| Autor: |
Chien, Shuo-Chen, Chang, Yu-Hung, Yen, Chia-Ming, Chen, Ying-Erh, Liu, Chia-Chun, Hsiao, Yu-Ping, Yang, Ping-Yen, Lin, Hong-Ming, Yang, Tsung-En, Lu, Xing-Hua, Wu, I-Chien, Hsu, Chih-Cheng, Chiou, Hung-Yi, Chung, Ren-Hua |
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| Zdroj: |
BMC Geriatrics; 6/25/2024, Vol. 24 Issue 1, p1-11, 11p |
| Abstrakt: |
Background: Quantifying the informal caregiver burden is important for understanding the risk factors associated with caregiver overload and for evaluating the effectiveness of services provided in Long-term Care (LTC). Objective: This study aimed to develop and validate a Caregiver Strain Index (CSI)-based score for quantifying the informal caregiver burden, while the original dataset did not fully cover evaluation items commonly included in international assessments. Subsequently, we utilized the CSI-based score to pinpoint key caregiver burden risk factors, examine the initial timing of LTC services adoption, and assess the impact of LTC services on reducing caregiver burden. Methods: The study analyzed over 28,000 LTC cases in Southern Taiwan from August 2019 to December 2022. Through multiple regression analysis, we identified significant risk factors associated with caregiver burden and examined changes in this burden after utilizing various services. Survival analysis was employed to explore the relationship between adopting the first LTC services and varying levels of caregiver burden. Results: We identified 126 significant risk factors for caregiver burden. The most critical factors included caregiving for other disabled family members or children under the age of three (β = 0.74, p < 0.001), the employment status of the caregiver (β = 0.30–0.53, p < 0.001), the frailty of the care recipient (β = 0.28–0.31, p < 0.001), and the behavioral symptoms of dementia in care recipients (β = 0.28–2.60, p < 0.05). Generally, caregivers facing higher burdens sought LTC services earlier, and providing home care services alleviated the caregiver's burden. Conclusion: This comprehensive study suggests policy refinements to recognize high-risk caregivers better early and provide timely support to improve the overall well-being of both informal caregivers and care recipients. Highlights: This study introduced an effective approach for quantifying the burden on informal caregivers, despite the limitations posed by the original dataset's incomplete coverage of evaluation items typically found in international assessments. Through analysis of over 28,000 cases, critical risk factors were pinpointed, such as caring for other disabled family members or young children, caregivers' employment status, care recipients' frailty, and behavioral symptoms of dementia, emphasizing the need for targeted caregiver support. Survival analysis revealed that caregivers experiencing higher burdens tend to seek Long-term Care (LTC) services—such as accompaniment on outings, companion services, and home respite services—earlier, which underscores the critical role of these services in supporting caregivers. Providing home care services alleviates caregiver burden, suggesting policy refinements to enhance the well-being of informal caregivers and care recipients through timely and practical support. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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Full text from SpringerLink