Impact of Nutritional Status on Caregiver Burden of Elderly Outpatients. A Cross-Sectional Study
Impact of Nutritional Status on Caregiver Burden of Elderly Outpatients. A Cross-Sectional Study
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DOI：
10.3390/nu11020281
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发表时间：
2019-01
期刊：
影响因子：
5.9
通讯作者：
C. Tana;F. Lauretani;A. Ticinesi;Luciano Gionti;A. Nouvenne;Beatrice Prati;T. Meschi;M. Maggio
中科院分区：
文献类型：
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作者：
C. Tana;F. Lauretani;A. Ticinesi;Luciano Gionti;A. Nouvenne;Beatrice Prati;T. Meschi;M. Maggio
家庭护理人员向老年社区居民提供的帮助对于维持可接受的生活质量至关重要，特别是在患有痴呆症的情况下。护理人员的负担可能非常高，但关于哪些患者领域主要影响护理人员的数据很少。这项在老年门诊患者中进行的横断面研究的目的是检查老年社区居民的认知、身体和营养状况对护理人员负担的影响，并根据护理人员负担清单 (CBI) 进行评估。纳入了 406 名老年门诊患者（男 161 岁，女 245 岁，平均年龄 83.20 ± 6.40）。迷你营养评估仪简表 (MNA-SF) 和 CBI 之间存在显着相关性 (r = -0.34；p < 0.001)，表明营养状况不佳与护理人员负担显着相关。 CBI 与短期身体表现电池评分 (r = -0.29; p < 0.001)、握力 (r = -0.25; p < 0.001)、简易精神状态检查评分 (r = -0.39; p < 0.001)、老年抑郁量表 (r = 0.23; p < 0.001)、体重指数 (BMI) 之间也存在显着相关性（r = 0.01；p = 0.03），日常生活活动和日常生活工具活动（ADL/IADL）（分别为 r = -0.61 和 -0.62；p < 0.001），以及 4 米步行速度（r = -0.42；p < 0.001）。在多变量分析中，只有 CBI（特别是体能子成分）与 ADL、IADL 和 MNA-SF 的关系仍具有统计学显着性（分别为 β ± SE -0.89 ± 0.20，p < 0.001；-0.58 ± 0.15，p < 0.001 和 -0.25 ± 0.11，p = 0.02）。 CBI 和 BMI 之间的关系仅在身体子成分方面保持统计显着性（β ± SE 0.14 ± 0.05；p = 0.006）。因此，在这项研究中，我们证实日常生活活动受损与护理人员负担的显着影响相关，我们还发现老年门诊患者的营养状况不佳与护理人员负担的相关性高于认知和身体残疾。患者和护理人员的综合评估可以提高对老年人的认识和帮助。
The assistance to older community-dwellers provided by family caregivers is crucial for the maintenance of an acceptable quality of life, especially when dementia is present. The caregiver burden may be extremely high, but few data are available on what patient domains mainly affect the caregiver. The aim of this cross-sectional study, performed in older outpatients, was to examine the impact of cognitive, physical and nutritional status of elderly community-dwellers on the caregiver burden, as evaluated by the Caregiver Burden Inventory (CBI). A group of 406 elderly outpatients (161 M, 245 F, mean age of 83.20 ± 6.40) was enrolled. A significant correlation was observed between Mini Nutritional Assessment Instrument-Short Form (MNA-SF) and CBI (r = −0.34; p < 0.001), suggesting that a poor nutritional status is significantly associated with the caregiver burden. There was also a significant correlation between CBI and Short Physical Performance Battery score (r = −0.29; p < 0.001), hand grip strength (r = −0.25; p < 0.001), Mini-Mental State Examination score (r = −0.39; p < 0.001), Geriatric Depression Scale (r = 0.23; p < 0.001), Body Mass Index (BMI) (r = 0.01; p = 0.03), Activities of Daily Living and Instrumental Activities of Daily Living (ADL/IADL) (r = −0.61 and −0.62, respectively; p < 0.001), and with the 4-m walking speed (r = −0.42; p < 0.001). In the multivariate analysis, only the relationships of the CBI (in particular the physical subcomponent) with ADL, IADL and MNA-SF remained statistically significant (β ± SE −0.89 ± 0.20, p < 0.001; −0.58 ± 0.15, p < 0.001 and −0.25 ± 0.11, p = 0.02, respectively). The relationship between CBI and BMI remained statistically significant only for the physical subcomponent (β ± SE 0.14 ± 0.05; p = 0.006). Thus, in this study, we confirmed that the impairment in the activities of daily living is associated with a significant impact on the caregiver burden, and we found also that a poor nutritional status of the older outpatient is independently more associated with the caregiver burden than cognitive and physical disability. The combined evaluation of both patients and caregivers can improve the knowledge and assistance to the elderly subjects.