Ayalon Liat, Green Ohad
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel.
Gerontologist. 2015 Aug;55(4):628-42. doi: 10.1093/geront/gnt122. Epub 2013 Oct 17.
The present study provides a preliminary examination of the relationship between the type of home care services (live-in vs. live-out; i.e., round the clock vs. several hours per week), the caregiver's satisfaction with services, and the caregiver's burden, distress, well-being, and subjective health status within the conceptual framework of caregiving outcomes proposed by Yates and colleagues (Yates, M. E., Tennstedt, S., & Chang, B. H. [1999]. Contributors to and mediators of psychological well-being for informal caregivers. Journal of Gerontology: Psychological Sciences, 54, P12 -P22. doi:10.1093/geronb/54B.1.P12).
A random stratified sample of family caregivers of older adults more than the age of 70 who receive live-in (442) or live-out (244) home care services through the financial assistance of the National Insurance institute of Israel was selected. A path analysis was conducted.
Satisfaction with services was higher among caregivers under the live-in home care arrangement and positively related to well-being. Among caregivers, live-in home care was directly associated with higher levels of subjective health and indirectly associated with better well-being via satisfaction with services.
The present study emphasizes the potential benefits of live-in home care services for caregivers of older adults who suffer from high levels of impairment and the importance of assessing satisfaction with services as a predictor of caregivers' outcomes.
本研究在耶茨及其同事提出的照护结果概念框架内（耶茨，M.E.，滕斯泰特，S.，& 张，B.H. [1999]。非正式照护者心理幸福感的促成因素和中介因素。《老年学杂志：心理科学》，54，P12 - P22。doi:10.1093/geronb/54B.1.P12），初步考察了居家照护服务类型（住家式与非住家式；即全天候与每周数小时）、照护者对服务的满意度，以及照护者的负担、痛苦、幸福感和主观健康状况之间的关系。
通过以色列国家保险协会的经济援助，选取了一个随机分层样本，样本为70岁以上接受住家式（442人）或非住家式（244人）居家照护服务的老年人的家庭照护者。进行了路径分析。
住家式居家照护安排下的照护者对服务的满意度更高，且与幸福感呈正相关。在照护者中，住家式居家照护与更高水平的主观健康直接相关，并通过对服务的满意度与更好的幸福感间接相关。
本研究强调了住家式居家照护服务对重度失能老年人照护者的潜在益处，以及将对服务的满意度评估作为照护者结果预测指标的重要性。
