家族介護者の介護負担感との関連因子についての文献的考察─被介護者要因，介護者要因，介護者─被介護者間関係，外的要因に分類して

A review on the perception of family caregivers' burden: Classification based on patient and caregiver characteristics, relationship between patient and caregiver, and the community and social care support system

要旨：本研究では，家族間介護における介護負担感との関連因子について文献検索を行った．被介護者要因で関連が認められた項目は，認知機能障害の程度や認知症の周辺症状，ADL自立度が挙げられた．介護者要因で関連が認められた項目は，QOL，抑うつ，健康状態，目が離せない時間であった．介護者─被介護者間関係で介護負担感と関連性を認めた項目は少ないが，続柄別で介護負担感と精神的健康感との因果関係に違いがある可能性が示されていた．外的要因として関連が認められた項目は，介護相談者の有無，介護サービスの利用数，ショートステイの利用であった．介護負担を変化させる要因を得るため縦断的なデータを使用した検討が今後の課題である．

　This study reviewed the perception of family caregivers' burden. Regarding patients' characteristics, factors influencing the caregivers' burden were the level of cognitive function, behavioral and psychological symptoms of dementia, and the ability to engage in activities of daily living. Regarding caregivers' characteristics, factors influencing the caregivers' burden were quality of life, depression, health conditions, and monitoring time on patients. Regarding the relationship between patients and caregivers, there were few factors influencing the caregivers' burden. However, different relationships with the patients suggests that they may influence caregivers' burden and caregivers' mental health. The community and social care support system influencing the caregiver burden included the presence of persons to talk with about care, number of social services used, and use of short stay. The study also highlights the necessity of including data from longitudinal research.