دورية أكاديمية
أعرض في EDS

Association between specific unmet functional needs and desire to institutionalize among caregivers of older veterans.

التفاصيل البيبلوغرافية
العنوان: Association between specific unmet functional needs and desire to institutionalize among caregivers of older veterans.
المؤلفون: Brenner RJ; Salt Lake City VA Geriatric Research Education and Clinical Center, Division of Geriatrics, University of Utah, Salt Lake City, Utah, USA., Hansen J; Salt Lake City VA IDEAS Center, Division of Epidemiology, University of Utah, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Salt Lake City, Utah, USA., Brintz BJ; Salt Lake City VA IDEAS Center, Division of Epidemiology, University of Utah, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Salt Lake City, Utah, USA., Bouldin ED; Salt Lake City VA IDEAS Center, Division of Epidemiology, University of Utah, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Salt Lake City, Utah, USA., Pugh MJ; Salt Lake City VA IDEAS Center, Division of Epidemiology, University of Utah, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Salt Lake City, Utah, USA., Rupper R; Division of Geriatrics, Salt Lake City VA Geriatric Research Education and Clinical Center, University of Utah, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Salt Lake City, Utah, USA., Munoz R; Department of Health Policy & Management, Florida International University, Robert Stempel College of Public Health & Social Work, Miami, Florida, USA., Garcia-Davis S; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA., Dang S; Miami VA Geriatric Research Education and Clinical Center, University of Miami Miller School of Medicine, Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, Miami, Florida, USA.
المصدر: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2023 Jul; Vol. 71 (7), pp. 2264-2270. Date of Electronic Publication: 2023 Feb 23.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell Science
Original Publication: New York [etc.]
مواضيع طبية MeSH: Caregivers* , Veterans* , Institutionalization*, Humans ; Cross-Sectional Studies ; Multivariate Analysis ; Logistic Models ; United States ; Female ; Aged ; Surveys and Questionnaires ; Middle Aged ; Aged, 80 and over ; Male
مستخلص: Objectives: To evaluate the associations between specific functional needs of older Veterans and the desire to institutionalize (DTI) among their caregivers.
Methods: Cross-sectional multivariable logistic regression analysis of 3579 Hero Care survey responses from caregivers of Veterans at five US sites from July to December 2021. Unmet needs were areas in which the caregiver reported the Veteran needed a little more or a lot more help. Caregiver DTI was defined as the caregiver reporting that they had discussed, considered, or taken steps toward a nursing home or assisted living placement for the Veteran or that they felt the Veteran would be better off in such a setting or they were likely to move the Veteran to another living arrangement.
Results: Caregivers were largely white, retired, females with an average age of 71 and with some college education who spent an average of 8-9 h per day 6 days a week caring for a Veteran spouse. There was evidence of associations between the following needs and a DTI: managing incontinence, using the telephone, transportation, and arranging services in the home such as visiting nurses, home care aides, or meals on wheels. Unmet functional needs in other selected domains were not associated with the DTI.
Conclusion: Among caregivers of older Veterans, a need for more assistance managing incontinence, telephone use, transportation, and arranging in-home services were associated with the DTI. These may represent functional markers of important clinical determinants for institutionalization as well as potential targets for intervention to reduce caregiver DTI, such as programs that provide more caregiver or Veteran support in the home to meet these needs and reduce caregiver burden.
(Published 2023. This article is a U.S. Government work and is in the public domain in the USA.)
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فهرسة مساهمة: Keywords: caregivers; desire to institutionalize; function; institutionalization
تواريخ الأحداث: Date Created: 20230223 Date Completed: 20230718 Latest Revision: 20230719
رمز التحديث: 20240829
DOI: 10.1111/jgs.18307
PMID: 36815450
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-5415
DOI:10.1111/jgs.18307