Grinstead Linda Nicholson, Leder Sharon, Jensen Susan, Bond Linda
Kirkhof School of Nursing, Grand Valley State University, Grand Rapids, Michigan 49503, USA.
J Adv Nurs. 2003 Nov;44(3):318-26. doi: 10.1046/j.1365-2648.2003.02807.x.
To provide a critical review of research literature on the health of grandparents raising grandchildren, and identify directions for future research.
Approaches used to access the research studies for this review included a comprehensive search using relevant electronic databases and a thorough examination of the references in each published study.
All studies but one were published after 1990. Samples consisted primarily of African-American and Caucasian grandmothers in the United States of America. Earlier studies tended to describe health and other related concepts while more recent studies began to examine relationships between concepts. Most of the studies had a cross-sectional design and only one evaluated interventions. Inconsistencies in the results of these studies were prevalent.
Evaluation studies, longitudinal designs, and more varied study samples including cross-cultural comparisons are needed to advance knowledge about grandparent caregivers' health.
对有关抚养孙辈的祖父母健康状况的研究文献进行批判性综述,并确定未来的研究方向。
用于获取本综述研究的方法包括使用相关电子数据库进行全面检索,以及对每项已发表研究中的参考文献进行详尽审查。
除一项研究外,所有研究均发表于1990年之后。样本主要由美国的非裔美国人和白人祖母组成。早期研究倾向于描述健康及其他相关概念,而近期研究开始考察各概念之间的关系。大多数研究采用横断面设计,仅有一项评估了干预措施。这些研究结果中存在不一致性的情况很普遍。
需要开展评估研究、采用纵向设计,并纳入更多样化的研究样本,包括跨文化比较,以增进对祖父母照料者健康状况的了解。