University of Oregon, Eugene, USA.
Adelphi University, Garden City, NY, USA.
J Appl Gerontol. 2020 Feb;39(2):172-180. doi: 10.1177/0733464818821787. Epub 2019 Jan 9.
The aim of this study was to determine the type and extent of caregiver burden uniquely experienced by spousal caregivers of older adults with dysphagia. Using the Round 1 surveys from the National Health and Aging Trends Study and the National Study of Caregiving, we analyzed data on 422 community-dwelling older adults and their spousal caregivers. Approximately 17% of care recipients reported swallowing difficulties. Logistic regression analysis revealed that caregivers of spouses with dysphagia were significantly more likely to experience emotional burden, = .038; odds ratio (OR) = 2.06; 95% confidence interval (CI): [1.04, 4.09]. Of those spouses caring for partners with dysphagia who reported emotional burden, nearly 70% rated the burden moderate to severe. Dysphagia in community-dwelling older adults is associated with increased emotional burden among spousal caregivers. Given the intricate relationship between the health and well-being of both members of the caregiving dyad, these findings support the need for interventions that prioritize dyadic health.
本研究旨在确定配偶照顾者在照顾吞咽困难的老年人时所特有的照顾负担的类型和程度。我们使用国家健康老龄化趋势研究和国家照顾者研究的第一轮调查数据，分析了 422 名居住在社区的老年人及其配偶照顾者的数据。大约 17%的被照顾者报告有吞咽困难。逻辑回归分析显示，照顾有吞咽困难的配偶的照顾者更有可能经历情绪负担，p =.038；优势比（OR）=2.06；95%置信区间（CI）：[1.04，4.09]。在报告有情绪负担的照顾有吞咽困难的配偶的配偶中，近 70%的人认为负担为中度至重度。社区居住的老年人的吞咽困难与配偶照顾者的情绪负担增加有关。鉴于照顾者对照顾者对的健康和幸福之间的复杂关系，这些发现支持需要干预措施，以优先考虑对两者的健康。
