Ekwall Anna, Sivberg Bengt, Hallberg Ingalill Rahm
Department of Nursing, Faculty of Medicine, Lund University, Lund, Sweden.
Scand J Caring Sci. 2004 Sep;18(3):239-48. doi: 10.1111/j.1471-6712.2004.00283.x.
The aim was to investigate dimensions of caregiving activities among elderly (75+) caregivers based on Nolan's model and to study the dimensions in relation to health-related quality of life (Short Form 12). Responses to a Swedish postal survey (n=4278, response rate 75-79 years old: 60%; 80-84: 56%; 85-89: 48% and 90+: 42%) showed that 783 persons (18%) were helping another person due to that person's impaired health, 41.6% women, mean age for women 81.8 years (SD 4.96) and for men 81.7 years (SD 4.32). The postal questionnaire included SF-12, demographic data and questions about caregiving activities derived from Nolan's model, social network and contacts with health care. Adapting their activities to be prepared if something happened (52%), having regular contact to prevent problems (35%), helping in contacts with the hospital (57%), helping with instrumental activities of daily living (49%), personal activities of daily living (14%), medical care (11%) and helping to improve functions (14%) were the activities reported. Adapting own activities, regular contact, weak economy and needing instrumental help with daily living oneself predicted low MCS12. The importance of early involvement on the part of the caregivers was emphasized.
目的是基于诺兰模型调查75岁及以上老年照料者的照料活动维度,并研究这些维度与健康相关生活质量(简短健康调查问卷12项)之间的关系。对一项瑞典邮政调查的回复(n = 4278,回复率75 - 79岁:60%;80 - 84岁:56%;85 - 89岁:48%;90岁及以上:42%)显示,783人(18%)因他人健康受损而帮助他人,其中女性占41.6%,女性平均年龄81.8岁(标准差4.96),男性平均年龄81.7岁(标准差4.32)。邮政调查问卷包括简短健康调查问卷12项、人口统计学数据以及源自诺兰模型的关于照料活动、社会网络和与医疗保健接触的问题。报告的活动包括:调整自身活动以便在有事发生时做好准备(52%)、定期联系以预防问题(35%)、协助与医院联系(57%)、协助进行日常生活工具性活动(49%)、日常生活个人活动(14%)、医疗护理(11%)以及协助改善功能(14%)。调整自身活动、定期联系、经济状况不佳以及自身需要日常生活工具性帮助预示着简短健康调查问卷12项心理成分得分较低。强调了照料者早期参与的重要性。