护者bADL得分呈负相关，与受照护者和照护者的GDS-15得分、痴呆严重程度水平以及Charlson合并症指数呈正相关。男性受照护者、跌倒史、行为障碍和痴呆的ZBI得分显著高于对照组。逐步多元回归分析发现，照护者和受照护者的GDS-15得分、痴呆严重程度水平、bADL得分和跌倒史与ZBI得分独立相关。
在社区居家体弱老年人中，即使控制了各种可能的混杂因素，跌倒仍与照护者负担相关。
