Nakayama Gen, Masumoto Shoichi, Haruta Junji, Maeno Tetsuhiro
Department of Primary Care and Medical Education, Faculty of Medicine University of Tsukuba Tsukuba Japan.
Department of Family Medicine, General Practice and Community Health, Faculty of Medicine University of Tsukuba Tsukuba Japan.
J Gen Fam Med. 2022 Dec 14;24(2):110-118. doi: 10.1002/jgf2.599. eCollection 2023 Mar.
For family caregivers, who are generally regarded as a vulnerable population, having regular checkups is a desirable health behavior. This study examined family caregivers' habit of having regular checkups prior to becoming involved with professionals who care for patients, and whether they had had recent checkups. We then examined the association between family caregivers' experience with professionals and their participation in checkups after adjusting for the past habit.
We conducted a cross sectional survey in Japan between November and December 2020. We recruited family caregivers who were aged 40-74 years and caring for community-dwelling adult patients. The outcome variable was whether family caregivers had undergone any health checkups since April 2019. We assessed family caregivers' experience using the Japanese version of the Caregivers' Experience Instrument (J-IEXPAC CAREGIVERS).
Of the 1091 recruited family caregivers, 629 were included in the analysis. Of these, 358 had previously undergone regular checkups, and 158 had no checkups or selected the option "unknown." Outcome rates in each group were 74.6% and 43.0%, respectively, and 62.0% for all 629 caregivers. Multivariate modified Poisson regression analysis revealed that among the J-IEXPAC CAREGIVERS scores, only the domain score for was significantly associated with family caregivers' participation in checkups (adjusted prevalence ratio per 1 SD increase = 1.07; 95% CI 1.01-1.14).
Among family caregivers' experience with professionals, the factor that focused on caregivers themselves was significantly associated with their participation in checkups. This finding underscores the significance of caregiver-focused care.
家庭照护者通常被视为弱势群体,进行定期体检是一种理想的健康行为。本研究调查了家庭照护者在与专业照护人员接触之前进行定期体检的习惯,以及他们最近是否进行了体检。然后,在调整过去的习惯后,我们研究了家庭照护者与专业人员的接触经历与其参与体检之间的关联。
2020年11月至12月,我们在日本进行了一项横断面调查。我们招募了年龄在40 - 74岁、照顾社区成年患者的家庭照护者。结果变量是家庭照护者自2019年4月以来是否进行过任何健康检查。我们使用日语版的照护者体验量表(J-IEXPAC CAREGIVERS)评估家庭照护者的体验。
在招募的1091名家庭照护者中,629名被纳入分析。其中,358名之前进行过定期体检,158名未进行体检或选择了“未知”选项。每组的体检率分别为74.6%和43.0%,629名照护者的总体体检率为62.0%。多变量修正泊松回归分析显示,在J-IEXPAC CAREGIVERS评分中,只有“ ”的领域得分与家庭照护者参与体检显著相关(每增加1个标准差的调整患病率比 = 1.07;95%置信区间1.01 - 1.14)。
在家庭照护者与专业人员的接触经历中,关注照护者自身的因素与他们参与体检显著相关。这一发现强调了以照护者为中心的照护的重要性。