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马来西亚家庭照顾者照顾有功能缺陷的老年人的负担及相关因素

The Caregiving Burden of Older People with Functional Deficits and Associated Factors on Malaysian Family Caregivers.

作者信息

Abdul Wahab Patimah, Abdul Talib Nurul Afiah, Nik Mohd Hatta Nik Noor Kaussar, Saidi Sanisah, Mulud Zamzaliza Abdul, Abdul Wahab Muhammad Nubli, Pairoh Hasanah

机构信息

Department of Medical Surgical Nursing, Kulliyyah of Nursing, International Islamic University Malaysia Kuantan Campus, Pahang, Malaysia.

Department of Operation Theatre, Gleneagles Hospital Medini, Johor, Malaysia.

出版信息

Malays J Med Sci. 2024 Feb;31(1):161-171. doi: 10.21315/mjms2024.31.1.14. Epub 2024 Feb 28.

Abstract

BACKGROUND

Providing care to older people can be an extremely complex task, given their increased functional deficits, which may lead to family caregivers experiencing burnout and a deteriorated health status. This study investigated the caregiving burden of older people with functional deficits on family caregivers and associated factors.

METHODS

This cross-sectional study was conducted on family caregivers of older people with functional deficits living in FELDA schemes in Pahang, Malaysia. A self-administered questionnaire was used to collect data, which included the sociodemographical profile, health status and caregiving demands factors. The caregiving burden was assessed using the Malay version of the Zarit Burden Interview (ZBI). Multiple linear regression was used to assess the factors associated with burden.

RESULTS

A total of 271 family caregivers completed the questionnaire. Their mean age was 45.8 (SD 0.9) years old. The mean score for caregiving burden was 18.5 (SD 13.6). Caregivers' gender (3.5 [95% CI: 0.2, 6.8]; 0.037), older people with chronic disease (9.6 [95% CI: 2.4, 16.9]; 0.010) and the functional independence of older people (-1.1 [95% CI: -1.6, -0.6]; 0.001) were predictors of family caregiving burden.

CONCLUSION

The caregiving burden among family caregivers was mild and influenced mainly by care recipients' health status. A proper assessment should be conducted and relevant health education provided to prepare family caregivers to care for their family members before discharge from the hospital.

摘要

背景

鉴于老年人功能缺陷增多,为他们提供护理可能是一项极其复杂的任务,这可能导致家庭护理人员出现倦怠和健康状况恶化。本研究调查了有功能缺陷的老年人给家庭护理人员带来的护理负担及相关因素。

方法

本横断面研究针对马来西亚彭亨州联邦土地发展局(FELDA)计划中生活的有功能缺陷老年人的家庭护理人员开展。使用自填式问卷收集数据,包括社会人口学特征、健康状况和护理需求因素。使用马来语版的 Zarit 负担访谈量表(ZBI)评估护理负担。采用多元线性回归评估与负担相关的因素。

结果

共有271名家庭护理人员完成问卷。他们的平均年龄为45.8(标准差0.9)岁。护理负担的平均得分为18.5(标准差13.6)。护理人员的性别(3.5 [95%置信区间:0.2,6.8];P = 0.037)、患有慢性病的老年人(9.6 [95%置信区间:2.4,16.9];P = 0.010)以及老年人的功能独立性(-1.1 [95%置信区间:-1.6,-0.6];P = 0.001)是家庭护理负担的预测因素。

结论

家庭护理人员的护理负担较轻,主要受护理对象健康状况的影响。应进行适当评估并提供相关健康教育,以便让家庭护理人员在患者出院前做好照顾家人的准备。

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