Gaugler Joseph E, Jarrott Shannon E, Zarit Steven H, Stephens Mary-Ann Parris, Townsend Aloen, Greene Rick
Program in Gerontology/Department of Behavioral Science, University of Kentucky, Lexington, Kentucky 40536-0230, USA.
Int Psychogeriatr. 2003 Mar;15(1):37-58. doi: 10.1017/s1041610203008743.
The objective of this study was to determine whether adult day service use was related to decreases in primary caregiving hours (i.e., the time caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for care recipients) and care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, adult day service users reported decreased frequency of behavior problems in their relatives who attended adult day programs. The findings suggest that adult day services, if used over time, are effective in restructuring caregiving time and may offer potential benefits not only to family caregivers but to community-residing older adults who have dementia as well.
本研究的目的是确定使用成人日托服务是否与主要照料时长（即照料者花费在照顾对象日常生活活动/工具性日常生活活动及行为问题上的时间）的减少以及这些领域中照顾对象的功能有关。使用了来自成人日托合作研究（N = 400）的三个月纵向数据。与未使用者相比，即使在控制了两组之间的基线差异之后，使用成人日托服务的人报告在行为问题上花费的时间减少得更多。此外，使用成人日托服务的人报告称，参加成人日托项目的亲属行为问题的发生频率有所降低。研究结果表明，长期使用成人日托服务在重新安排照料时间方面是有效的，不仅可能给家庭照料者带来潜在益处，而且对患有痴呆症的社区老年人也可能有益。
