关键词: Burden Caregiver Latinx Minority Multimorbidity Stroke

Mesh : Humans Female Male Hispanic or Latino / psychology statistics & numerical data Multimorbidity Stroke / ethnology psychology Middle Aged Retrospective Studies Aged, 80 and over Caregivers / psychology Aged Caregiver Burden / psychology Stress, Psychological / ethnology Cost of Illness

来  源:   DOI:10.18865/ed.33.4.156   PDF(Pubmed)

Abstract:
UNASSIGNED: To investigate the association between Latinx older adults\' stroke, multimorbidity, and caregiver burden.
UNASSIGNED: For this retrospective cohort study, we used the Hispanic Established Populations for the Epidemiologic Study of the Elderly (H-EPESE) Wave-7 data set. The caregiver\'s physical burden was defined by using the Level of Burden Index. The caregiver\'s psychological burden was measured by using the Perceived Stress Scale (PSS-4). Multimorbidity was defined as the presence of 3 or more chronic conditions.
UNASSIGNED: The average age of the Latinx adults was 86 years, and the caregivers were 56 years. Latinx older adults and caregivers were more likely to be females (66% and 75%). Most caregivers were children (71%). Twelve percent of Latinx older adults presented with stroke, and 50% presented with multimorbidity. Caregiver physical burden was stratified into 3 levels: low (43%), medium (17%), and high (40%) burden. The cumulative logit model revealed that caregivers caring for those with stroke or multimorbidity had a high physical burden. Family caregivers and caregivers with a higher household income had a low physical burden. Caregivers with multimorbidity had a higher psychological burden. Caregivers who were interviewed in Spanish and those with higher household incomes had decreased psychological burden.
UNASSIGNED: This study revealed that caregivers had a higher physical burden among caregivers of Latinx adults with stroke or multimorbidity. Future studies must investigate the relationship between Latinx adults\' stroke and caregiver psychological health, and build culturally tailored policies and community interventions to support caregivers susceptible to high stress and burden.
摘要:
为了调查拉丁裔老年人中风之间的关联,多浊度,和照顾者的负担。
对于这项回顾性队列研究,我们使用西班牙裔既定人群进行老年人流行病学研究(H-EPESE)Wave-7数据集.护理人员的身体负担是通过使用负担水平指数来定义的。护理人员的心理负担是通过使用感知压力量表(PSS-4)进行测量的。多症定义为存在3种或更多种慢性病症。
拉丁裔成年人的平均年龄为86岁,照顾者是56岁。拉丁裔老年人和照顾者更可能是女性(66%和75%)。大多数照顾者是儿童(71%)。12%的拉丁裔老年人出现中风,50%呈现多浊度。护理人员的身体负担分为3个级别:低(43%),中等(17%),和高(40%)负担。累积logit模型显示,照顾中风或多病患者的护理人员具有很高的身体负担。家庭收入较高的家庭照顾者和照顾者的身体负担较低。患有多种疾病的照顾者具有较高的心理负担。用西班牙语接受采访的护理人员和家庭收入较高的护理人员减轻了心理负担。
这项研究表明,在患有中风或多发病的拉丁裔成年人的照顾者中,照顾者的身体负担较高。未来的研究必须调查拉丁裔成年人中风与照顾者心理健康之间的关系,并制定文化上定制的政策和社区干预措施,以支持易受高压力和负担影响的护理人员。
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