中国居家护理的利用及其在痴呆症护理强度和护理负担之间的缓冲作用。

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Yang Zhou, Wallace Chi-Ho Chan
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引用次数: 0

摘要

背景:居家照护(HBC)服务因其可减轻高照护强度的痴呆症患者非正式照护者的照护负担而受到全球关注。然而,在中国,有关居家照护及其对痴呆症照护影响的研究仍然有限:方法:从中国江苏省痴呆症患者的主要照顾者那里收集数据。方法:数据收集自中国江苏省的残疾人主要照护者,照护强度和HBC使用情况通过自主开发的工具进行测量。照顾者负担采用家庭照顾者负担量表(短)进行评估。采用因子分析法对居家养老服务进行分解。层次多元回归分析了家庭护理中心对护理强度和负担之间关系的调节作用:结果:研究纳入了 318 个照顾者和残疾人的社区样本。照顾者的平均年龄为 62.16 岁,61% 为女性,84% 没有工作,66.2% 为低收入。残疾人的平均年龄为 77.45 岁,52.8% 为女性,行为问题的平均得分为 42.27 分。照护者的平均回答指数为 15.19。用于日常活动的次数和时间与照顾者的负担呈正相关(β = 0.26,p 结论:照顾者的负担与日常活动的次数和时间呈正相关(β = 0.26,p 结论:照顾者的负担与日常活动的次数和时间呈正相关):残疾人的非正规照顾者面临着很高的照顾强度和负担。居家社区服务可能会缓和这种关系,不同的服务会发挥不同的作用。进一步的研究对于探索督导水平的影响和制定有效策略以加强中国痴呆症照护者的居家社区服务至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilization of home-based care and its buffering effects between dementia caregiving intensity and caregiver burden in China.

Background: Home-based care (HBC) services have gained global attention for their potential to reduce caregiver burden among informal caregivers of persons with dementia (PwDs), who experience high caregiving intensity. However, research on HBC and its effects on dementia caregiving in China remains limited.

Methods: Data were collected from primary caregivers of PwDs in Jiangsu Province, China. Caregiving intensity and HBC utilization were measured using self-developed instruments. Caregiver burden was assessed by The Burden Scale for Family Caregivers-short. Factor analysis was employed to decompose HBC services. Hierarchical multiple regression analysed the moderating effects of HBC on the relationship between caregiving intensity and burden.

Results: A community sample of 318 caregiver and PwDs dyads was included. Caregivers averagely aged 62.16 years, with 61% being female, 84% not employed, and 66.2% having low income. PwDs aged 77.45 years averagely, with 52.8% being female and an average behavioural problems score of 42.27. Caregivers averaged 15.19 on response measures. The number and time spent on ADL-based tasks were positively associated with caregiver burden (β = 0.26, p < .001; β = 0.16, p < .01). However, attendance and time of supervision tasks were not significant predictors of burden. HBC services in China comprised four dimensions: Referral service, Household care, Skilled care, and Mental health service. While these did not directly predict caregiver burden, they moderated the associations between ADL-based tasks and caregiver burden (β=-0.25, p < .001; β=-0.24, p < .001; β=-0.23, p < .001; β=-0.20, p < .001), between time of ADL-based tasks and caregiver burden (β=-0.17, p < .001; β=-0.18, p < .001; β=-0.17, p < .001; β=-0.15, p < .01), and between the attendance at supervision tasks and caregiver burden (β=-0.11, p < .05; β=-0.20, p < .001; β=-0.17, p < .001; β=-0.17, p < .001). Only Referral service buffered the relationship between supervision time and caregiver burden (β = -0.13, p < .01).

Conclusion: Informal caregivers of PwDs face high caregiving intensity and burden. HBC services may moderate this relationship, with different services playing varying roles. Further research is essential to explore the impact of supervision levels and develop effective strategies to enhance HBC services for dementia caregiving in China.

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来源期刊
BMC Geriatrics
BMC Geriatrics GERIATRICS & GERONTOLOGY-
CiteScore
5.70
自引率
7.30%
发文量
873
审稿时长
20 weeks
期刊介绍: BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.
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