暴力侵害患有慢性病的老年患者照护者与照护者负担和抑郁有关：一项横断面研究。
Violence against caregivers of older adults with chronic diseases is associated with caregiver burden and depression: a cross-sectional study.
机构信息
Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Inthawarorot Rd., Sriphum, Muang, Chiang Mai, 50200, Thailand.
Global Health and Chronic Conditions Research Group, Chiang Mai University, Chiang Mai, Thailand.
出版信息
BMC Geriatr. 2022 Mar 30;22(1):264. doi: 10.1186/s12877-022-02950-7.
BACKGROUND
Caregivers play a vital role in caring for the aging population, however the occurrence of violence against the caregiver is an increasing area of concern. This study aimed to investigate the prevalence of violence against the primary caregivers of community dwelling older adults with chronic diseases, and to determine the factors associated with violence and its association with caregiver outcomes.
METHODS
A cross-sectional study was conducted. HITS questionnaire, the 22-item Zarit Burden Interview and Patient Health Questionnaire-9 were used to assess violence against caregiver, caregiver burden and depression, respectively.
RESULTS
Out of 123 caregivers of older adults, the overall prevalence of violence was 28.46%. Independent variables which could be the protective factors for violence against caregiver included higher ADL, older age of caregiver, and being a relative. The patient characteristic that is a potential risk factor for violence against caregiver was having cancer as a principal diagnosis. Statistically significant associations were found between violence and caregiver burden (aOR 4.94, p 0.004) and depression (aOR 7.03, p 0.006).
CONCLUSION
Violence against caregivers of older adults is not uncommon. Experiencing violence was found to be associated with caregiver outcomes including depression and caregiver burden. Therefore, this important issue must not be ignored.
背景
护理人员在照顾老年人口方面发挥着至关重要的作用，然而，针对护理人员的暴力行为日益受到关注。本研究旨在调查社区居住的慢性病老年患者主要护理人员遭受暴力的发生率，并确定与暴力相关的因素及其与护理人员结局的关系。
方法
采用横断面研究。使用 HITS 问卷、22 项 Zarit 负担量表和患者健康问卷-9 分别评估针对护理人员的暴力、护理人员负担和抑郁情况。
结果
在 123 名老年患者的护理人员中，总体暴力发生率为 28.46%。针对护理人员暴力的独立保护因素包括较高的日常生活活动能力、护理人员年龄较大和亲属关系。潜在的与针对护理人员暴力相关的患者特征是癌症作为主要诊断。暴力与护理人员负担（优势比 4.94，p=0.004）和抑郁（优势比 7.03，p=0.006）之间存在统计学显著关联。
结论
针对老年患者护理人员的暴力行为并不少见。遭受暴力与护理人员的结局（包括抑郁和护理人员负担）有关。因此，这个重要问题不容忽视。
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