家庭照顾者作为病人报告时的初级保健经历与照顾压力之间的关系:一项试点横断面研究

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
Gen Nakayama MD, PhD, Shoichi Masumoto MD, MPH, PhD, Junji Haruta MD, PhD, Tetsuhiro Maeno MD, PhD
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引用次数: 0

摘要

很少有研究调查家庭照顾者自己的初级保健提供者是否会影响照顾者特定的幸福感,如照顾者压力。在这项初步研究中,我们探讨了当家庭照顾者作为病人报告时,初级保健经历是否与照顾压力有关。方法:我们使用了2020年11月至12月在日本进行的一项调查的横断面数据。我们招募了40-74岁的家庭照顾者,他们照顾社区居住的慢性病成年人。我们使用日文版初级保健评估工具简表(JPCAT-SF)评估初级保健体验,使用日文版Zarit护理人员负担访谈评估护理人员压力。结果共纳入406名家庭照顾者。JPCAT-SF的平均总分为42.1分(满分100分)。照顾者压力较高的比例为48.8%。在调整了可能的混杂因素后,发现JPCAT-SF得分与照顾者压力显著相关(低压力= 0 vs高压力= 1;JPCAT-SF评分每增加1 SD调整患病率= 0.89;95% ci 0.80-0.98)。在JPCAT-SF的子量表中,纵向性和综合性(可获得的服务)与照顾者压力相关。结论:当家庭照顾者报告为患者时,较好的初级保健体验与较低的照顾者压力相关。纵向,包括把注意力集中在个人作为一个完整的人,以及在建立医患关系的背景下的全面性,使咨询在需要时更容易,与较低的压力有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Association between family caregivers' primary care experience when they report as patients and their stress related to caregiving: A pilot cross-sectional study

Association between family caregivers' primary care experience when they report as patients and their stress related to caregiving: A pilot cross-sectional study

Background

Few studies have examined whether family caregivers' own primary care providers can affect caregiving-specific well-being, such as caregiver stress. In this pilot study, we explored whether primary care experiences when family caregivers report as patients were associated with the stress of caregiving.

Methods

We used cross-sectional data from a survey conducted in Japan between November and December 2020. We recruited family caregivers aged 40–74 years who were caring for community-dwelling adults with chronic conditions. We assessed primary care experience using the Japanese version of the Primary Care Assessment Tool Short Form (JPCAT-SF) and caregiver stress using the Japanese short version of the Zarit Caregiver Burden Interview.

Results

In total, 406 family caregivers were included in the analysis. The mean JPCAT-SF total score was 42.1 out of 100 points. The proportion of caregivers who had higher caregiver stress was 48.8%. After adjusting for possible confounders, the JPCAT-SF score was found to be significantly associated with caregiver stress (lower stress = 0 vs. higher stress = 1; adjusted prevalence ratio per 1 SD increase in JPCAT-SF score = 0.89; 95% CI 0.80–0.98). Among the subscales of the JPCAT-SF, longitudinality, and comprehensiveness (services available) were associated with caregiver stress.

Conclusions

Better primary care experiences when family caregivers reported as patients were associated with lower caregiver stress. Longitudinality, which includes focusing attention on the individual as a whole person, and comprehensiveness in the context of building provider-patient relationships that make consultation easier when needed, were associated with lower stress.

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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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