Townsend Aloen L, Ishler Karen J, Shapiro Beth M, Pitorak Elizabeth Ford, Matthews Carol R
Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Soc Work End Life Palliat Care. 2010;6(1-2):51-72. doi: 10.1080/15524256.2010.489222.
Academic researchers and professionals from a hospice organization collaborated to assess physical, emotional, social, economic, and spiritual strain stemming from providing care to a terminally ill older relative among 162 family caregivers to older adults newly admitted to hospice home care. The study investigated predictors of the different types of strain, as well as cumulative strain. Hierarchical multiple regressions revealed that caregivers' age and race, hospice patients' major illnesses (particularly cancer), caregivers' appraisals of their situation, and resources were significant risk or protective factors for caregiver strain, although the predictors varied by type of strain and amount of strain. Discussion focuses on the importance of identifying family caregivers at risk of higher strain during hospice home care and implications for family caregiver interventions.
一家临终关怀机构的学术研究人员和专业人士合作，对162名新入住临终关怀家庭护理机构的老年患者的家庭护理人员进行评估，以了解照顾身患绝症的老年亲属所带来的身体、情感、社会、经济和精神压力。该研究调查了不同类型压力以及累积压力的预测因素。分层多元回归分析显示，护理人员的年龄和种族、临终关怀患者的主要疾病（尤其是癌症）、护理人员对自身状况的评估以及资源，是护理人员压力的显著风险或保护因素，尽管预测因素因压力类型和压力程度而异。讨论重点在于识别临终关怀家庭护理期间面临更高压力风险的家庭护理人员的重要性，以及对家庭护理人员干预措施的影响。
