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创伤性脑损伤后服务成员/退伍军人照顾者感知负担的相关因素。

Factors related to perceived burden among caregivers of service members/veterans following TBI.

机构信息

Defense and Veterans Brain Injury Center, Walter Reed National Military Medical Center.

出版信息

Rehabil Psychol. 2019 Aug;64(3):307-319. doi: 10.1037/rep0000272. Epub 2019 Mar 21.

Abstract

PURPOSE/OBJECTIVE: To examine factors related to perceived caregiving burden in a sample of caregivers assisting service members and veterans (SMVs) across four areas: SMV injury and health status; caregiver life circumstances; caregiver duty and responsibilities; and caregiver needs. Research Method/Design: Participants were 214 caregivers (95.8% female; 86.0% spouse/partner; Age: M = 38.6 years [SD = 10.4]) of SMVs who sustained a mild, moderate, severe, or penetrating traumatic brain injury (TBI). Caregivers were recruited from Walter Reed National Military Medical Center and via community outreach. Participants completed the Caregiver Appraisal Scale, Mayo-Portland Adaptability Inventory-4, and Caregiver Questionnaire. The sample was divided into 2 Caregiver Burden groups: High (n = 138) and Low Burden (n = 76).

RESULTS

Factors significantly related to higher levels of perceived burden were (a) experiencing a greater caregiving time commitment now and over time, (b) caring for activities of daily living/instrumental activities of daily living, (c) experiencing an impact of caregiving on employment, income, and out of pocket expenses, (d) parenting more than 1 child, (e) having less time to devote to one's self now and over time, (f) having caregiver needs, and/or (g) assisting a SMV who had incurred a mild TBI; was experiencing greater functional disability; had a posttraumatic stress disorder (PTSD) diagnosis; received mental health and rehabilitation treatment; and/or used an assistive device (all p < .05; odds ratios [ORs] = 1.13 to 14.57; ds = .02 to 1.30).

CONCLUSIONS/IMPLICATIONS: Providing care for a SMV after a TBI can impose a heavy burden, particularly for caregivers who provide support to SMVs with comorbid mental health problems, such as PTSD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

目的/目标:在一个样本中检查与照顾者的感知照顾负担相关的因素,该样本包括四个方面的服务成员和退伍军人(SMV)的照顾者:SMV 的伤害和健康状况;照顾者的生活情况;照顾者的责任和义务;以及照顾者的需求。研究方法/设计:参与者为 214 名照顾者(95.8%为女性;86.0%为配偶/伴侣;年龄:M = 38.6 岁[SD = 10.4]),他们照顾的 SMV 患有轻度、中度、重度或穿透性脑外伤(TBI)。照顾者是从沃尔特·里德国家军事医疗中心招募的,也通过社区外展招募。参与者完成了照顾者评估量表、梅奥-波特兰适应量表-4 和照顾者问卷。该样本分为 2 个照顾者负担组:高(n = 138)和低负担(n = 76)。

结果

与更高水平的感知负担显著相关的因素是:(a)现在和将来的照顾时间承诺增加,(b)照顾日常生活活动/工具性日常生活活动,(c)照顾对就业、收入和自付费用的影响,(d)抚养超过 1 个孩子,(e)现在和将来用于自己的时间减少,(f)有照顾者的需求,和/或(g)照顾一个遭受轻度 TBI 的 SMV;经历更大的功能障碍;患有创伤后应激障碍(PTSD)诊断;接受心理健康和康复治疗;和/或使用辅助设备(所有 p <.05;优势比[ORs] = 1.13 至 14.57;ds =.02 至 1.30)。

结论/意义:为 TBI 后的 SMV 提供照顾可能会带来沉重的负担,特别是对于为患有 PTSD 等合并精神健康问题的 SMV 提供支持的照顾者而言。(APA,2019 年,所有权利保留)。

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