Department of Internal Medicine Nursing, Dokuz Eylül University School of Nursing, Inciralti, Izmir, Turkey.
J Nurs Scholarsh. 2011 Sep;43(3):248-54. doi: 10.1111/j.1547-5069.2011.01402.x. Epub 2011 Jul 18.
This study was conducted to determine the effects of gender on caregiver burden among caregivers of persons with Alzheimer's disease.
Comparative descriptive study.
Factors affecting the burden of female and male caregivers (age, total duration of caregiving, mean duration of daily caregiving, education, income, employment status, age of the patients cared for, and Mini-Mental State Examination [MMSE] and Neuropsychiatric Inventory [NPI] scores) were similar (p > .05). The sample consisted of 120 female and 72 male caregivers of patients with Alzheimer's disease. Data were collected from patients by means of the MMSE and demographic variables, and data from the Caregiver Burden Inventory [CBI] and NPI were obtained from caregivers, as well as from face-to-face interviews using a questionnaire. Descriptive statistics and t-tests were used to describe and analyze data.
Female caregivers had significantly higher scores for caregiver burden than their male counterparts (p= .002). Subscale analysis on the CSI revealed that female caregivers had significantly higher scores for caregiver burden than male caregivers on time dependence (p= .040), developmental (p= .002), physical (p= .001), and social burdens (p= .045). No difference was found with respect to emotional burden (p= .718).
Results of this study suggest that female caregivers are subjected to a higher level of caregiver burden than male caregivers in Turkey. In subscales, female caregivers experienced more burden than male caregivers in the time dependence, developmental, physical, and social burdens. Emotional burden was similar in both genders.
Although caregiver burden has been a much debated issue for many years, it is a relatively new topic in Turkey. In order to provide appropriate care for the patient's and family's cultural values and needs, more studies are needed to be conducted on family members giving care to Alzheimer's patients. It is thought that the findings of the present study will facilitate cross-cultural comparisons and culture-oriented care planning.
本研究旨在确定性别对阿尔茨海默病患者照顾者负担的影响。
比较描述性研究。
影响女性和男性照顾者负担的因素（年龄、总照顾时间、每日平均照顾时间、教育程度、收入、就业状况、照顾患者的年龄、以及简易精神状态检查[MMSE]和神经精神问卷[NPI]评分）相似（p＞0.05）。样本包括 120 名女性和 72 名男性阿尔茨海默病患者的照顾者。通过 MMSE 和人口统计学变量从患者处收集数据，通过 caregiver 负担量表[CBI]和 NPI 从照顾者处收集数据，并通过使用问卷进行面对面访谈收集数据。使用描述性统计和 t 检验来描述和分析数据。
女性照顾者的照顾者负担得分明显高于男性照顾者（p=0.002）。CSI 的子量表分析显示，女性照顾者在时间依赖（p=0.040）、发展（p=0.002）、身体（p=0.001）和社会负担（p=0.045）方面的负担得分明显高于男性照顾者，而在情感负担方面没有差异（p=0.718）。
本研究结果表明，在土耳其，女性照顾者比男性照顾者承受更高水平的照顾者负担。在子量表中，女性照顾者在时间依赖、发展、身体和社会负担方面比男性照顾者经历更多的负担。两性的情感负担相似。
尽管照顾者负担多年来一直是一个备受争议的问题，但在土耳其它是一个相对较新的话题。为了根据患者及其家庭的文化价值观和需求提供适当的护理，需要对为阿尔茨海默病患者提供护理的家庭成员进行更多的研究。本研究的结果将有助于进行跨文化比较和面向文化的护理计划，这一点被认为是合理的。
