Caregiving burden for the oldest old: A population based study of centenarian caregivers in Northern Japan
Caregiving burden for the oldest old: A population based study of centenarian caregivers in Northern Japan
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DOI：
10.1016/j.archger.2009.04.008
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发表时间：
2010-05-01
影响因子：
4
通讯作者：
Kohzuki, Masahiro
中科院分区：
文献类型：
--
作者：
Freeman, Shannon;Kurosawa, Hajime;Kohzuki, Masahiro
这项研究调查了高龄老人的照看负担，特别是百岁老人的照顾者，旨在确定日本百岁老人的照顾者是否可以被视为成功照顾者的典范。数据来自160名年龄在80-107岁的人和84名年龄在24-92岁的照顾者，他们使用了自我报告的问卷调查。与80-99岁的照顾者相比，百岁老人的照顾者并不表现出明显的更轻的负担，更少的抑郁症患病率，或者更高的生活质量。与负担较轻的照顾者相比，负担较重的照顾者经历了更差的总体健康(GH)、更多的身体疼痛(BP)、更少的活力(VT)、社交功能障碍(SF)和更差的心理健康(MH)。虽然所有照顾者在健康相关生活质量简表(HRQOL SF-36)上的得分均低于预期，但那些报告利用私人护理服务、定期提供护理以及每天提供超过5小时护理的人得分最低。百岁老人的照顾者可能并不代表成功照顾者的典范。照顾者在接受照顾者的年龄组中表现出轻负担和重负担的平均分布，因此可以推断，随着照顾者年龄的增加，他们对照顾者的负担加重并不是不可避免的。这是第一次深入调查日本北部百岁老人及其照顾者的独特情况。(C)2009爱思唯尔爱尔兰有限公司。保留所有权利。
This study investigated caregiving burden of the oldest old specifically focusing on caregivers of centenarians and aimed to determine if caregivers of centenarians in Japan can be considered models for successful caregivers. Data was collected from 160 people aged 80-107 and 84 of their caregivers aged 24-92 using a self-reported questionnaire survey. Caregivers of centenarians do not exhibit significantly less burden, less prevalence of depression, or higher quality of life than caregivers of 80-99 year olds. Burdened caregivers experienced poorer general health (GH), more bodily pain (BP), less vitality (VT), difficulties with social functioning (SF), and poorer mental health (MH) than less burdened caregivers. While all caregivers scored below expected Japanese average scores for Health-related quality of life short form-36 (HRQoL SF-36), those reporting utilization of private care services, providing care regularly, and providing care for more than 5 h per day exhibited the lowest scores. Caregivers of centenarians may not represent models of successful caregivers. Caregivers showed equal distribution of light and heavy burden among recipient age groups therefore it may be inferred that as care recipient age increases it is not inevitable that they become heavier burdens on their caregivers. This is the first indepth study to investigate the unique situation of centenarians and their caregivers in Northern Japan. (C) 2009 Elsevier Ireland Ltd. All rights reserved.