The effect of care receivers' dysphagia severity on caregiver burden among family caregivers
The effect of care receivers' dysphagia severity on caregiver burden among family caregivers
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被照顾者吞咽困难严重程度对家庭照顾者照顾负担的影响
DOI：
10.1111/ggi.14468
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Yamada Minoru
中科院分区：
文献类型：
--
作者：
Suzuki Mizue;Kimura Yosuke;Otobe Yuhei;Koyama Shingo;Terao Yusuke;Kojima Iwao;Masuda Hiroaki;Tanaka Shu;Yamada Minoru
前言吞咽困难作为影响照顾者负担的一个因素受到了广泛的关注。然而，很少有研究探讨其严重程度如何影响照顾者的负担。本研究旨在探讨吞咽困难的严重程度对照顾者burden.MethodsA横断面在线调查进行了家庭照顾者。我们使用Zarit Burden访谈评估了照顾者负担。使用功能性口腔摄入量表评估吞咽困难的严重程度，并根据护理者的口腔摄入状态将护理者分为三组（1-3级：管饲组; 4-6级：质地改良食物组; 7级：正常组）。为探讨照顾者负担与吞咽困难严重程度之间的关系，对照顾者负担进行单变量和多变量Logistic回归分析。结果组织改良食品组的Zarit负担访谈显著高于普通食品组，正常组、组织改良食品组和管饲组的高照顾者负担比例分别为25.2%、39.5%和23.4%。照顾者负担的多因素分析（参考，正常组）显示，质地改良食品组与照顾者负担显著相关，（OR 1.55，95% CI 1.04-2.32），而管饲组与照顾者负担无关（OR 0.68，95%CI 0.31-1.49）.结论我们的研究表明，即使在调整混杂因素后，质地改良食物的摄入也会显著影响照顾者的负担，而管饲的使用不会增加照顾者的负担。这些结果表明，有必要考虑吞咽困难的严重程度，以减少吞咽困难相关的护理人员负担。Geriatr Gerontol Int 2022; 22：870-875。
IntroductionDysphagia has received much attention as a factor that affects caregiver burden. However, few studies have examined how its severity can affect caregiver burden. This study aimed to examine the effect of dysphagia severity on caregiver burden.MethodsA cross‐sectional online survey was carried out among family caregivers. We assessed caregiver burden using the Zarit Burden Interview. The dysphagia severity was assessed using the Functional Oral Intake Scale, and the caregivers were divided into three groups based on care receivers' oral intake status (levels 1–3: tube‐feeding group; levels 4–6: texture‐modified food group; level 7: normal group). To investigate the relationship between caregiver burden and dysphagia severity, univariable and multivariable logistic regression analyses were applied to caregiver burden.ResultsThe Zarit Burden Interview was significantly higher in the texture‐modified food group, and the proportions of high caregiver burden reached 25.2%, 39.5% and 23.4% in the normal group, texture‐modified food group and tube‐feeding group, respectively. The multivariable analyses applied to caregiver burden (reference, normal group) showed that the texture‐modified food group was significantly associated with caregiver burden (OR 1.55, 95% CI 1.04–2.32), whereas the tube‐feeding group had no relationship with caregiver burden (OR 0.68, 95% CI 0.31–1.49).ConclusionsOur study showed that the intake of texture‐modified food significantly affected caregiver burden even after adjusting for confounding factors, whereas the use of tube feeding did not increase caregiver burden. These results suggest that it is necessary to consider dysphagia severity to reduce dysphagia‐related caregiver burden.Geriatr Gerontol Int 2022; 22: 870–875.
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DOI：
--
发表时间：
2021
期刊：
Dysphagia (New York. Print)
影响因子：
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作者：
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作者：
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