Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins School of Nursing, Baltimore, MD, USA.
J Appl Gerontol. 2022 Apr;41(4):1074-1080. doi: 10.1177/07334648211014352. Epub 2021 May 27.
The purpose of this study is to identify whether dementia caregiving is associated with physical difficulty among informal caregivers.
This cross-sectional retrospective cohort study design used data from the 2015 National Health and Aging Trends Study and the National Study of Caregiving. Binary logistic regression was used to examine the association between substantial physical difficulty and dementia caregiving among 1,871 caregivers.
Nearly 14% of the caregivers reported substantial physical difficulty. Dementia caregivers were 1.5 times more likely to report caregiving-related substantial physical difficulty (adjusted odds ratio [AOR] = 1.58, = .04) than non-dementia caregivers. Factors associated with substantial physical difficulty included caregiver gender, self-rated health, depressive symptoms, pain, and caring for someone receiving assistance with three or more self-care or mobility activities.
Future studies should identify strategies to mitigate the physical demands on dementia caregivers. Early monitoring of caregivers' self-rated health, depressive symptoms, and pain may identify those more likely to experience physical difficulty.
本研究旨在确定痴呆症护理是否与非正规护理人员的身体困难有关。
本横断面回顾性队列研究设计使用了 2015 年国家健康老龄化趋势研究和国家护理研究的数据。二元逻辑回归用于检查 1871 名护理人员中大量身体困难与痴呆症护理之间的关联。
近 14%的护理人员报告存在大量身体困难。痴呆症护理人员报告与护理相关的大量身体困难的可能性是没有痴呆症护理人员的 1.5 倍（调整后的优势比 [AOR] = 1.58，.04）。与大量身体困难相关的因素包括照顾者的性别、自我评估的健康状况、抑郁症状、疼痛以及照顾接受三项或更多自我护理或活动能力的人。
未来的研究应确定减轻痴呆症护理人员身体需求的策略。早期监测护理人员的自我评估健康状况、抑郁症状和疼痛可能会识别出那些更容易出现身体困难的人。
