Caregiver Burden for Impaired Elderly Japanese with Prevalent Stroke and Dementia under Long-Term Care Insurance System

Isao Muraki, Kazumasa Yamagishi, Yoshinobu Ito, Takashi Fujieda, Yoshinori Ishikawa, Yukiaki Miyagawa, Katsutoshi Okada, Shinichi Sato, Akihiko Kitamura, Takashi Shimamoto, Takeshi Tanigawa, Hiroyasu Iso
2008 Cerebrovascular Diseases  
1 BACKGROUND: Limited data are available on caregiver burden for stroke and 2 dementia patients. We examined the associations of prevalent stroke and dementia with 3 family caregiver burden in Japanese general populations. 4 METHODS: A total of 916 Japanese home caregivers, whose family members were 5 covered by long-term care insurance, responded to the caregiver burden questionnaire. 6 The questionnaire included caregiver's age, sex, employment status, patient-caregiver 7 relationship,
more » ... 's history of stroke, symptoms of dementia, care levels under 8 long-term care insurance and the Zarit Caregiver Burden Interview. 9 RESULTS: Mean total score from the Zarit Caregiver Burden Interview was 12% 10 higher in patients with stroke, than in those without it (p=0.02), and 40% higher in 11 those with dementia, than in those without it (p<0.001). Compared with non-stroke 12 patients without dementia, mean total score was 21% higher in stroke patients without 13 dementia (p=0.01), 49% higher in non-stroke patients with dementia (p<0.001) and 14 55% higher in stroke patients with dementia (p<0.001). After adjustment for 15 caregiver's age, sex, employment status, patient-caregiver relationship, patient's care 16 level and community, the higher scores remained statistically significant for non-stroke 17 Page. 2 patients with dementia and for stroke patients with dementia, but not for stroke patients 18 without dementia. 19 CONCLUSIONS: Prevalent stroke and, more strongly, dementia were associated with 20 increased family caregiver burden. Among patients with dementia, the presence of 21 stroke did not enhance caregiver burden further. 22
doi:10.1159/000113861 pmid:18216465 fatcat:hwm5oj6yevfqxfsx2iieg3mnge