Conrad I, Alltag S, Matschinger H, Kilian R, Riedel-Heller S G
Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Medizinische Fakultät, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Deutschland.
Abt. Psychiatrie II, Bezirkskrankenhaus Günzburg, Universität Ulm, Ulm, Deutschland.
Nervenarzt. 2018 May;89(5):500-508. doi: 10.1007/s00115-018-0510-8.
In Germany, informal caregiving becomes an increasingly important issue especially for people with dementia. Spouses often provide nursing care due to the limited daily living skills of people with dementia. This leads to a wide range of caregiver burden and decreased quality of life (QoL). Analyses on the relation between QoL and caregiver burden of older informal caregivers in Germany are rare.
The following research questions were assessed: (1) Does caregivers' QoL differ from that of the older general population?; (2) Which sociodemographic, health- and care-related characteristics affect caregivers' QoL?
For this study, two samples (aged 60 years and older) were recruited: informal caregivers (n = 119) and a representative sample of older non-caregivers in the general population (n = 1133). Linear regression analyses were applied to examine the effects of sociodemographic, health and care-related variables on the QoL of older informal caregivers of people with dementia.
Older informal caregivers reported a significantly lower QoL compared to older non-caregivers in the general population. Especially the domains autonomy, activities in the past, the present and the future as well as intimacy were negatively associated with caregivers' QoL.
The results of the study highlighted caregivers' need for assistance. Due to demographic changes, tailored support services should be based on older caregivers' needs.
在德国,非正式照护成为一个日益重要的问题,尤其是对于痴呆症患者而言。由于痴呆症患者日常生活技能有限,配偶常常提供护理服务。这导致了广泛的照护者负担,并降低了生活质量(QoL)。在德国,针对老年非正式照护者的生活质量与照护者负担之间关系的分析很少见。
评估以下研究问题:(1)照护者的生活质量与老年普通人群的生活质量是否不同?(2)哪些社会人口学、健康和照护相关特征会影响照护者的生活质量?
在本研究中,招募了两个样本(年龄在60岁及以上):非正式照护者(n = 119)和普通人群中年龄较大的非照护者代表性样本(n = 1133)。应用线性回归分析来检验社会人口学、健康和照护相关变量对老年痴呆症患者非正式照护者生活质量的影响。
与普通人群中的老年非照护者相比,老年非正式照护者报告的生活质量显著较低。特别是自主性、过去、现在和未来的活动以及亲密关系等领域与照护者的生活质量呈负相关。
该研究结果突出了照护者对援助的需求。由于人口结构变化,量身定制的支持服务应基于老年照护者的需求。