Beach S R, Schulz R, Yee J L, Jackson S
University Center for Social and Urban Research, University of Pittsburgh, Pennsylvania 15260, USA.
Psychol Aging. 2000 Jun;15(2):259-71. doi: 10.1037//0882-7974.15.2.259.
Data from the first 2 waves of the Caregiver Health Effects Study (n = 680) were analyzed to examine the effects of changes in caregiving involvement on changes in caregiver health-related outcomes in a population-based sample of elders caring for a disabled spouse. Caregiving involvement was indexed by levels of (a) spouse physical impairment, (b) help provided to the spouse, and (c) strain associated with providing help. Health-related outcomes included perceived health, health-risk behaviors, anxiety symptoms, and depression symptoms. Increases in spouse impairment and caregiver strain were generally related to poorer outcomes over time (poorer perceived health, increased health-risk behaviors, and increased anxiety and depression), whereas increased helping was related to better outcomes (decreased anxiety and depression). Results suggest that caring for a disabled spouse is a complex phenomenon that can have both deleterious and beneficial consequences.
对护理者健康影响研究前两波的数据（n = 680）进行了分析，以检验护理参与度的变化对照顾残疾配偶的老年人群体中护理者健康相关结果变化的影响。护理参与度通过以下水平进行衡量：（a）配偶身体损伤程度、（b）向配偶提供的帮助以及（c）与提供帮助相关的压力。健康相关结果包括自我感知健康、健康风险行为、焦虑症状和抑郁症状。随着时间推移，配偶损伤程度和护理者压力的增加通常与较差的结果相关（自我感知健康较差、健康风险行为增加以及焦虑和抑郁增加），而提供帮助的增加则与较好的结果相关（焦虑和抑郁减少）。结果表明，照顾残疾配偶是一个复杂的现象，可能会产生有害和有益的后果。
