Falls of the elderly are associated with burden of caregivers in the community
Falls of the elderly are associated with burden of caregivers in the community
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DOI：
10.1002/gps.1554
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发表时间：
2006-08-01
影响因子：
4
通讯作者：
Iguchi, Akihisa
中科院分区：
文献类型：
--
作者：
Kuzuya, Masafumi;Masuda, Yuichiro;Iguchi, Akihisa
背景很少有人注意到对照顾福尔斯的家庭成员的照顾者的影响。本研究的目的是确定是否福尔斯的照顾者与照顾者的burden.Methods的横断面研究，1874社区居住的照顾者和1478照顾者进行。研究对象包括被照顾者及照顾者的一般人口学特征、老年抑郁量表（GDS-15）评定的抑郁情绪、日常生活活动能力（bADL）、过去6个月的跌倒史、和医生诊断的慢性疾病，以确定是否有与照顾者的负担，由Zarit负担访谈（ZBI）评估的相关性结果567例（30.3%）护理对象在过去6个月内有过福尔斯跌倒史。有福尔斯跌倒的照顾者的平均ZBI评分显著高于无福尔斯跌倒的照顾者。ZBI评分与接受者bADL评分呈负相关，ZBI评分与接受者和照顾者的GDS-15评分、痴呆严重程度和Charlson共病指数呈正相关。男性受体，跌倒史，行为障碍，痴呆有显着较高的ZBI分数比对照组。多元逐步回归分析发现，照顾者和接受者的GDS-15评分、痴呆严重程度、bADL评分和跌倒史与ZBI评分独立相关。结论在社区居住的体弱老人中，即使控制了各种可能的混杂因素，福尔斯与照顾者负担相关。版权所有（c）2006约翰威利父子有限公司。
Background Little attention has been paid to the impact on caregivers who provide care to a family member who has falls. The purpose of the current study was to determine whether falls of care recipients are associated with caregivers' burden.Methods A cross-sectional study of 1874 community-dwelling care recipients and 1478 caregivers was conducted. We examined the characteristics of care recipients and caregivers, including demographic characteristics, depressive mood as assessed by the Geriatric Depression Scale (GDS-15), the basic activities of daily living (bADL), fall history in the past 6 months, and physician-diagnosed chronic diseases to determine whether there was an association with caregivers' burden as assessed by the Zarit Burden Interview (ZBI).Results A total of 567 care recipients (30.3%) had a history of falls in the past 6 months. The mean ZBI score of caregivers with falls was significantly higher than that of caregivers without falls. There were negative correlations between the ZBI score and recipient bADL score and positive correlations between the ZBI score and GDS-15 scores of the recipient and caregiver, the level of severity of dementia, and the Charlson comorbidity index. Male recipient, fall history, behavioral disturbance, and dementia had significantly higher ZBI scores than those of controls. The stepwise multiple regression analyses found that the GDS-15 score of caregivers and recipients, level of severity of dementia, bADL score, and fall history were independently associated with the ZBI score.Conclusion Among the community-dwelling frail elderly, falls are associated with caregiver burden even when controlling for various possible confounding factors. Copyright (c) 2006 John Wiley & Sons, Ltd.