Predictors of caregiver burden in caregivers of individuals with dementia
Predictors of caregiver burden in caregivers of individuals with dementia
复制标题
DOI：
10.1111/j.1365-2648.2011.05787.x
复制
发表时间：
2012-04-01
影响因子：
3.8
通讯作者：
Kim, Sunha
中科院分区：
文献类型：
--
作者：
Kim, Heejung;Chang, Mido;Kim, Sunha
目标。这篇文章是一篇关于使用全国代表性数据研究痴呆症患者照护者负担的多维预测因子的报告。背景。照顾者负担影响照顾者及其受照顾者的健康。虽然以前的研究确定了照顾者负担的各种预测因素，但这些预测因素尚未在全国代表性人群中得到证实。方法。这个二次分析的数据是由美国退休人员协会全国护理联盟提供的。数据是在2003年通过电话调查收集的，随机选择了7个州的成年人（加权调整n = 302）。进行描述性统计、相关分析和层次多元回归分析。结果/结论。疾病相关因素是最重要的预测因素，解释了16%的照顾者负担；其次是照顾者社会人口学因素和照顾相关因素（F = 21.28, P < 0.01）。显著的个体预测因子为日常生活活动或日常生活工具活动障碍、照顾时间、应对策略的使用、同居、配偶状况和照顾者性别（P < 0.05）。结论。功能受损的照顾者预测照顾者的负担，也与人口和护理相关的因素相互作用。因此，有针对性地进行护理干预和社区服务，以提高痴呆症患者的功能能力，将有利于照顾者和照顾者。
Aims. This article is a report on a study of the multidimensional predictors of caregiver burden in caregivers of individuals with dementia using nationally representative data. Background. Caregiver burden affects the health of both caregivers and their care-recipients. Although previous studies identified various predictors of caregiver burden, these predictors have not been confirmed in nationally representative population. Methods. Data for this secondary analysis was provided by the National Alliance for Caregiving, American Association of Retired Persons. The data were collected through a telephone survey of randomly selected adults in seven states in 2003 (weight adjusted n = 302). Descriptive statistics, inter-correlation analysis and a hierarchical multiple regression analysis were performed. Results/findings. Disease-related factors were the most significant predictors, explaining 16% of caregiver burden; these were followed by caregiver socio-demographical factors and caregiving-related factors (F = 21.28, P < 0.01). Significant individual predictors were impairment of activities of daily living or instrumental activities of daily living, the number of hours of caregiving, use of coping strategies, co-residence, spousal status and caregiver gender (P < 0.05). Conclusion. Impaired function in care-recipients predicts caregiver burden, and also interacts with demographical- and caregiving-related factors. Thus, it will be beneficial to both care-recipients and caregivers to target nursing interventions and community services to improve the functional abilities of individuals with dementia.