Communication Sciences and Disorders, Adelphi University, One South Avenue, HWC 202A, Garden City, NY 11530, United States.
Communication Disorders and Sciences, University of Oregon, Eugene, OR, United States.
Geriatr Nurs. 2020 Mar-Apr;41(2):81-88. doi: 10.1016/j.gerinurse.2019.06.008. Epub 2019 Jul 8.
Informal caregivers can experience high levels of burden, negatively impacting both the caregiver and care recipient. The presence of dysphagia (swallowing impairments) in care recipients is suggested to contribute to increased caregiver burden. The purpose of this study was to describe the type and severity of caregiver burden experienced by adults caring for community-dwelling older parents reporting symptoms of dysphagia. Using surveys from the National Health and Aging Trends Study and the National Study of Caregiving, data from 895 adults providing care for an aging parent were analyzed. Binary logistic regression analyses revealed that swallowing difficulties reported by a parent is a significant independent predictor of increased physical and emotional burden in their caregivers. Forty percent or more of these caregivers reported moderate to severe physical and/or emotional burden. Suggestions are provided to identify dysphagia early on and to provide supports for caregivers.
非专业照护者可能会承受较高水平的负担，这对照护者和被照护者都会产生负面影响。有研究表明，被照护者存在吞咽障碍（吞咽功能受损）会增加照护者的负担。本研究旨在描述报告存在吞咽障碍症状的社区居住的老年父母的成年照护者所经历的照护负担的类型和严重程度。该研究使用了来自国家健康老龄化趋势研究和国家照护研究的调查数据，对 895 名为老年父母提供照护的成年人进行了数据分析。二元逻辑回归分析表明，父母报告的吞咽困难是其照护者身体和情绪负担增加的一个显著独立预测因素。超过 40%的这些照护者报告了中等到严重程度的身体和/或情绪负担。本研究提出了一些建议，以帮助早期识别吞咽障碍，并为照护者提供支持。
