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[非正式护理时长与护理者心理健康状况之间的关系]

[Relationship between the number of hours of informal care and the mental health status of caregivers].

作者信息

Masanet Erika, La Parra Daniel

机构信息

Centro de Investigação e Estudos de Sociologia (CIES-IUL), Instituto Universitário de Lisboa (ISCTE-IUL), Portugal.

出版信息

Rev Esp Salud Publica. 2011 Jun;85(3):257-66. doi: 10.1590/S1135-57272011000300004.

Abstract

BACKGROUND

Mental health of caregivers is damaged by caregiving tasks. Studies are needed to determine the influence of several variables on the association between informal care and mental health. The aim of this paper is to analyse the effects of the time devoted to informal caregiving on the mental health of women and men in relation to the type of dependents.

METHODS

National Health Survey 2006, sample 29,478.

VARIABLES

mental health state (GHQ-12), number of hours devoted to caregiving, age, social class, and functional support (Duke-UNC). A logistic regression analysis was performed to determine the probability of having poorer mental health according to the number of hours of caregiving, adjusted for age, social class and functional support.

RESULTS

Women show poorer mental health when they spend more than 97 hours per week taking care of children [OR=1,372], more than 25 hours caring for persons over 74 years of age [OR=1,602 between 25 and 48 hours; OR=1,467 49-96h.; OR=1,874 97-168h.], and when they devote some hours to provide care to adults with disabilities [OR=1,996 0-24h.; OR=2,507 25-48h.; OR=3,016 49-96h.; OR=1,651 97-168h.]. Men show deterioration in mental health when they devote a high number of hours to caring for persons over 74 years [OR=2,810 97-168h.] and adults with disabilities [OR=3,411 97-168h.], and when they devote some hours to childcare [OR=1,595 0-24h.].

CONCLUSIONS

The effect of the number of hours devoted to caregiving on the mental health of caregivers is influenced by the type of dependents and the gender of the caregiver.

摘要

背景

照顾任务会损害照顾者的心理健康。需要开展研究以确定多个变量对非正式照顾与心理健康之间关联的影响。本文旨在分析投入非正式照顾的时间对不同类型受抚养者的男性和女性心理健康的影响。

方法

2006年国民健康调查,样本量29478。

变量

心理健康状况(一般健康问卷-12项)、照顾时间、年龄、社会阶层和功能支持(杜克大学-北卡罗来纳大学量表)。进行逻辑回归分析,以确定根据照顾时长,在调整年龄、社会阶层和功能支持因素后心理健康较差的概率。

结果

当女性每周照顾孩子的时间超过97小时[比值比=1.372]、照顾74岁以上老人的时间超过25小时[25至48小时的比值比=1.602;49至96小时的比值比=1.467;97至168小时的比值比=1.874],以及花费一些时间照顾残疾成年人时[0至24小时的比值比=1.996;25至48小时的比值比=2.507;49至96小时的比值比=3.016;97至168小时的比值比=1.651],其心理健康状况较差。当男性花费大量时间照顾74岁以上老人[97至168小时的比值比=2.810]和残疾成年人[97至168小时的比值比=3.411],以及花费一些时间照顾孩子时[0至24小时的比值比=1.595],其心理健康会恶化。

结论

投入照顾的时长对照顾者心理健康的影响受受抚养者类型和照顾者性别的影响。

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