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老年人慢性病与照顾者负担之间的关联:美国的一项横断面研究。

Association between chronic illnesses in older adults and caregiver burden: a cross sectional study in the United States.

作者信息

Ham Yeajin, Jin Yeonju, Hong Ickpyo, Park Ji-Hyuk

机构信息

Department of Occupational Therapy, Graduate School, Yonsei University, Wonju-si, Republic of Korea.

Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju-si, Republic of Korea.

出版信息

Aging Ment Health. 2025 Jul;29(7):1306-1312. doi: 10.1080/13607863.2025.2468891. Epub 2025 Feb 24.

Abstract

OBJECTIVES

Caregiver burden is a growing social issue with an increase in the number of older adults with chronic illnesses. We analyzed the association between chronic illnesses among older adults and caregiver burden in financial, emotional, and physical domains, adjusting for caregiver and older adult characteristics.

METHOD

We used secondary data from the 2022 National Health and Aging Trends Study and the 2022 National Study of Caregiving. Logistic regression analyses was used to assess associations between nine illnesses and each caregiver burden in 1,419 participants.

RESULTS

Dementia was significantly associated with caregiver burden related to emotional difficulty (odds ratio [OR] = 2.04; 95% confidence interval [CI], 1.34-3.09) and physical difficulty (OR = 1.67, 95% CI, 1.01-2.78), but not financial difficulty. Furthermore, relationship with older adults, positive and negative self-esteem, the number of assistive activities of caregivers, and gender and physical capacity of older adults were significantly associated with caregiver burden.

CONCLUSION

These findings clarify the definition of caregiver burden and provide integrated results on caregiver burden in chronic illnesses and the characteristics of caregivers and older adults.

摘要

目的

随着患有慢性疾病的老年人数量增加,照顾者负担成为一个日益严重的社会问题。我们分析了老年人的慢性疾病与照顾者在经济、情感和身体方面的负担之间的关联,并对照顾者和老年人的特征进行了调整。

方法

我们使用了来自2022年国家健康与老龄化趋势研究和2022年国家照顾研究的二手数据。采用逻辑回归分析评估了1419名参与者中九种疾病与每种照顾者负担之间的关联。

结果

痴呆症与照顾者在情感困难方面的负担显著相关(优势比[OR]=2.04;95%置信区间[CI],1.34-3.09)和身体困难方面的负担(OR=1.67,95%CI,1.01-2.78),但与经济困难无关。此外,与老年人的关系、积极和消极自尊、照顾者的辅助活动数量以及老年人的性别和身体能力与照顾者负担显著相关。

结论

这些发现明确了照顾者负担的定义,并提供了关于慢性疾病中照顾者负担以及照顾者和老年人特征的综合结果。

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