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日本针对社区居住的长期护理老年人家庭照顾者的自我量化计划中的参与因素。

Participation factors in a self-quantification program for family caregivers of community-dwelling older adults with long-term care in Japan.

作者信息

Wakui Tomoko, Fujihara Satoko, Moriyama Yoko, Nakagawa Takeshi, Okubo Suguru, Obuchi Shuichi, Awata Shuichi, Kai Ichiro

机构信息

Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo, 173-0015, Japan.

Research & Development Center for Health Services of University of Tsukuba, 1-1-1 Tenno- dai, Tsukuba, 305-8575, Ibaraki, Japan.

出版信息

BMC Res Notes. 2024 Dec 26;17(1):388. doi: 10.1186/s13104-024-07024-y.

Abstract

OBJECTIVE

This study aimed to examine the characteristics of participation in the self-quantification program for family caregivers (CGs) who provide long-term care to community-dwelling older adults. The family CGs, allocated based on the percentage of the nation's older population who needed care and met the inclusion criteria, who provided caregiving at least once a week for those aged 65 + and who were certified as needing care under the Japanese long-term care insurance program, were collected through online monitors. We compared the characteristics of the program participants and nonparticipants using logistic regression.

RESULTS

A total of 2653 family CGs, including 195 study participants who engaged in self-quantification over 60 days and 2,458 nonparticipants who did not engage in self-quantification, were included in the analysis, with complete data available for all variables of interest. The survey included program participants who were predominantly male (55.9%), with an average age of 54.8 years (SD = 10.2). Participants tended to be fully employed (OR = 1.8; p < 0.01), but they were likely to experience greater burdens (OR = 1.8; p < 0.01) and daily caregiving demands (OR = 1.01; p < 0.01). This research highlights the potential efficacy of self-quantification programs for extensively burdened family CGs, illustrating that the requisites for support vary in accordance with the distinct characteristics of these CGs.

摘要

目的

本研究旨在调查参与为社区居住的老年人提供长期护理的家庭照顾者(CG)自我量化计划的特征。通过在线监测收集家庭照顾者,这些照顾者是根据全国需要护理且符合纳入标准的老年人口比例分配的,他们每周至少为65岁及以上的老年人提供一次护理,并根据日本长期护理保险计划被认证为需要护理。我们使用逻辑回归比较了计划参与者和非参与者的特征。

结果

共有2653名家庭照顾者纳入分析,其中包括195名在60天内进行自我量化的研究参与者和2458名未进行自我量化的非参与者,所有感兴趣的变量均有完整数据。调查对象主要为男性(55.9%),平均年龄54.8岁(标准差=10.2)。参与者往往是全职工作(比值比=1.8;p<0.01),但他们可能承受更大的负担(比值比=1.8;p<0.01)和日常护理需求(比值比=1.01;p<0.01)。本研究强调了自我量化计划对负担过重的家庭照顾者的潜在效果,表明支持需求因这些照顾者的不同特征而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92d5/11670400/10cc6b6a983a/13104_2024_7024_Fig1_HTML.jpg

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