Investigation of the Incidence of Anxiety and Influence Factors in Family Caregivers of Disabled Elderly in Beijing Urban Areas_West China Medical Journal

Authors：

 QIANChen-guang ^1,2 , XUWei ^2,3 , SHITing ¹ , SHAOShuang ² , WANGHui-li ² ,  DUJuan ²

1. Andelu Community Health Service Station, Beijing 100011, P. R. China;
2. School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, P. R. China;
3. Hepingli Community Health Service Station, Beijing 100013, P. R. China;

Corresponding author：

DUJuan, Email: cuckoo5243@sina.com

Keywords：

The disabled elderly; Family caregivers; Anxiety; Social support

DOI：

10.7507/1002-0179.20140249

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Objective To explore the prevalence of anxiety symptoms and its related factors among the family caregivers of the disabled elderly. Methods A cross-sectional survey based on convenience sampling was conducted among family caregivers between November and December, 2013 in Dongcheng district in Beijing. The Self-rating Anxiety Scale (SAS) and the Social Support Rating Scale (SSRS) were used to evaluate caregivers' anxious symptoms and social support status respectively. The degree of functional impairment of the elderly was measured by Barthel index. Results A total of 243 family caregivers took part in the study including 88 males and 155 females. The average age of the family caregivers was (60±1.7) years old, ranging from 25 to 85. The prevalence rate of anxiety was 29.2% reported by family caregivers. The average score of SAS was 35.6±8.6. The risk factors of caregivers' anxiety included Barthel index score ≤20 (OR=1.51), SSRS score ≤33 (OR=4.56), no time to relax (OR=1.57) and poor health status caregivers feeling (OR=3.48). Conclusion A relative high level of anxiety exists in family caregivers for the disabled elderly. Caregiver anxiety is a complex process, influenced by diverse care receiver and caregiver characteristics.

Citation： QIANChen-guang, XUWei, SHITing, SHAOShuang, WANGHui-li, DUJuan. Investigation of the Incidence of Anxiety and Influence Factors in Family Caregivers of Disabled Elderly in Beijing Urban Areas. West China Medical Journal, 2014, 29(5): 812-815. doi: 10.7507/1002-0179.20140249 Copy

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12.	Rigaud AS, Pino M, Wu YH, et al. Support for patients with Alzheimer's disease and their caregivers by gerontechnology[J]. Geriatr Psychol Neuropsychiatr Vieil, 2011, 9(1):91-100.
13.	Makizako H, Abe T, Shimada H, et al. Combined effect of factors associated with burdens on primary caregiver[J]. Geriatr Gerontol Int, 2009, 9(2):183-189.
14.	Colvez A, Joël ME, Ponton-Sanchez A, et al. Health status and work burden of Alzheimer patients' informal caregivers:comparisons of five different care programs in the European Union[J]. Health Policy, 2002, 60(3):219-233.
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1. 中国老龄科学研究中心课题组, 张恺悌, 孙陆军, 等. 全国城乡失能老年人状况研究[J]. 残疾人研究, 2011(2):11-16.
2. Palos GR, Mendoza TR, Liao KP, et al. Caregiver symptom burden:the risk of caring for an underserved patient with advanced cancer[J]. Cancer, 2011, 117(5):1070-1079.
3. Lingler JH, Martire LM, Schulz R. Mortality after the hospitalization of a spouse[J]. N Engl J Med, 2006, 354(20):2190-2191.
4. Chen Y, Lu J, Wong KS, et al. Health-related quality of life in the family caregivers of stroke survivors[J]. Int J Rehabil Res, 2010, 33(3):232-237.
5. 李立明. 老年保健流行病学[M]. 北京:北京医科大学、中国协和医科大学联合出版社, 1996:99.
6. 陈琳, 王维宁. 糖尿病家庭照顾者焦虑影响因素调查分析[J]. 护理实践与研究, 2012, 9(6):138-140.
7. 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994, 4(2):98-100.
8. 张作记. 行为医学量表手册[M]. 山东:中国行为医学科学编辑部, 2001:41.
9. Given B, Wyatt G, Given C, et al. Burden and depression among caregivers of patients with cancer at the end of life[J]. Oncol Nurs Forum, 2004, 31(6):1105-1117.
10. 张玲云, 许春艳. 社区脑卒中患者家庭主要照顾者心理健康状况调查[J]. 中华现代护理杂志, 2009, 15(34):3641-3642.
11. 陈虹, 姜潮, 孙月吉, 等. 晚期癌症病人主要照顾者心身障碍及影响因素[J]. 中国行为医学科学, 2002, 11(5):575.
12. Rigaud AS, Pino M, Wu YH, et al. Support for patients with Alzheimer's disease and their caregivers by gerontechnology[J]. Geriatr Psychol Neuropsychiatr Vieil, 2011, 9(1):91-100.
13. Makizako H, Abe T, Shimada H, et al. Combined effect of factors associated with burdens on primary caregiver[J]. Geriatr Gerontol Int, 2009, 9(2):183-189.
14. Colvez A, Joël ME, Ponton-Sanchez A, et al. Health status and work burden of Alzheimer patients' informal caregivers:comparisons of five different care programs in the European Union[J]. Health Policy, 2002, 60(3):219-233.
15. Sisk RJ. Caregiver burden and health promotion[J]. Int J Nurs Stud, 2000, 37(1):37-43.

West China Medical Journal

Investigation of the Incidence of Anxiety and Influence Factors in Family Caregivers of Disabled Elderly in Beijing Urban Areas

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