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日本社区环境中认知障碍老年人的非正式照料者的照料负担

Caregiver burden among Japanese informal caregivers of cognitively impaired elderly in community settings.

作者信息

Hirakawa Yoshihisa, Kuzuya Masafumi, Enoki Hiromi, Hasegawa Jun, Iguch Akihisa

机构信息

Department of Geriatrics, Nagoya University Graduate School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan.

出版信息

Arch Gerontol Geriatr. 2008 May-Jun;46(3):367-74. doi: 10.1016/j.archger.2007.05.011. Epub 2007 Sep 4.

Abstract

Because dementia is a progressive disease, formal long-term care providers and care managers need information on how the severity of cognitive impairment affects caregiver burden in order to better assist family caregivers. However, research to guide care providers in behavioral symptom-management is not well developed. The purpose of this study was to examine the relationship between dementia status and burden of family caregivers. The subjects were 1875 community-dwelling elderly eligible for public long-term care insurance. The data we used in this analysis included the caregivers' and dependents' characteristics. The main outcome was subjective caregiver burden assessed by the Japanese version of the Zarit Burden Interview (J-ZBI). A total of 1559 pairs of dependents and caregivers were included in the analysis. The pairs were sorted into three mutually exclusive categories: no dementia, mild dementia, and severe dementia. Two hundred sixty-one dependents had severe dementia, and 725 had mild dementia. Although differences were found among the dementia categories in levels of caregiver burden according to the J-ZBI before and after adjusting for these baseline variables, the odds ratios equal nearly 1. The present study shows that severity of dementia is not associated with caregiver burden in Japan.

摘要

由于痴呆症是一种进行性疾病,正规的长期护理提供者和护理经理需要了解认知障碍的严重程度如何影响照顾者负担,以便更好地帮助家庭照顾者。然而,指导护理提供者进行行为症状管理的研究还不够完善。本研究的目的是探讨痴呆症状况与家庭照顾者负担之间的关系。研究对象为1875名符合公共长期护理保险条件的社区居住老年人。我们在本分析中使用的数据包括照顾者和被照顾者的特征。主要结果是通过日本版的 Zarit 负担访谈(J-ZBI)评估的主观照顾者负担。共有1559对被照顾者和照顾者纳入分析。这些配对被分为三个相互排斥的类别:无痴呆、轻度痴呆和重度痴呆。261名被照顾者患有重度痴呆,725名患有轻度痴呆。尽管在调整这些基线变量前后,根据 J-ZBI,痴呆类别之间在照顾者负担水平上存在差异,但优势比几乎等于1。本研究表明,在日本,痴呆症的严重程度与照顾者负担无关。

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