Varona Rachel, Saito Tami, Takahashi Miyako, Kai Ichiro
Department of Social Gerontology, School of Health Sciences and Nursing, The Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo Bunkyo-Ku, Tokyo 113-0033, Japan.
Arch Gerontol Geriatr. 2007 Jul-Aug;45(1):27-41. doi: 10.1016/j.archger.2006.07.007. Epub 2006 Sep 18.
This study aims to describe the present caregiving situation of Filipino adult-child caregivers (CGs) particularly aiming to identify the predictors of CG burden and to assess the effect of social support on stressors and perception of burden. A cross-sectional survey employing face-to-face interviews with 193 adult-child CGs in Davao City, Philippines, measured the perception of burden using the Cost of Care Index (CCI) by Kosberg and Cairl. Results indicated the majority were daughter CGs living with their elderly parents, who were receiving high levels of informal social support. A moderate to high level of burden perception (mean+/-S.D. score of 47.0+/-9.1) was found among respondents. CGs with higher educational attainment showed low burden perception. However, higher family income and higher State-Trait Anxiety Inventory (STAI) anxiety scores were associated with higher burden perception. Also, longer caregiving hours, a male care recipient (CR), and the presence of CR's memory and behavior problems predicted higher CG burden. The interaction between stressors and perceived burden showed that social support provided a buffering effect for CGs experiencing higher burden perception. This suggests that respite and support resources including community-based counseling and education programs to assist CGs in dealing with stress may positively contribute to reduce burden.
本研究旨在描述菲律宾成年子女照顾者（CGs）目前的照护状况，尤其旨在确定照顾者负担的预测因素，并评估社会支持对压力源和负担感知的影响。在菲律宾达沃市，对193名成年子女照顾者进行了面对面访谈的横断面调查，使用科斯伯格和凯尔的照护成本指数（CCI）来衡量负担感知。结果表明，大多数是与年迈父母同住的女性照顾者，她们获得了高水平的非正式社会支持。在受访者中发现了中度到高度的负担感知（平均±标准差分数为47.0±9.1）。受教育程度较高的照顾者负担感知较低。然而，家庭收入较高和状态-特质焦虑量表（STAI）焦虑得分较高与较高的负担感知相关。此外，更长的照顾时长、男性受照顾者（CR）以及受照顾者存在记忆和行为问题预示着更高的照顾者负担。压力源与感知负担之间的相互作用表明，社会支持为负担感知较高的照顾者提供了缓冲作用。这表明，包括社区咨询和教育项目在内的喘息和支持资源，以帮助照顾者应对压力，可能对减轻负担有积极作用。
