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老年人非正式照料者的负担、照料满意度及家庭关系

Burden, satisfaction caregiving, and family relations in informal caregivers of older adults.

作者信息

Marinho Jéssica da Silva, Batista Ilaise Brilhante, Nobre Rute Alessandra da Silva, Guimarães Maria Sortênia Alves, Dos Santos-Orlandi Ariene Angelini, Brito Tábatta Renata Pereira, Pagotto Valéria, Saidel Maria Giovana Borges, Fusco Suzimar de Fátima Benato, Maia Flavia de Oliveira Motta, Corona Ligiana Pires, Nunes Daniella Pires

机构信息

Postgraduate Science and Health Teaching Program, Federal University of Tocantins, Palmas, Tocantins, Brazil.

Graduate Program in Nursing, University of Campinas, São Paulo, Brazil.

出版信息

Front Med (Lausanne). 2022 Dec 22;9:1059467. doi: 10.3389/fmed.2022.1059467. eCollection 2022.

Abstract

INTRODUCTION

Family caregivers of older persons devote much of their time and energy to caring for another person. This exposure may burden caregivers and compromise their health and quality of life.

OBJECTIVE

To investigate the relationship between burden, sociodemographic, caregiving, and health characteristics of informal caregivers of dependent older adults.

METHODS

Cross-sectional and analytical study carried out in Palmas, Tocantins, Brazil, with 52 informal caregivers of older persons who need full-time help for basic living activities. Caregivers' burden was assessed by Zarit Burden Interview (ZBI). Data were analyzed using a -test, Pearson's correlation, and Multiple Linear Regression.

RESULTS

The ZBI mean score of caregivers was 26.3 points (SD = 14.6; min = 0; max = 68). Burden scores were higher among caregivers who did not receive help from other people in care ( = 0.016), reported family dysfunction ( = 0.001), and had depression symptoms ( = 0.007). A correlation was found between the scores of burdens and satisfaction with care ( = 0.76; < 0.001) and perceived material support ( = -0.30; = 0.40). Satisfaction with care (β: 0.61; < 0.001) and family dysfunction (β: 8.07; = 0.033) were significantly associated with the burden score.

CONCLUSION

Caregivers with dysfunctional families and satisfaction with the care presented the highest-burden scores. The findings reveal the need for strategies to facilitate mediation and reduce caregiver burden by strengthening the family network support or providing professional assistance.

摘要

引言

老年人的家庭照顾者将大量时间和精力投入到照顾他人身上。这种情况可能给照顾者带来负担,并损害他们的健康和生活质量。

目的

调查依赖他人生活的老年人的非正式照顾者的负担、社会人口统计学特征、照顾情况及健康特征之间的关系。

方法

在巴西托坎廷斯州帕尔马斯市进行了一项横断面分析研究,研究对象为52名需要全职帮助进行基本生活活动的老年人的非正式照顾者。采用 Zarit 负担访谈量表(ZBI)评估照顾者的负担。数据采用 t 检验、Pearson 相关性分析和多元线性回归进行分析。

结果

照顾者的 ZBI 平均得分为26.3分(标准差 = 14.6;最小值 = 0;最大值 = 68)。在没有得到其他人照顾帮助的照顾者中(P = 0.016)、报告有家庭功能障碍的照顾者中(P = 0.001)以及有抑郁症状的照顾者中(P = 0.007),负担得分更高。发现负担得分与对照顾的满意度(r = 0.76;P < 0.001)和感知到的物质支持(r = -0.30;P = 0.40)之间存在相关性。对照顾的满意度(β:0.61;P < 0.001)和家庭功能障碍(β:8.07;P = 0.033)与负担得分显著相关。

结论

家庭功能失调且对照顾满意的照顾者负担得分最高。研究结果表明需要采取策略,通过加强家庭网络支持或提供专业援助来促进调解并减轻照顾者负担。

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