Cho Eunhee, Kim Eun-Young, Lee Nam-Ju
Yonsei University College of Nursing, Seoul, South Korea.
West J Nurs Res. 2013 Jan;35(1):57-75. doi: 10.1177/0193945911402847. Epub 2011 Nov 8.
This study aimed to examine the effects of informal caregivers on the functioning of older adults in home health care (HHC). The authors performed a secondary data analysis using the Outcome and Assessment Information Set of older adults (N = 8,750) who were admitted to a HHC agency from acute care hospitals. We conducted hierarchical multiple linear regression with functional dependence after a 60-day episode of formal HHC as an outcome variable. The older adults with informal caregivers showed less functional dependence at discharge (β = -0.821, p = .027) than those without informal caregivers. Older adults who have a spouse (β = -3.886, p < .001), offspring (β = -3.614, p < .001), relative (β = -4.360, p < .001), or nonrelative (β = -4.977, p < .001) caregiver showed less functional dependence at discharge compared with those who had a paid caregiver when controlling for risk factors.
本研究旨在探讨非正式照料者对居家医疗保健（HHC）中老年人功能状况的影响。作者使用了从急性护理医院转入HHC机构的老年人的结局与评估信息集（N = 8750）进行二次数据分析。我们以正式HHC 60天疗程后的功能依赖为结局变量进行分层多元线性回归分析。有非正式照料者的老年人出院时的功能依赖程度（β = -0.821，p = 0.027）低于没有非正式照料者的老年人。在控制风险因素后，有配偶（β = -3.886，p < 0.001）、子女（β = -3.614，p < 0.001）、亲属（β = -4.360，p < 0.001）或非亲属（β = -4.977，p < 0.001）照料者的老年人出院时的功能依赖程度低于有付费照料者的老年人。
