Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, South Korea.
Geriatr Nurs. 2011 Jan-Feb;32(1):18-28. doi: 10.1016/j.gerinurse.2010.08.012. Epub 2010 Oct 27.
This study evaluated the association between presence and types of informal caregivers and the presence of depressive symptoms among older adults receiving formal home health care (HHC). A secondary analysis of data was conducted using a computerized patient care database, the Outcome and Assessment Information Set. Logistic regression analyses were used to examine the data of 8448 patients aged 65 years or older who had been admitted to an HHC agency from acute care hospitals between January 1, 2002 and June 30, 2002. The outcome variable was the presence of depressive symptoms. The primary predictor variable was the presence and types of informal caregivers. Covariates included demographic variables, health status, length of time enrolled in formal HHC, patient living arrangements, and the frequency and types of care received from informal caregivers. A lower percentage of older adults receiving care from both informal caregivers and a formal HHC agency (13.3%) had depressive symptoms than older adults receiving only formal HHC (14.9%) at the end of a 60-day episode in formal HHC. Older adults without an informal caregiver were more likely to experience depressive symptoms than those with an informal caregiver after a 60-day episode in HHC (odds ratio = 1.229, 95% confidence interval = 1.027-1.471). There was no significant association between the types of informal caregivers and the presence of depressive symptoms.
本研究评估了在接受家庭保健服务（HHC）的老年人中，非正式照顾者的存在和类型与抑郁症状之间的关系。使用计算机患者护理数据库（Outcome and Assessment Information Set）对数据进行了二次分析。使用逻辑回归分析检查了 2002 年 1 月 1 日至 6 月 30 日期间从急性护理医院转入 HHC 机构的 8448 名 65 岁或以上患者的数据。因变量是抑郁症状的存在。主要预测变量是非正式照顾者的存在和类型。协变量包括人口统计学变量、健康状况、正式 HHC 登记时间、患者居住安排以及非正式照顾者提供的护理频率和类型。在 HHC 接受 60 天治疗结束时，接受非正式照顾者和正式 HHC 机构照顾的老年人（13.3%）比仅接受正式 HHC 机构照顾的老年人（14.9%）出现抑郁症状的比例较低。在 HHC 接受 60 天治疗后，没有非正式照顾者的老年人比有非正式照顾者的老年人更有可能出现抑郁症状（比值比=1.229，95%置信区间=1.027-1.471）。非正式照顾者的类型与抑郁症状的存在之间没有显著关联。
