The relationship between comorbidities in dementia patients and burden on adult–child primary caregivers: Does having a secondary caregiver matter?
| العنوان: | The relationship between comorbidities in dementia patients and burden on adult–child primary caregivers: Does having a secondary caregiver matter? |
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| المؤلفون: | Boye Fang, Jieling Chan, Gengzhen Chen, Huiying Liu |
| المصدر: | International Journal of Mental Health Nursing. 28:1306-1317 |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Gerontology, Health outcomes, Interviews as Topic, 03 medical and health sciences, 0302 clinical medicine, Cost of Illness, Surveys and Questionnaires, Secondary analysis, medicine, Humans, Dementia, Aged, 030504 nursing, Family caregivers, business.industry, Caregiver burden, Middle Aged, medicine.disease, Comorbidity, 030227 psychiatry, Cross-Sectional Studies, Caregivers, Spouse, Adult Children, Female, Observational study, Pshychiatric Mental Health, 0305 other medical science, business |
| الوصف: | Primary family caregivers of patients with dementia often experience high caregiver burden and significant decline in a range of health outcomes. The current study examined the relationship between medical comorbidities of inpatients with dementia and caregiver burden in adult-child primary caregivers, and the buffering effect of having a secondary caregiver on the relationship between patients' comorbidities and caregiver burden. The study is a secondary analysis of data from a cross-sectional observational study design. The sample comprised 477 dyads of inpatients with dementia and adult-child primary caregivers attending the neurological department of two grade A hospitals. All the inpatients were assessed with the Charlson Comorbidity Index (CCI) and the Mini-Mental State Examination (MMSE). All the adult-child primary caregivers were assessed with the Zarit Burden Interview (ZBI) and completed the questionnaires on socio-demographic data, caring hours, presence of secondary caregiver, and the level of impairment of the patient. Higher burden was associated with higher scores on the CCI and having a spouse of the patient as the secondary caregiver. A significant interaction occurred between the CCI and caregiver burden when having a spouse as the secondary caregiver, indicating the negative effect of the CCI on caregiver burden was greater when the spouse of the patient served as the secondary caregiver. In summary, the negative impact of patients' comorbidities on caregiver burden in adult-child primary caregivers was heightened when the secondary caregiver role was undertaken by the spouse of the patient with dementia. These results may inform programmes targeted to improve care arrangements for people with dementia and their caregivers. |
| تدمد: | 1447-0349 1445-8330 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8d267e648d87fb232b8240933283f2fa https://doi.org/10.1111/inm.12640 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....8d267e648d87fb232b8240933283f2fa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14470349 14458330 |
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