From the Johns Hopkins Wilmer Eye Institute, Baltimore, Maryland, USA; Johns Hopkins Disability Health Research Center, Johns Hopkins University, Baltimore, Maryland, USA.
University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Am J Ophthalmol. 2021 Jul;227:211-221. doi: 10.1016/j.ajo.2021.03.031. Epub 2021 Apr 5.
The purpose of this study was to examine caregiving relationships for older adults with vision impairment (VI).
Cross-sectional study with a nationally representative sample.
Setting: the National Health and Aging Trends Study linked to the National Study of Caregiving, Year 2011.
1,776 family or unpaid caregivers to community-dwelling Medicare beneficiaries age ≥65 years old.
in the preceding month, 1) the number of hours of care provided; 2) the valued activities affected by caregiving; and 3) the odds of experiencing substantial emotional, financial, and physical difficulty related to providing care.
VI was defined as a report of blindness or difficulty with distance or near vision.
Among 1,776 caregivers, 428 caregivers spent an average ± standard error (SE) of 111 ± 9.1 hours per month assisting older adults with VI, whereas 1,348 spent an average of 72 ± 3.3 hours assisting older adults without VI. In fully adjusted negative binomial regression analyses, caregivers of older adults with VI spent 36% more hours (incident rate ratio [IRR]: 1.36; 95% confidence interval [CI]: 1.15-1.60) providing care and reported having 61% more valued activities affected (IRR: 1.61; 95% CI: 1.23-2.10) than caregivers of older adults without VI. In fully adjusted logistic regression analyses, caregivers of older adults with VI had greater odds of emotional (odds ratio [OR]: 1.46; 95% CI: 1.04-2.03) but not financial (OR: 1.33; 95% CI: 0.87-2.03) or physical (OR: 1.13; 95% CI: 0.74-1.74) difficulty related to providing care than caregivers of older adults without VI.
These results suggest that caring for older adults with VI places different demands on time and emotional wellbeing than caring for older adults without VI, but no differences in financial or physical difficulties.
本研究旨在探讨视力障碍（VI）老年人的照料关系。
具有全国代表性样本的横断面研究。
背景：国家健康老龄化趋势研究与国家照料研究相关联，2011 年。
1776 名家庭或无薪照料者，照料社区居住的 Medicare 受益人的年龄≥65 岁。
在过去的一个月中，1）提供的护理时间；2）受照护影响的有价值活动；以及 3）提供护理相关的大量情感、经济和身体困难的可能性。
VI 定义为失明或视力障碍（远视或近视）的报告。
在 1776 名照料者中，428 名照料者平均（±标准误差[SE]）每月花费 111±9.1 小时协助视力障碍老年人，而 1348 名照料者平均花费 72±3.3 小时协助视力正常的老年人。在完全调整的负二项式回归分析中，视力障碍老年人的照料者花费 36%的时间（发病率比[IRR]：1.36；95%置信区间[CI]：1.15-1.60）提供护理，并报告有 61%的有价值活动受到影响（IRR：1.61；95%CI：1.23-2.10），与视力正常老年人的照料者相比。在完全调整的逻辑回归分析中，视力障碍老年人的照料者在情感方面的可能性更大（优势比[OR]：1.46；95%CI：1.04-2.03），而不是财务方面（OR：1.33；95%CI：0.87-2.03）或身体方面（OR：1.13；95%CI：0.74-1.74），与视力正常老年人的照料者相比，提供护理存在困难。
这些结果表明，照顾视力障碍老年人在时间和情感健康方面比照顾视力正常老年人提出不同的要求，但在财务或身体困难方面没有差异。
