Factors of influence to change 1 year after burden of care for caregiver with home-visit rehabilitation user

Abstract

Purpose: To examine the factors that predict the change over a year in the feeling of care burden of the main caregiver caring for home-visit rehabilitation users. Method: Participants were 37 pairs of care receivers and their main caregivers using home-visit rehabilitation from two home care offices in Kanagawa prefecture and Tokyo at 2014（at the time of follow-up survey）, out of the 54 pairs we carried out the first survey in 2013（dropout rate 31.5%）. We performed logistic regression analysis by the stepwise method, with the one-year change in the feeling of care burden（maintained / improved group: 0, exacerbated group: 1）as the dependent variable, subjective feeling of health of the care receiver at the time of the initial survey as the independent variable, and the age, gender, care period of the primary caregiver as the adjustment variables. Results: The factor that predicts the primary caregivers’ burden of care one year later, is the subjective feeling of health of the care receivers（odds ratio=6.209, 95% confidence interval=1.099 to 35.074, p=0.039）, and the coefficient of determination was 0.338. Conclusion: It was suggested that if the subjective feeling of health of the care receivers using home-visit rehabilitation is low, the care burden of the primary caregivers may worsen one year later.