J Gerontol Nurs. 2023 Apr;49(4):39-46. doi: 10.3928/00989134-20230310-01. Epub 2023 Apr 1.
The objective of the current descriptive, cross-sectional, and relationship-seeking study was to evaluate the severity of urinary incontinence (UI) in older adults and its impact on care burden of their family caregivers. This study was performed prospectively with 80 older adults (aged ≥65 years) with UI and their family caregivers who attended a urology clinic between June and December 2021. UI was assessed using the International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF), and caregiver burden using the Zarit Burden Interview (ZBI). Increase in care time was associated with higher burden of care ( = 0.018). Post-hoc analyses suggested that caregivers' burden of care gradually increased up to the first 9 months. Daily care time >9 hours had a higher burden compared to care times <9 hours ( < 0.001). Mean ZBI score of caregivers was 41.47 ( = 10.18) and mean ICIQ-UI-SF score of older adults was 15.02 ( = 3.9). A significant correlation was observed between increased ICIQ-UI-SF scores of older adults and ZBI scores of caregivers ( = 0.354, = 0.001). Caring for older adults with UI is associated with a significant burden of care and an increase in severity of UI is associated with increased burden of care. Female sex, lower educational level, presence of comorbidities, increased care time, and daily care hours were factors associated with increased burden of care among caregivers. [(4), 39-46.].
本描述性、横断面和关系研究的目的是评估老年人尿失禁（UI）的严重程度及其对其家庭照顾者护理负担的影响。这项前瞻性研究纳入了 2021 年 6 月至 12 月期间在泌尿科诊所就诊的 80 名患有 UI 的老年患者（年龄≥65 岁）及其家庭照顾者。使用国际尿失禁咨询问卷短表（ICIQ-UI-SF）评估 UI，使用照顾者负担量表（ZBI）评估照顾者负担。照顾时间的增加与更高的照顾负担相关（ = 0.018）。事后分析表明，照顾者的照顾负担逐渐增加，直到前 9 个月。与照顾时间<9 小时相比，每天照顾时间>9 小时的照顾者负担更高（ < 0.001）。照顾者的平均 ZBI 得分为 41.47（ = 10.18），老年人的平均 ICIQ-UI-SF 得分为 15.02（ = 3.9）。老年人的 ICIQ-UI-SF 评分增加与照顾者的 ZBI 评分之间存在显著相关性（ = 0.354， = 0.001）。照顾患有 UI 的老年人与护理负担显著相关，而 UI 严重程度的增加与护理负担的增加相关。女性、较低的教育水平、合并症的存在、照顾时间的增加和每日照顾时间是照顾者负担增加的相关因素。
