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Analyzing the situation of older family caregivers with a focus on health-related quality of life and pain: a cross-sectional cohort study.
Health and Quality of Life Outcomes ( IF 3.6 ) Pub Date : 2020-03-20 , DOI: 10.1186/s12955-020-01321-3
Cecilia Fagerström 1, 2 , Sölve Elmståhl 3 , Lena Sandin Wranker 4
Affiliation  

For a significant proportion of the older population, increasing age is associated with health problems and worsening health. Older family caregivers are largely responsible for care of next-of-kin living at home, which impacts their own physical and mental health both positively and negatively. However, evidence is insufficient regarding the health situation of older caregivers. The aim of this study was to investigate health-related quality of life (HRQoL) and pain, and their associations, among caregivers aged ≥60 years. The participants (n = 3444) were recruited from the Swedish National Study on Aging and Care-Blekinge and Good Aging in Skåne during 2001–2004. Participants aged ≥60 years were selected randomly and underwent cognitive tests, with demographic information obtained through questionnaires. The response rate was 60%. A predefined research protocol was used. HRQoL was measured with the Short-Form Health Survey, dimension mental health. Logistic regression models were used to investigate the associations between HRQoL and pain as well as control factors. Family caregiving was reported by 395 (11.5%) of the participants, and 56.7% of the caregivers reported pain. Family caregivers reported lower pain intensity on the Visual Analogue Scale and were younger, on median, than non-caregivers. Irrespective of caregiver status, pain was associated with mental HRQoL. Concerns about personal health and financial status had the strongest associations with mental HRQOL in both groups, but the levels were higher among caregivers. Pain was one factor associated with low HRQoL regardless of family caregiver status and remained important when controlling for factors related to advanced age. This finding remained among family caregivers, though they reported lower pain intensity. Factors other than pain were shown to be important to mental HRQoL and should also be taken into consideration when discussing actions for family caregivers to maintain and improve health and HRQoL. Not applicable.

中文翻译:

分析侧重于健康相关的生活质量和疼痛的老年家庭护理人员的状况:一项横断面队列研究。

对于很大一部分老年人来说,年龄增长与健康问题和健康状况恶化有关。较年长的家庭护理人员主要负责照顾家庭的近亲,这对他们的身心健康都产生了积极和消极的影响。但是,关于老年护理人员健康状况的证据不足。这项研究的目的是调查年龄≥60岁的看护者的健康相关生活质量(HRQoL)和疼痛及其相关性。参与者(n = 3444)是从2001-2004年间在瑞典斯科讷(Skåne)进行的瑞典国家老龄化,护理性勃起病和良好老龄化国家研究中招募的。随机选择年龄≥60岁的参与者并进行认知测试,并通过问卷调查获得人口统计学信息。回应率为60%。使用了预定义的研究方案。HRQoL使用“简短健康调查”(维度心理健康)进行测量。使用Logistic回归模型调查HRQoL与疼痛以及控制因素之间的关联。395(11.5%)名参与者报告了家庭看护情况,而56.7%的看护者报告有痛苦。家庭照护者在视觉模拟量表上报告的疼痛强度较低,中位数比非照护者年轻。不论照护者的状态如何,疼痛都与心理HRQoL有关。在两组中,对个人健康和财务状况的担忧与心理HRQOL的关联最密切,但在护理人员中,这一水平更高。疼痛是与低HRQoL相关的因素之一,无论家庭照顾者的状况如何,当控制与高龄有关的因素时,疼痛仍然很重要。这一发现仍然存在于家庭护理人员中,尽管他们报告的疼痛强度较低。研究表明,除了疼痛以外,其他因素对精神HRQoL也很重要,在讨论家庭看护人员维护和改善健康及HRQoL的措施时,也应考虑这些因素。不适用。
更新日期:2020-04-22
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