Influence of burden, stress and depressive symptoms on the health of older adult caregivers: a longitudinal study

M. Terassi, Sirlei Ricarte Bento, E. S. Rossetti, S. Pavarini, P. Hortense
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Abstract

Abstract Objective to analyze the effect of burden, stress, and depressive symptoms on the health characteristics of older adult caregivers of older adults. Method A quantitative and longitudinal study was conducted with 127 older adult caregivers to analyze the effect of burden, stress, and depressive symptoms on their health characteristics. The variables assessed included health characterization, burden, depressive symptoms, and stress. A linear regression model and Poisson test were employed, with a significance level set at 5%. Results The findings revealed that an increase of one point in the burden scale score was associated with a 0.030 increase in the number of diseases (p=0.020) and an increased risk of chronic pain (p=0.005). Similarly, a one-point increase in the stress scale score was associated with a 0.058 increase in the number of diseases (p=0.001), as well as an increased risk of a poor subjective health assessment (p=<0.001) and chronic pain (p=<0.001). Furthermore, an increase in the score on the depressive symptoms scale was associated with an increase in the number of diseases (p=<0.001), risk of falls (p=0.009), poor subjective health assessment (p=<0.001), and chronic pain (p=<0.001). Conclusions and implications for practice The worsening estimate in the scores of psychological variables poses a risk to the deterioration of caregivers’ physical health characteristics. The findings underscore the need for the development of public policies aimed at improving the quality of life for older adult caregivers.
负担、压力和抑郁症状对老年照顾者健康的影响:一项纵向研究
摘要目的分析负担、压力和抑郁症状对老年人照顾者健康特征的影响。方法对127名老年护理人员进行定量和纵向研究,分析负担、压力和抑郁症状对其健康特征的影响。评估的变量包括健康特征、负担、抑郁症状和压力。采用线性回归模型和泊松检验,显著性水平设为5%。结果研究发现,负担量表评分每增加1分,疾病数量增加0.030 (p=0.020),慢性疼痛风险增加(p=0.005)。同样,压力量表得分每增加1分,疾病数量增加0.058 (p=0.001),主观健康评估不佳(p=<0.001)和慢性疼痛(p=<0.001)的风险也会增加。此外,抑郁症状量表得分的增加与疾病数量的增加(p=<0.001)、跌倒风险(p=0.009)、不良的主观健康评估(p=<0.001)和慢性疼痛(p=<0.001)相关。结论和实践意义心理变量得分的恶化估计会导致照顾者身体健康特征的恶化。研究结果强调,有必要制定旨在改善老年照顾者生活质量的公共政策。
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来源期刊
自引率
0.00%
发文量
131
审稿时长
49 weeks
期刊介绍: Anna Nery School Journal of Nursing is a vehicle for scientific communication sponsored by Anna Nery School of Nursing, Federal University of Rio de Janeiro, since 1997. The Journal''s mission is publishing an original manuscript related to Nursing, Healthcare and other areas of knowledge whenever there are interfaces in Health and Nursing Science.The journal will accept original manuscripts, developed by quantitative, qualitative, and mixed methods. It is also accepted studies such as reflections, essays, and systematized reviews. All those manuscripts should bring direct or indirect contributions to the historicity and practice of nursing care, to nursing education, to the development of new methodologies and technologies for caring, teaching, and research. It has a special interest in the studies developed with vulnerable populations whose findings directly contribute to broadening the nursing science that underlies ethical and human care.
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