OBJECTIVES: To describe the factors associated with burden that caregivers of cognitively impaired older adults (dementia, delirium, or both) at the time of hospitalization experienced. DESIGN: Cross-sectional data analyses. SETTING: Three hospitals-one academic tertiary hospital and two associated community hospitals. PARTICIPANTS: Caregivers (N = 495) of cognitively impaired older adults at the time of hospital admission. MEASUREMENTS: Multivariable linear regression was performed to analyze the effect of the independent variables (caregiver: demographic characteristics, depressive symptoms, self-efficacy; older adult: neuropsychiatric symptoms, delirium, functional deficits) on caregiver burden. RESULTS: Higher burden was associated with younger caregiver age (P = .02), being a spouse (P = .03), depressive symptoms (P < .001), caregivers' lower perceived self-efficacy in managing care recipient symptoms (P = .002), and limited finances at the end of the month (P = .01). Caregiver burden was also strongly associated with the care recipient factors distressing neuropsychiatric symptoms (P = .001), delirium (P = .001), and greater functional deficits in basic activities of daily living (P = .001). CONCLUSION: These findings suggest that caregivers of older adults who were cognitively impaired at hospital admission experience burden. Understanding the factors that contribute to burden at the time of hospitalization for caregivers of persons with cognitive impairment can inform the development of interventions targeted throughout the hospitalization that have the potential to decrease burden.
OBJECTIVES: To describe the factors associated with burden that caregivers of cognitively impaired older adults (dementia, delirium, or both) at the time of hospitalization experienced. DESIGN: Cross-sectional data analyses. SETTING: Three hospitals-one academic tertiary hospital and two associated community hospitals. PARTICIPANTS: Caregivers (N = 495) of cognitively impaired older adults at the time of hospital admission. MEASUREMENTS: Multivariable linear regression was performed to analyze the effect of the independent variables (caregiver: demographic characteristics, depressive symptoms, self-efficacy; older adult: neuropsychiatric symptoms, delirium, functional deficits) on caregiver burden. RESULTS: Higher burden was associated with younger caregiver age (P = .02), being a spouse (P = .03), depressive symptoms (P < .001), caregivers' lower perceived self-efficacy in managing care recipient symptoms (P = .002), and limited finances at the end of the month (P = .01). Caregiver burden was also strongly associated with the care recipient factors distressing neuropsychiatric symptoms (P = .001), delirium (P = .001), and greater functional deficits in basic activities of daily living (P = .001). CONCLUSION: These findings suggest that caregivers of older adults who were cognitively impaired at hospital admission experience burden. Understanding the factors that contribute to burden at the time of hospitalization for caregivers of persons with cognitive impairment can inform the development of interventions targeted throughout the hospitalization that have the potential to decrease burden.
Authors: Mary D Naylor; Karen B Hirschman; Kathryn H Bowles; M Brian Bixby; JoAnne Konick-McMahan; Caroline Stephens Journal: Home Health Care Serv Q Date: 2007
Authors: Nicholas T Bott; Clifford C Sheckter; Daniel Yang; Stephanie Peters; Brian Brady; Scooter Plowman; Soo Borson; Bruce Leff; Robert M Kaplan; Terry Platchek; Arnold Milstein Journal: Am J Geriatr Psychiatry Date: 2018-09-28 Impact factor: 4.105
Authors: Alessandro Morandi; Elena Lucchi; Renato Turco; Sara Morghen; Fabio Guerini; Rossana Santi; Simona Gentile; David Meagher; Philippe Voyer; Donna M Fick; Eva M Schmitt; Sharon K Inouye; Marco Trabucchi; Giuseppe Bellelli Journal: J Psychosom Res Date: 2015-08-09 Impact factor: 3.006
Authors: Brittany Couture; Elizabeth Lilley; Frank Chang; Ann DeBord Smith; Jessica Cleveland; Awatef Ergai; Zachary Katsulis; James Benneyan; Esteban Gershanik; David W Bates; Sarah A Collins Journal: Appl Clin Inform Date: 2018-05-09 Impact factor: 2.342