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

Video：

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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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11.	陳虹, 姜潮, 孫月吉, 等. 晚期癌癥病人主要照顧者心身障礙及影響因素[J]. 中國行為醫學科學, 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, Jo?l 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.

1. 中國老齡科學研究中心課題組, 張愷悌, 孫陸軍, 等. 全國城鄉失能老年人狀況研究[J]. 殘疾人研究, 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. 老年保健流行病學[M]. 北京:北京醫科大學、中國協和醫科大學聯合出版社, 1996:99.
6. 陳琳, 王維寧. 糖尿病家庭照顧者焦慮影響因素調查分析[J]. 護理實踐與研究, 2012, 9(6):138-140.
7. 肖水源. 《社會支持評定量表》的理論基礎與研究應用[J]. 臨床精神醫學雜志, 1994, 4(2):98-100.
8. 張作記. 行為醫學量表手冊[M]. 山東:中國行為醫學科學編輯部, 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. 張玲云, 許春艷. 社區腦卒中患者家庭主要照顧者心理健康狀況調查[J]. 中華現代護理雜志, 2009, 15(34):3641-3642.
11. 陳虹, 姜潮, 孫月吉, 等. 晚期癌癥病人主要照顧者心身障礙及影響因素[J]. 中國行為醫學科學, 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, Jo?l 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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