LaVela Sherri L, Landers Kelsie, Etingen Bella, Karalius Vytas P, Miskevics Scott
J Spinal Cord Med. 2015 Jul;38(4):505-14. doi: 10.1179/2045772314Y.0000000240. Epub 2014 Jul 3.
CONTEXT/OBJECTIVE: To compare outcomes among caregivers of adults with spinal cord injuries (SCIs) to caregivers of adults with other neurological conditions, and determine if caregiving for SCI is associated with poor health status and chronic conditions.
Secondary data analysis of 2009/2010 Behavioral Risk Factor Surveillance System survey.
Informal caregivers of adults with neurological conditions.
Sociodemographics, caregiving factors (e.g. role, emotional support, life satisfaction), lifestyle behaviors, chronic conditions, and health status.
Demographics and lifestyle behaviors did not differ in caregivers of adults with SCI vs. caregivers of adults with other neurological conditions (except younger age of SCI caregivers). Greater proportions of caregivers of adults with SCI had coronary heart disease (CHD) (12% vs. 6%, P = 0.06) and were obese (43% vs. 28%, P = 0.03). Frequent physical distress was reported by 20% of caregivers of persons with SCI (vs. 12% of other caregivers, P = 0.09), but mental health did not differ between caregiver groups. A greater proportion of caregivers of adults with SCI experienced insufficient sleep (47% vs. 30%, P = 0.008) and more days without enough sleep (13 vs. 9 days, P = 0.008). Odds of being younger, caregiver of a spouse, having CHD, and being obese were associated with being a caregiver of an adult with SCI.
Caregivers of adults with SCI report similar mental health status, but more poor sleep, and have increased odds of CHD and obesity. Interventions to address physical distress, improve sleep, and address CHD and obesity are needed in this cohort.
背景/目的：比较脊髓损伤（SCI）成人患者的照料者与患有其他神经系统疾病的成人患者的照料者的结局，并确定SCI照料是否与健康状况不佳和慢性病相关。
对2009/2010年行为危险因素监测系统调查进行二次数据分析。
患有神经系统疾病的成人的非正式照料者。
社会人口统计学、照料因素（如角色、情感支持、生活满意度）、生活方式行为、慢性病和健康状况。
SCI成人患者的照料者与其他神经系统疾病成人患者的照料者在人口统计学和生活方式行为方面无差异（除了SCI照料者年龄较小）。SCI成人患者的照料者中冠心病（CHD）的比例更高（12%对6%，P = 0.06）且肥胖的比例更高（43%对28%，P = 0.03）。20%的SCI患者照料者报告经常有身体不适（其他照料者为12%，P = 0.09），但两组照料者的心理健康状况无差异。SCI成人患者的照料者中睡眠不足的比例更高（47%对30%，P = 0.008），且睡眠不足的天数更多（13天对9天，P = 0.008）。年龄较小、配偶照料者、患有CHD和肥胖的几率与SCI成人患者的照料者相关。
SCI成人患者的照料者报告的心理健康状况相似，但睡眠质量更差，患CHD和肥胖的几率增加。该队列需要采取干预措施来解决身体不适、改善睡眠以及应对CHD和肥胖问题。
