Department of Rehabilitation Sciences, Kansai University of Welfare Sciences, Asahigaoka, Kashiwara, Japan.
Environ Health Prev Med. 2012 Nov;17(6):474-83. doi: 10.1007/s12199-012-0276-8. Epub 2012 Mar 28.
The purpose of this study was to determine the factors related to changes in the burden of caregivers who look after the elderly at home, as well as factors related to the institutionalization of the elderly who require care. The types of care services associated with reducing caregivers' burden and continuing in-home care were also studied.
The study subjects were adults aged ≥65 years who used the services of in-home care management centres located in Osaka Prefecture, Japan, and their caregivers. This 2-year longitudinal study began in October 2007, with a total of three surveys undertaken once a year. The survey methods included self-administered questionnaires and the review of clinical records.
Dementia and its accompanying behavioural disturbances were found to be significantly related to the increased burden of caregivers and the institutionalization of those requiring care. A significantly higher proportion of caregivers with an increasing burden or those who maintained a high level of burden used day care services compared to those in the other groups.
Preventive intervention against dementia and its accompanying behavioural disturbances should be considered in the day care service to reduce caregivers' burden and to decrease institutionalization.
本研究旨在确定与照顾居家老年人的照料者负担变化相关的因素，以及与需要照料的老年人机构化相关的因素。还研究了与减轻照料者负担和继续居家护理相关的护理服务类型。
本研究对象为使用位于日本大阪府的居家护理管理中心服务的年龄≥65 岁的成年人及其照料者。这项为期 2 年的纵向研究始于 2007 年 10 月，每年进行 3 次调查。调查方法包括自填式问卷和临床记录审查。
痴呆及其伴随的行为障碍与照料者负担的增加和需要照料者的机构化显著相关。与其他组相比，负担增加或负担水平较高的照料者中，使用日托服务的比例显著更高。
应在日托服务中考虑针对痴呆及其伴随的行为障碍的预防干预，以减轻照料者的负担并减少机构化。
