Hernández Gómez Mercedes A, Fernández Domínguez Mª José, Blanco Ramos Manuel A, Alves Pérez María Teresa, Fernández Domínguez Mª Jesús, Souto Ramos Ana I, González Iglesias Mª Pilar, Clavería Fontán Ana
Centro de Salud Novoa Santos. EOXI Ourense, Verín e O Barco de Valdeorras. Ourense. España.
Instituto de Investigación Sanitaria Galicia Sur-IISGS. EOXI Vigo. Pontevedra. España.
Rev Esp Salud Publica. 2019 Aug 6;93:e201908038.
Informal care affects the quality of life and emotional health. Objective: To analyze the relationship between burden and depression in caregivers measured by Zarit's Scale and GHQ-28 and the global functional deterioration of the elderly measured by OARS-MFAQ.
Descriptive observational cross-sectional study in Primary Health Care at Ourense city. 104 people (>65 years old) and their caregivers were interviewed. Descriptive analysis and logistic regression were used to analyze the characteristics that increase the probability to suffer burden and depression.
82.7% of caregivers were women with an average age of 63.64 years (95% CI: 61.05-66.23) and 10.3% were over 80 years old. 32.2% had an overload, associated with taking care of younger people (p=0.043), being a couple of an elder (p=0.003) being older (p=0.031) and the risk of depression which were all found as factors associated with burden, measured by GHQ (p<0.001). Having good perception of the vision (p=0.038), rejecting the use of a cane (p=0.002) or wheelchair (p=0.015) were also associated with factors contributing to burden.
Informal caregivers are women around their sixties, and although they do not feel overburdened for caring, they have depression, more likely the more severe the burden is, and it is related with the perception of economic deficiencies for the caring.
非正式照护会影响生活质量和情绪健康。目的:分析通过 Zarit 量表和 GHQ - 28 测量的照护者负担与抑郁之间的关系,以及通过 OARS - MFAQ 测量的老年人整体功能衰退之间的关系。
在奥伦塞市初级卫生保健机构进行描述性观察性横断面研究。对 104 名 65 岁以上的老年人及其照护者进行了访谈。采用描述性分析和逻辑回归分析增加负担和抑郁可能性的特征。
82.7%的照护者为女性,平均年龄 63.64 岁(95%置信区间:61.05 - 66.23),10.3%的照护者年龄超过 80 岁。32.2%的照护者负担过重,这与照顾较年轻的人(p = 0.043)、是老年人的配偶(p = 0.003)、年龄较大(p = 0.031)以及抑郁风险相关,所有这些都被发现是与 GHQ 测量的负担相关的因素(p < 0.001)。对视功能有良好感知(p = 0.038)、拒绝使用拐杖(p = 0.002)或轮椅(p = 0.015)也与导致负担的因素相关。
非正式照护者多为六十岁左右的女性,尽管她们不因照护而感到负担过重,但存在抑郁情绪,负担越重越可能出现抑郁,且这与对照护经济不足的感知有关。