Factors related to feelings of burden among caregivers looking after impaired elderly in Japan under the Long-Term Care insurance system
Factors related to feelings of burden among caregivers looking after impaired elderly in Japan under the Long-Term Care insurance system
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DOI：
10.1111/j.1440-1819.2004.01274.x
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发表时间：
2004-08-01
影响因子：
11.9
通讯作者：
Kudo, K
中科院分区：
文献类型：
--
作者：
Arai, Y;Kumamoto, K;Kudo, K
自20世纪70年代以来，老年人的负担一直是一个相当密集的研究课题，随着全世界人口的迅速老龄化，这一趋势将继续下去。在日本，自2000年开始实施长期护理保险制度以来，很少有横向研究试图确定与照顾残疾老年人的照顾者的负担感相关的因素。在本报告中，在46对照顾者和受损老人中，对日本京都县定期接受护士访问的老人进行了日常生活活动问题、痴呆严重程度、行为障碍和认知障碍的评估。照顾者被要求完成有关他们的负担感和照顾情况的问卷。研究结果显示，有行为障碍之失能老人，其照顾者较易感受到“较重的负担”。那些暂时摆脱了每天三个小时或更多时间的人比那些没有的人更不可能经历更重的照顾者负担。此外，那些发现使用护理服务“不方便”的护理人员往往比那些没有使用护理服务的人更有可能感到“更重”的护理人员负担。求助于临时服务，这是理想的定位，以帮助，证明是不方便的，因为他们的提前预订系统。在紧急情况下更容易获得喘息服务，可以大大减轻照顾者的负担。
Since the 1970s, the burden of caregiving has been the subject of rather intense study, a trend that will continue with the rapid graying of populations worldwide. Since the Long-Term Care insurance system began in 2000, few cross-sectional studies have attempted to identify factors related to the feelings of burden among caregivers looking after the impaired elderly in Japan. In the present report, among 46 pairs of caregivers and impaired elderly, the elderly receiving regular nurses' visits in Kyoto Prefecture, Japan were assessed for problems with activities of daily living, the severity of dementia, the presence of behavioral disturbance, and cognitive impairment. The caregivers were asked to complete questionnaires in relation to their feelings of burden and caregiving situation. The results indicated that caregivers of impaired elderly with behavioral disturbances were more likely to feel a 'heavier burden.' Those temporarily relieved of caregiving three or more hours a day were less likely to experience 'heavier' caregiver burden than those who were not. Moreover, caregivers who found it 'inconvenient' to use care services tended to be more likely to feel a 'heavier' caregiver burden than those who did not. Recourse to respite services, which are ideally positioned to help, proved inconvenient because of their advance reservation system. More ready access to respite services in emergencies could do much to reduce caregiver burden.