Correlates of objective and subjective measures of caregiver burden among dementia caregivers: influence of unmet patient and caregiver dementia-related care needs
Correlates of objective and subjective measures of caregiver burden among dementia caregivers: influence of unmet patient and caregiver dementia-related care needs
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DOI：
10.1017/s1041610214001240
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发表时间：
2014-11-01
影响因子：
7
通讯作者：
Samus, Quincy M.
中科院分区：
文献类型：
--
作者：
Hughes, Travonia B.;Black, Betty S.;Samus, Quincy M.
背景资料：本研究探讨未满足的痴呆相关的护理需求的社区居住的人，和他们的照顾者（CG）的关系，照顾者burden.Methods的措施：横断面基线数据进行了分析，从参与者在痴呆护理协调试验的社区居住的人与痴呆症（PWD）（n = 254）和他们的照顾者（n = 246）。参与者从西北巴尔的摩，马里兰州招募。Zarit负担量表（ZBI）用于测量主观照顾者负担。通过估计每周为PWD做事情的总时间和/或CG在前一个月因重复责任而错过有偿工作的时间来衡量客观负担。约翰霍普金斯痴呆症护理需求评估用于确定未满足的痴呆症相关护理需求。二元和多元线性回归研究未满足的需求，人口统计学，临床或功能特征与照顾者负担measurements.Results的关系：在调整后的多变量模型，患者神经精神症状和照顾者未满足的情感需求解释了22%的ZBI评分的方差。在调整后的多变量模型中，护理人员需要喘息，病人的功能依赖，和护理人员未满足的专业医疗需求解释了26%的方差，每周花在休息的时间。PWD的功能依赖的水平是唯一的相关错过的时间在working.Conclusions的方差解释11%：解决潜在的可修改的未满足的照顾者的需求可能会减少主观和客观的照顾者的负担。
Background: This study examines the relationship of unmet dementia-related care needs of community-dwelling persons, and their caregivers (CGs), to measures of caregiver burden.Methods: Cross-sectional baseline data were analyzed from participants in a dementia care coordination trial of community-residing persons with dementia (PWD) (n = 254) and their caregivers (n = 246). Participants were recruited from Northwest Baltimore, Maryland. The Zarit Burden Inventory (ZBI) was used to measure subjective caregiver burden. Objective burden was measured by estimating the total hours per week spent doing things for the PWDand/or how many hours CGs missed paid work in the prior month due to caregiving responsibilities. The Johns Hopkins Dementia Care Needs Assessment was used to identify unmet dementia-related care needs. Bivariate and multivariate linear regressions examined the relationship of unmet needs, demographic, clinical, or functional characteristics with caregiver burden measures.Results: In adjusted multivariable models, patient neuropsychiatric symptoms and caregiver unmet emotional needs explained 22% of the variance in ZBI scores. In adjusted multivariable models, caregiver need for respite, patient functional dependency, and caregiver unmet specialty medical needs explained 26% of the variance in the hours per week spent caregiving. PWD's level of functional dependency was the sole correlate of missed time at work, explaining 11% of the variance.Conclusions: Addressing potentially modifiable unmet caregiver needs may reduce subjective and objective caregiver burden.