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照顾新手住院患者的家庭照护者的负担和焦虑。

Burden and Anxiety in Family Caregivers in the Hospital That Debut in Caregiving.

机构信息

University Hospital "Dr. Sagaz", Jaén, 23071 Jaén, Spain.

Department of Nursing, School of Health Sciences, University of Jaén, 23071 Jaén, Spain.

出版信息

Int J Environ Res Public Health. 2019 Oct 18;16(20):3977. doi: 10.3390/ijerph16203977.

Abstract

This cross-sectional study aims to determine the level of subjective burden and anxiety of caregivers of dependent older relatives that start providing care in the hospital and to analyse the relationship between objective burden, subjective burden and anxiety in these caregivers. Seventy-two caregivers of dependent older relatives were recruited in a medium-long stay hospital. Sociodemographic variables, number of basic activities of daily living (ADLs) attended, hours of surveillance, burden, and anxiety were collected from caregivers. A trajectory analysis was used to analyse the relationship between variables. Of the caregivers, 36.1% had subjective burden and 14.9% had anxiety. Subjective burden was positively associated with the number of basic ADLs attended, the hours of surveillance, and the cognitive impairment of the care recipient. Anxiety was also positively associated with subjective burden. Subjective burden mediated the effects of the number of basic ADLs attended, hours of surveillance and the cognitive impairment of the care recipient on anxiety. The levels of subjective burden and anxiety in caregivers debuting in hospital care are elevated, showing the need for these caregivers to be cared for. Subjective burden is a possible risk factor for anxiety, independent of the objective burden; it may buffer the effects of objective burden on anxiety.

摘要

本横断面研究旨在确定开始在医院提供护理的依赖老年亲属的照顾者的主观负担和焦虑水平,并分析这些照顾者的客观负担、主观负担和焦虑之间的关系。在一家中短期住院医院招募了 72 名依赖老年亲属的照顾者。从照顾者那里收集了社会人口统计学变量、参加的基本日常生活活动 (ADL) 数量、监视时间、负担和焦虑。使用轨迹分析来分析变量之间的关系。在这些照顾者中,有 36.1%有主观负担,14.9%有焦虑。主观负担与参加的基本 ADL 数量、监视时间以及照顾对象的认知障碍呈正相关。焦虑也与主观负担呈正相关。主观负担介导了参加的基本 ADL 数量、监视时间以及照顾对象的认知障碍对焦虑的影响。开始在医院护理的照顾者的主观负担和焦虑水平较高,表明需要照顾这些照顾者。主观负担是焦虑的一个可能的危险因素,独立于客观负担;它可能缓冲客观负担对焦虑的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7969/6843602/67bd1833b29d/ijerph-16-03977-g001.jpg

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