Factors associated with the occupational balance in caregivers of people with dementia: A cross-sectional study from the ATENEA project.

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY BMC Geriatrics Pub Date : 2024-11-06 DOI:10.1186/s12877-024-05518-9
Daniel Prieto-Botella, Paula Fernández-Pires, Paula Peral-Gómez, Cristina Espinosa-Sempere, Verónica Company-Devesa, José-Ángel Pastor-Zaplana, Loreto González-Román, Jessica Garrido-Pedrosa, Inmaculada Zango-Martín, Petra Wagman, Alicia Sánchez-Pérez
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Abstract

Background: Occupational balance (OB) has been associated with health indicators in informal caregivers (CGs) such as well-being and subjective health. Consequently, maintaining an adequate OB could be crucial to providing adequate care without becoming overwhelmed, converting the condition of caregivers into an important aspect of public health as the ageing population increases. However, little is known about the factors influencing OB in CGs. Thus, this study aimed to explore the associated factors with the OB in CGs of persons with dementia.

Methods: We cross-sectionally analysed data from 134 CGs and the individuals with dementia. We assessed CGs' OB using the Occupational Balance Questionnaire (OBQ). Simultaneously, several sociodemographic, clinical, and caregiving-related variables including CGs' burden and psychological distress were assessed. The association between the CGs' OB and those factors was explored through robust multiple linear regression.

Results: Firstly, CGs that presented secondary education exhibited a decrement of 5.41 (CI95% = -10.62, -0.41; p-value = 0.03) OB points. Moreover, CGs with higher education experienced a more pronounced OB reduction (β = -7.74; 95%CI = -12.19, -3.29; p-value = < 0.001). Secondly, those CGs that were retired showed an OB increment of 5.52 (CI95% = 1.14, 9.38; p-value = 0.01). Thirdly, receiving assistance with household chores was associated with an OB increase of 5.80 (CI95% = 2.21, 9.38; p-value = 0.001). Fourthly, and regarding clinical measures, CGs experiencing overload or psychological distress were associated with an OB points decrement of 7.87 (CI95% = -12.51, -3.23; p-value = 0.001) and 9.17 (CI95% =-13.51, -4.84; p-value < 0.001), respectively. Finally, 1% increment in the Disability Assessment for Dementia obtained from the individuals with dementia was associated with an increment of 0.11 (CI95% = 0.04, 0.18; p-value = 0.002) OB points.

Conclusions: This study identified several associated factors with the OB of CGs of persons with dementia. Specifically, we remarked that the CGs' education, employment status, household chores assistance, overload presence, psychological distress symptoms and the functional level of the person with dementia who cared for were important variables that should be considered when evaluating OB or creating OB-related interventions in CGs.

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与痴呆症患者照顾者职业平衡相关的因素:ATENEA 项目的横断面研究。
背景:职业平衡(OB)与非正规护理人员(CGs)的健康指标(如幸福感和主观健康)有关。因此,随着老龄化人口的增加,保持适当的职业平衡对于提供充分的护理而不至于不堪重负至关重要,这也使护理人员的状况成为公共卫生的一个重要方面。然而,人们对影响 CGs OB 的因素知之甚少。因此,本研究旨在探讨与痴呆症患者社区活动中心的活动量相关的因素:我们横向分析了 134 家老年痴呆症患者团体和老年痴呆症患者的数据。我们使用职业平衡问卷(OBQ)对老年痴呆症患者的职业平衡进行了评估。同时,我们还评估了与社会人口学、临床和护理相关的几个变量,包括CGs的负担和心理困扰。通过稳健的多元线性回归,探讨了 CGs 的职业平衡与这些因素之间的关联:首先,受过中等教育的 CGs 的 OB 下降了 5.41(CI95% = -10.62, -0.41;P 值 = 0.03)分。此外,受过高等教育的 CGs 的 OB 下降更为明显(β = -7.74; 95%CI = -12.19, -3.29;p 值 = 结论:本研究发现了几个与痴呆症患者脑电图转播相关的因素。具体而言,我们注意到,老年痴呆症社区工作者的教育程度、就业状况、家务协助、是否超负荷工作、心理困扰症状以及所照顾的老年痴呆症患者的功能水平是评估老年痴呆症社区工作者转播或制定与转播相关的干预措施时应考虑的重要变量。
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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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