高的一致性感保护老年配偶照顾者免受照顾负担的影响。

A high sense of coherence protects from the burden of caregiving in older spousal caregivers.

机构信息

Department of Geriatrics, CHU Université catholique de Louvain, Namur, Belgium; Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.

Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium; Departments of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.

出版信息

Arch Gerontol Geriatr. 2018 Mar-Apr;75:76-82. doi: 10.1016/j.archger.2017.11.013. Epub 2017 Nov 24.

DOI:10.1016/j.archger.2017.11.013

PMID:29197259

Abstract

OBJECTIVES

Caregiving is often associated with burden and chronic stress. Sense of coherence (SOC) may help the caregivers in coping with their stress and was identified as a positive factor for health outcomes and quality of life. We aimed to study the links between SOC, burden, depression and positive affects among caregivers of frail older patients.

METHODS

Seventy-nine spousal caregivers were recruited via the geriatric outpatient clinic.

DATA COLLECTED

Zarit Burden Inventory, SOC-13, Geriatric Depression Scale, Caregiver Reaction Assessment (CRA), sleep, time of supervision, Katz Index, Global Deterioration Scale and Neuropsychiatric Inventory.

ANALYSES

Caregiver's characteristics were analyzed by burden severity and SOC level. Multivariable logistic regressions were used in order to identify the variable that best predict caregiver burden and high SOC.

RESULTS

The mean age was 79.4±5.3; 53% were women. Among care-recipient, 82% had cognitive impairment and the median Katz Index was 3. Caregivers with a high SOC and an older age reported a lower burden (Odds Ratio (OR) 0.18, 95% confidence interval (CI) 0.04-0.65 and OR 0.87, 95% CI 0.76-0.98, respectively). A higher burden was associated with patient functional limitations (OR 8.69, 95% CI 2.28-40.46).

DISCUSSION

Having a high sense of coherence seems to be a protective factor against the burden. To support caregivers, health providers should recognize the expertise of the caregivers and the meaningfulness of this care situation.

摘要

目的

照顾者常常承受着负担和慢性压力。心理一致感（SOC）可以帮助照顾者应对压力，被认为是健康结果和生活质量的积极因素。我们旨在研究 SOC、负担、抑郁和照顾者对体弱老年患者的积极影响之间的联系。

方法

通过老年门诊诊所招募了 79 名配偶照顾者。

数据收集

Zarit 负担量表、SOC-13、老年抑郁量表、照顾者反应评估量表（CRA）、睡眠、监督时间、Katz 指数、全面衰退量表和神经精神疾病问卷。

分析

根据负担严重程度和 SOC 水平分析照顾者的特征。使用多变量逻辑回归来确定最能预测照顾者负担和高 SOC 的变量。

结果

平均年龄为 79.4±5.3；53%为女性。在照顾对象中，82%有认知障碍，Katz 指数中位数为 3。SOC 高和年龄较大的照顾者报告的负担较低（优势比（OR）0.18，95%置信区间（CI）0.04-0.65 和 OR 0.87，95%CI 0.76-0.98）。更高的负担与患者的功能障碍有关（OR 8.69，95%CI 2.28-40.46）。