Pavarini Sofia Cristina Iost, Bregola Allan Gustavo, Luchesi Bruna Moretti, de Oliveira Nathália Alves, Ottaviani Ana Carolina
Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil.
Universidade Federal de São Carlos, Programa de Graduação em Enfermagem, São Carlos SP, Brazil.
Dement Neuropsychol. 2023 Apr 14;17:e20220030. doi: 10.1590/1980-5764-DN-2022-0030. eCollection 2023.
The task of caring can negatively affect the physical and mental health; therefore, it is important to understand which factors are associated with burden in older caregivers of older adults.
This study aimed to explore sociodemographic, clinical, and psychosocial factors associated with burden in older caregivers of older adults.
This is a cross-sectional study developed with 349 older caregivers who were registered at a Family Health Unit of a city in the state of São Paulo, Brazil. Household interviews were conducted and data were collected on the sociodemographic (profile, family income), clinical (self-reported pain, sleep, frailty), and psychosocial (burden, family functioning, depressive symptoms, stress) characteristics of the caregivers as well as dependence on activities of daily living and cognition in the care recipients.
Women predominated in the sample (76.5%) and mean age was 69.5 years. The mean burden score was 18.06 points, with 47.9% above the cutoff of 16 points, denoting excessive burden. The bivariate model revealed associations between burden and financial insufficiency, family dysfunction, difficulty sleeping, pain, perceived stress, depressive symptoms, frailty, and multimorbidity among the caregivers as well as worse functional and cognitive performance in the care recipients. The controlled model revealed an association between burden and depressive symptoms (β=16.75; 95%CI 1.80-31.68).
We identified an association between burden and depressive symptoms, underscoring the need for the planning and implementation of specific actions directed at caregivers in order to minimize the impact on health and to improve the quality of life.
照料任务会对身心健康产生负面影响；因此，了解哪些因素与老年照料者的负担相关很重要。
本研究旨在探讨与老年照料者负担相关的社会人口学、临床和心理社会因素。
这是一项横断面研究，研究对象为349名在巴西圣保罗州一个城市的家庭健康单位登记的老年照料者。进行了家庭访谈，并收集了照料者的社会人口学特征（概况、家庭收入）、临床特征（自我报告的疼痛、睡眠、虚弱）和心理社会特征（负担、家庭功能、抑郁症状、压力）以及受照料者日常生活活动依赖性和认知情况的数据。
样本中女性占多数（76.5%），平均年龄为69.5岁。平均负担得分为18.06分，47.9%高于16分的临界值，表明负担过重。双变量模型显示，照料者的负担与经济不足、家庭功能障碍、睡眠困难、疼痛、感知压力、抑郁症状、虚弱和多种疾病并存有关，以及受照料者的功能和认知表现较差。控制模型显示负担与抑郁症状之间存在关联（β=16.75；95%CI 1.80 - 31.68）。
我们发现负担与抑郁症状之间存在关联，强调需要针对照料者规划和实施具体行动，以尽量减少对健康的影响并提高生活质量。
