Caregiver Burden and Nonachievement of Healthy Lifestyle Behaviors Among Family Caregivers of Cardiovascular Disease Patients
Caregiver Burden and Nonachievement of Healthy Lifestyle Behaviors Among Family Caregivers of Cardiovascular Disease Patients
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DOI：
10.4278/ajhp.110606-quan-241
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发表时间：
2012-11-01
影响因子：
2.7
通讯作者：
Mosca, Lori
中科院分区：
文献类型：
--
作者：
Mochari-Greenberger, Heidi;Mosca, Lori
目的.确定照顾者的负担是否与生活方式行为有关的一个家庭成员住院后1年的心血管疾病（CVD）。国家心肺血液研究所资助的心脏健康家庭干预试验的前瞻性随访研究。基于医院的招募/基线访视和1年随访。受试者。住院CVD患者的家庭成员（N = 423; 67%女性; 36%种族/少数民族;平均年龄49岁）。在1年时进行系统评价，以确定心脏健康饮食（定义为≥ 4天/周;行为风险因素监测系统调查）行为和护理人员负担（五个领域：就业，财务，身体社会和时间;护理人员压力问卷）。根据协变量调整逻辑回归。结果。心脏健康饮食在照顾者中不太常见，因为他们感到不知所措（比值比[OR] = 0.50; 95%置信区间[CI] = 0.26 - 0.97），睡眠障碍（OR = 0.51; 95%CI = 0.27 - 0.96），财务压力（OR = 0.41; 95%CI = 0.20 - 0.86）、心烦意乱行为（OR = 0.48; 95%CI = 0.25 - 0.92）和/或时间需求（OR = 0.47; 95%CI = 0.26 - 0.85）作为负担。在报告经济压力（OR = 0.32; 95%CI = 0.13 - 0.81）或扰乱患者行为（OR = 0.33; 95%CI = 0.15 - 0.76）为负担的照顾者中，体力活动的频率较低。最常提及的照顾者负担包括个人计划的改变（39%），时间需求（38%）和睡眠障碍（30%）。患者出院后一年，家庭照顾者的负担与心脏健康饮食和身体活动行为的不成功有关。在制定心脏健康促进干预措施时，应将照顾者负担视为CVD患者家庭成员预防的可能障碍。(Am J Health Promot 2012;27[2]：84-89.）
Purpose. To determine whether caregiver burdens are associated with lifestyle behaviors 1 year following the hospitalization of a family member with cardiovascular disease (CVD).Design. Prospective follow-up study of National Heart Lung and Blood Institute sponsored Family Intervention Trial for Heart Health participants.Setting. Hospital-based recruitment/baseline visit with 1-year follow-up.Subjects. Family members of hospitalized CVD patients (N = 423; 67% female; 36% racial/ethnic minority; mean age 49 years).Measures. Systematic evaluation at 1 year to determine heart-healthy diet (defined as = 4 d/wk; Behavioral Risk Factor Surveillance System Survey) behaviors and caregiver burdens (five domains: employment, financial, physical social, and time; Caregiver Strain Questionnaire).Analysis. Logistic regression adjusted for covariates.Results. Heart-healthy diet was less frequent among caregivers citing feeling overwhelmed (odds ratio [OR] = .50; 95% confidence interval [CI] = .26-.97), sleep disturbance (OR = .51; 95% CI = .27-.96), financial strain (OR = .41; 95% CI = .20-.86), upsetting behavior (OR = .48; 95% CI = .25-.92), and/or time demands (OR = .47; 95% CI = .26-.85) as burdens. Physical activity was less frequent among caregivers reporting financial strain (OR = .32; 95% CI = .13-.81) or upsetting patient behavior (OR = .33; 95% CI = .15-.76) as burdens. The most commonly cited caregiver burdens included changes in personal plans (39%), time demands (38%), and sleep disturbance (30%).Conclusion. Caregiver burdens were associated with nonachievement of heart-healthy diet and physical activity behaviors among family caregivers I year after patient discharge. When developing heart-health promotion interventions, caregiver burden should be considered as a possible barrier to prevention among family members of CVD patients. (Am J Health Promot 2012;27[2]:84-89.)