Ho Suzanne C, Chan Alfred, Woo Jean, Chong Portia, Sham Aprille
Department of Community and Family Medicine, Centre of Research and Promotion of Women's Health, School of Public Health, The Chinese University of Hong Kong, Prince of Wales Hospital, 4/F, Shatin N.T., Hong Kong, China.
J Gerontol A Biol Sci Med Sci. 2009 Aug;64(8):873-9. doi: 10.1093/gerona/glp034. Epub 2009 Apr 7.
This study aims to investigate the impact of caregiving on the health status and quality of life (QOL) of primary informal caregivers (PCGs) of elderly care recipients in Hong Kong. A total of 246 PCGs and 492 matched noncaregiver (NCG) controls were identified in a population-based cross-sectional study through random telephone dialing. Their health status and QOL were assessed based on structured questionnaires and Short Form 36 (SF-36) Health Survey. Multiple conditional logistic regression analysis showed that compared with NCGs, PCGs had significantly increased risks for reporting worse health, more doctor visits, anxiety and depression, and weight loss. Female PCGs were more likely to report chronic diseases, symptoms, and insomnia. PCGs, particularly women, had significantly lower scores in all eight domains of SF-36 Health Survey. High caregiver burden score (Zarit Burden Scale) was positively associated with adverse physical and psychological health and poorer QOL. The results indicate that PCGs, particularly women, had an adverse physical and psychological health profile and poorer QOL compared with NCGs.
本研究旨在探讨照顾对香港老年受照顾者的主要非正式照顾者(PCG)的健康状况和生活质量(QOL)的影响。在一项基于人群的横断面研究中,通过随机电话拨号确定了总共246名PCG和492名匹配的非照顾者(NCG)对照。根据结构化问卷和简短健康调查问卷(SF-36)对他们的健康状况和生活质量进行评估。多重条件逻辑回归分析表明,与NCG相比,PCG报告健康状况较差、看医生次数更多、焦虑和抑郁以及体重减轻的风险显著增加。女性PCG更有可能报告患有慢性疾病、症状和失眠。PCG,尤其是女性,在SF-36健康调查问卷的所有八个领域得分均显著较低。高照顾负担评分(Zarit负担量表)与不良的身心健康和较差的生活质量呈正相关。结果表明,与NCG相比,PCG,尤其是女性,身心健康状况较差,生活质量较低。