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[未来需要照料时家庭资源的使用。亲属间的照料偏好及提供照料的预期意愿:一项基于人群的研究]

[Use of family resources in future need of care. Care preferences and expected willingness of providing care among relatives: a population-based study].

作者信息

Spangenberg L, Glaesmer H, Brähler E, Strauß B

机构信息

Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Aug;55(8):954-60. doi: 10.1007/s00103-012-1512-5.

Abstract

The family is an important resource in elderly care. It is of great interest if persons who might be in need of care in the future would use this resource. Our study assessed wishes and expectations regarding family care in a representative sample of the general population (≥ 45 years, N = 1,445) using questionnaires. Logistic regressions were performed to analyze the potential impact on the willingness to use or provide family care. One quarter of the participants reported experience in family care. In case of own need 62.9% of participants would prefer care provided by relatives and 56.7% would prefer professional care. Participants are more likely to use family care if they report having relatives, are experienced in care of relatives or do not associate old age with being a burden, e.g. report low values in the image of age "being a burden/demanding". Perceived willingness of the relatives to provide care is more likely if there is little regional distance to the relatives, in male participants and if participants talked about future care with their relatives. Besides structural factors, negative images of old age might have a negative influence on the willingness to use family care. Talking about care in old age seems to have a positive impact.

摘要

家庭是老年护理中的一项重要资源。未来可能需要护理的人是否会利用这一资源,这一点颇受关注。我们的研究通过问卷调查,对一般人群(≥45岁,N = 1445)的一个代表性样本评估了对家庭护理的意愿和期望。进行逻辑回归分析以探讨对使用或提供家庭护理意愿的潜在影响。四分之一的参与者报告有过家庭护理经历。在自身需要护理的情况下,62.9%的参与者更倾向于亲属提供的护理,56.7%的参与者更倾向于专业护理。如果参与者报告有亲属、有照顾亲属的经验,或者不认为老年是一种负担,例如在“成为负担/要求苛刻”的年龄形象方面得分较低,那么他们更有可能使用家庭护理。如果与亲属的地域距离较近、参与者为男性,以及参与者与亲属谈论过未来护理,亲属提供护理的意愿会更高。除了结构因素外,对老年的负面看法可能会对使用家庭护理的意愿产生负面影响。谈论老年护理似乎会产生积极影响。

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