Pot Anne Margriet, Zarit Steven H, Twisk Jos W R, Townsend Aloen L
Department of Nursing Home Medicine, VU University Medical Center, Amsterdam, Netherlands.
Psychol Aging. 2005 Jun;20(2):211-9. doi: 10.1037/0882-7974.20.2.211.
This study examines the associations between transitions in paid home care and stress appraisals and psychological well-being of family caregivers of dementia relatives. The sample consisted of 264 caregivers who completed up to 3 interviews during 1 year. Longitudinal analyses (i.e., generalized estimating equations) showed that the onset of paid home care was associated with increases in feelings of worry and strain and a worsening in positive affect. Ending paid home care was strongly associated with a decrease in depressive symptoms, whereas sustained use of paid home care was related to reduced overload. Several possible mechanisms for the complex relationship of paid home care and family caregivers' stress appraisals and well-being are discussed.
本研究探讨了付费家庭护理的转变与痴呆症患者家庭照顾者的压力评估及心理健康之间的关联。样本包括264名照顾者，他们在1年内完成了多达3次访谈。纵向分析（即广义估计方程）表明，开始接受付费家庭护理与担忧和压力感增加以及积极情绪恶化有关。停止付费家庭护理与抑郁症状的减轻密切相关，而持续使用付费家庭护理则与负担减轻有关。文中讨论了付费家庭护理与家庭照顾者的压力评估及幸福感之间复杂关系的几种可能机制。
