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评估照料者负担:辅助设备的作用及辅助设备需求的确定

Assessing caregiver burden: the role of assistive devices and identification of assistive device needs.

作者信息

Hwang Yeji, Oh Eunmi, Moon SeolHwa, Chung Daum, Choi Rina, Hong Gwi-Ryung Son

机构信息

Seoul National University College of Nursing and Research Institute of Nursing Science, Seoul, Korea.

Hanyang University Research Institute of Nursing Science, Seoul, Korea.

出版信息

Disabil Rehabil Assist Technol. 2025 Jul;20(5):1395-1402. doi: 10.1080/17483107.2025.2449998. Epub 2025 Jan 9.

Abstract

PURPOSE

There is insufficient information on whether the use of assistive devices is associated with a lower burden on caregivers of individuals with disabilities. This study was conducted (1) to examine how care recipient-level factors, caregiver-level factors, and the use of assistive devices were associated with caregiver burden, and (2) to investigate the assistive device needs of caregivers.

MATERIALS AND METHODS

This cross-sectional descriptive study used surveys. The participants were caregivers of people with disabilities living in Korea ( = 499). The independent variables were care recipient-level factors, caregiver-level factors, and utilization of assistive devices. The outcome variable, caregiver burden, was measured using the Korean Caregiver Burden Scale. For the data analysis, multivariate logistic regression models were built on the caregiver burden using variables that showed statistical significance in the univariate analysis.

RESULTS

Model 1 included care recipient-level factors. Model 2 included caregiver-level factors in addition to care-recipient factors to examine caregiver factors associated with burden. Model 3 included the utilization of care devices, in addition to the variables used in Model 2, to investigate whether the use of care devices was associated with a lower burden. Caregivers who were married, were informal caregivers, or experienced greater psychological stress had an increased probability of experiencing caregiver burden. Moreover, not using assistive devices increases the odds of experiencing caregiver burden. The most desirable properties of devices are transfer, mobility, and bathing.

CONCLUSION

As the use of assistive devices is associated with caregiver burden, such care devices should be developed and provided to caregivers based on their individual needs.

摘要

目的

关于使用辅助设备是否能减轻残疾人士照料者的负担,目前信息不足。本研究旨在(1)探讨受照料者层面的因素、照料者层面的因素以及辅助设备的使用与照料者负担之间的关联,(2)调查照料者对辅助设备的需求。

材料与方法

本横断面描述性研究采用问卷调查。参与者为居住在韩国的残疾人士的照料者(n = 499)。自变量为受照料者层面的因素、照料者层面的因素以及辅助设备的使用情况。因变量,即照料者负担,采用韩国照料者负担量表进行测量。在数据分析中,使用单因素分析中具有统计学意义的变量,建立多因素逻辑回归模型来分析照料者负担。

结果

模型1纳入了受照料者层面的因素。模型2除受照料者因素外,还纳入了照料者层面的因素,以检验与负担相关的照料者因素。模型3除模型2中使用的变量外,还纳入了护理设备的使用情况,以调查护理设备的使用是否与较低的负担相关。已婚、非正规照料者或心理压力较大的照料者经历照料者负担的可能性增加。此外,不使用辅助设备会增加经历照料者负担的几率。设备最理想的特性是转移、移动和沐浴。

结论

由于辅助设备的使用与照料者负担相关,应根据照料者的个人需求开发并提供此类护理设备。

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