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痴呆患者家庭照顾者的照顾负担和医疗保健利用:公共家庭照顾者干预的长期影响。

Caregiving burden and healthcare utilization in family caregivers of people with dementia: Long term impact of the public family caregiver intervention.

机构信息

College of Nursing, Chungnam National University, Daejeon, South Korea.

College of Nursing, Chungnam National University, Daejeon, South Korea.

出版信息

Geriatr Nurs. 2023 May-Jun;51:408-414. doi: 10.1016/j.gerinurse.2023.04.005. Epub 2023 May 3.

Abstract

Despite community-based interventions to decrease the caregiving burden on family caregivers of people with dementia (PwD), long-term assessment of community-based public programs is lacking. Therefore, the study aims to identify the long-term effects of community-based dementia caregiver intervention on the caregiving burden and healthcare utilization among family caregivers for PwD. Additionally, we investigated the predictors of caregiving burden and healthcare utilization. Of the participants, 32 (76%) intervention and 15 (38%) control groups responded to the one-year follow-up. We assessed caregiver burden using the short-form Zarit Burden Interview (sZBI) and collected healthcare utilization data using questionnaire at baseline and 12 months. Compared with the control group, the intervention group did not experience a reduction in caregiving burden and healthcare utilization. Predictors of caregivers' perceived burden were spouses as the primary caregiver and having multiple comorbidities. The predictors identified in this study should be considered when implementing public family support programs.

摘要

尽管已经有针对减少痴呆症患者(PwD)家庭照顾者照顾负担的基于社区的干预措施,但缺乏对基于社区的公共项目的长期评估。因此,本研究旨在确定基于社区的痴呆症照顾者干预对 PwD 家庭照顾者的照顾负担和医疗保健利用的长期影响。此外,我们还调查了照顾负担和医疗保健利用的预测因素。在参与研究的 32 名(76%)干预组和 15 名(38%)对照组中,有 32 名(76%)和 15 名(38%)在一年后进行了随访。我们使用简化 Zarit 负担量表(sZBI)评估照顾者的负担,并在基线和 12 个月时使用问卷收集医疗保健利用数据。与对照组相比,干预组的照顾负担和医疗保健利用并没有减少。照顾者感知负担的预测因素为配偶作为主要照顾者和存在多种合并症。在实施公共家庭支持计划时,应考虑本研究确定的这些预测因素。

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