[Burden among caregivers of the frail elderly and its correlation with the introduction of a long-term care insurance system for the elderly in fourth year].
[Burden among caregivers of the frail elderly and its correlation with the introduction of a long-term care insurance system for the elderly in fourth year].
复制标题
体弱老人照顾者负担及其与老年人长期护理保险制度推行第四年的相关性[J].
DOI：
10.3143/geriatrics.42.411
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
M. Mori
中科院分区：
文献类型：
--
作者：
A. Oura;M. Washio;H. Izumi;M. Mori
本研究于2003年10月在日本九州福冈县翁贺区的北方进行，旨在调查与心理压力和照顾者照顾体弱老年人的沉重负担有关的因素。共有40名照顾者进行了评估，使用自填式问卷，涉及日本版的Zarit照顾者负担访谈（J-ZBI），从而描述了自己的照顾情况。J-ZBI研究在过去的5年中每年进行一次，并比较了公共老年长期护理保险（LTCI）启动前后流行病学研究中心抑郁量表（CES-D）的每次调查结果以及抑郁、ADL和痴呆的发生率。与中度或轻度负担的照顾者相比，重度负担的照顾者更可能有较高的J-ZBI和CES-D。与负担轻的照顾者相比，负担重的照顾者更可能1）处于贫困状态，2）抱怨自己的经济状况，3）与照顾者交谈的时间更长。与中等负担的照顾者相比，负担沉重的照顾者更频繁地使用短期服务（即，临时护理之家援助）。J-ZBI和ADL与LTCI前和LTCI开始后4年进行比较。4年后两人的得分都较低。与LTCI前相比，LTCI后3年和4年，日托和日间服务的使用频率降低。在LTCI后，照顾者表现出较低的J-ZBI评分，但照顾者的抑郁发生率较高，相比一般公众。建议成立一个政府机构，不仅为体弱的老年人提供支持，还为他们的照顾者提供支持。
The present study was conducted in October 2003 to investigate the factors related to psychological stress and the heavy burden of caregivers taking care of frail elderly persons in the northern part of the Onga district, Fukuoka Prefecture, Kyushu, Japan. A total of 40 caregivers were assessed using a self-administered questionnaire involving the Japanese version of the Zarit Caregiver Burden Interview (J-ZBI) and thus described their own caregiving situation. J-ZBI research had been done on a yearly basis for the previous 5 years and the results of each investigation regarding Center for Epidemiologic Studies Depression Scale (CES-D), and incidence of depression, ADL and dementia were compared prior to and after initiation of public long term care insurance for the elderly (LTCI). Compared to caregivers with a middle or light burden, heavily burdened caregivers were more likely to have a higher J-ZBI, and CES-D. Compared to caregivers with a light burden, heavily burdened caregivers were more likely to 1) be in poor condition, 2) complain of their economical situation, 3) spend a longer time with care talker. Compared to caregivers with a middle burden, heavily burdened caregivers more frequently used short-stay services (i.e., temporary nursing home assistance). J-ZBI and ADL were compared to before LTCI, and 4 years after LTCI had been started. Scores for both were lower after 4 years. Compared to before LTCI, day-care and day service were used less frequently 3 and 4 years after LTCI. After LTCI, caregivers showed a lower J-ZBI score, but the incidence of depression among caregivers was higher, compared to the general public. It is suggested that a government agency should be created to support not only the frail elderly but also their caregivers.