Gaugler Joseph E, Kane Robert L, Kane Rosalie A, Newcomer Robert
Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536-0086, USA.
Psychol Aging. 2005 Mar;20(1):100-16. doi: 10.1037/0882-7974.20.1.100.
Using multiregional, 3-year data from early career dementia caregivers, this study determines how behavior problems that occur early in the caregiving career influence time to nursing home placement and change in burden and depression over time. A Cox proportional hazards model indicated that caregivers who managed frequent behavior problems earlier are more likely to institutionalize. After controlling for important time-varying covariates in a series of growth-curve models, caregivers who were faced with severe, early behavior problems reported greater increases in burden and depression over the 3-year study period. The findings suggest the need to consider experiences early in the dementia caregiving career when accounting for key longitudinal outcomes and also emphasize the importance of attrition when attempting to model the health implications of informal long-term care over time.
本研究利用来自早期职业痴呆症护理人员的多地区、为期3年的数据，确定护理职业早期出现的行为问题如何影响养老院安置时间以及随时间推移负担和抑郁的变化。Cox比例风险模型表明，早期处理频繁行为问题的护理人员更有可能将患者送入养老院。在一系列增长曲线模型中控制了重要的随时间变化的协变量后，面临严重早期行为问题的护理人员在3年研究期间报告的负担和抑郁增加幅度更大。研究结果表明，在考虑关键纵向结果时需要考虑痴呆症护理职业早期的经历，并且在试图对非正式长期护理随时间的健康影响进行建模时强调损耗的重要性。
