Caradoc-Davies T H, Dixon G S
Department of Medicine, University of Otago Medical School, Dunedin.
N Z Med J. 1991 Jun 12;104(913):226-8.
to study stress in caregivers of elderly dependent persons after admission to a geriatric assessment and rehabilitation unit.
in 1986-7 we studied patients admitted to a geriatric assessment and rehabilitation unit in Dunedin to establish the relationship between caregiver stress, their psychological health and social functioning, and patient variables such as physical dependency.
of the 64 patients who were admitted from the community and who had a caregiver, 42 were discharged back to the community, and 30 remained there until six weeks. On admission caregiver stress was increased by problems perceived in social function (lack of companionship, excessive responsibilities and financial problems) and decreased when the caregiver had a high sense of psychological wellbeing. It was not associated with high patient dependency or the level of social support. Caregiver stress one week after discharge was lower among those with high emotional support and those with an internal locus of control. If caregiver stress one week after discharge was high there was an increased rate of readmission.
rehabilitation should include interventions directed towards the psychological health and social function of the caregiver as well as the physical independence of the patient. Improved financial support and the provision of companionship through community support groups may result in reduced caregiver stress, which should help dependent elderly people to continue to live in the community.
研究老年依赖者入住老年评估与康复单元后其照料者的压力状况。
在1986 - 1987年期间，我们对入住达尼丁一家老年评估与康复单元的患者进行了研究，以确定照料者压力、其心理健康和社会功能之间的关系，以及诸如身体依赖等患者变量之间的关系。
在从社区入院且有照料者的64名患者中，42名出院返回社区，30名在该单元直至六周。入院时，照料者压力因社会功能方面感知到的问题（缺乏陪伴、责任过重和经济问题）而增加，而当照料者有较高的心理健康感时压力则降低。它与患者的高度依赖或社会支持水平无关。出院一周后，那些获得高情感支持和具有内控倾向的照料者压力较低。如果出院一周后照料者压力较高，再入院率会增加。
康复应包括针对照料者心理健康和社会功能以及患者身体独立性的干预措施。通过社区支持团体改善经济支持并提供陪伴可能会减轻照料者压力，这应有助于依赖他人的老年人继续在社区生活。
