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中风家庭护理中的老年人虐待问题

Elder Mistreatment Within Stroke Family Caregiving.

作者信息

Katigbak Carina, Browning Wesley R, Savitz Sean, Pickering Carolyn E Z

机构信息

Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, USA.

Institute for Stroke and Cerebrovascular Diseases, University of Texas Health Science Center at Houston, Houston, TX, USA.

出版信息

J Appl Gerontol. 2025 Mar;44(3):458-462. doi: 10.1177/07334648241277042. Epub 2024 Sep 11.

Abstract

This secondary data analysis sought to identify characteristics associated with mistreatment among chronic stroke survivors who transition to dementia. We examined baseline data from a multi-time series survey study ( = 453; ) on caregiving experiences influencing dementia family caregivers' abusive or neglectful behaviors. Inferential statistical analysis indicated that baseline mistreatment rates were similar across stroke and non-stroke subgroups, though this finding was not significant. Caregiver depression was significantly associated with mistreatment. Multi-morbidity, prescription medication use, and limited mobility were more common among stroke survivors. Stroke-related complications may impose a greater burden of care upon family caregivers whose care recipients also have dementia. Determining timepoints of heightened mistreatment risk for stroke survivors may significantly impact long-term trajectories of stroke management to screen and identify those who may benefit from added support and intervention.

摘要

这项二次数据分析旨在确定向痴呆症转变的慢性中风幸存者中与虐待相关的特征。我们检查了一项关于影响痴呆症家庭护理人员虐待或忽视行为的护理经历的多时间序列调查研究(n = 453)的基线数据。推断性统计分析表明,中风和非中风亚组的基线虐待率相似,尽管这一发现并不显著。护理人员的抑郁与虐待显著相关。多种疾病、使用处方药和行动不便在中风幸存者中更为常见。与中风相关的并发症可能会给护理对象也患有痴呆症的家庭护理人员带来更大的护理负担。确定中风幸存者虐待风险增加的时间点可能会显著影响中风管理的长期轨迹,以筛查和识别那些可能从额外支持和干预中受益的人。

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