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一项针对体弱老年人的综合护理干预对非正式照料者的影响:一项准实验研究。

The effects of an integrated care intervention for the frail elderly on informal caregivers: a quasi-experimental study.

作者信息

Janse Benjamin, Huijsman Robbert, de Kuyper Ruben Dennis Maurice, Fabbricotti Isabelle Natalina

机构信息

Erasmus University Rotterdam, Institute of Health Policy and Management, P,O, Box 1738, Rotterdam, DR 3000, The Netherlands.

出版信息

BMC Geriatr. 2014 May 1;14:58. doi: 10.1186/1471-2318-14-58.

Abstract

BACKGROUND

This study explored the effects of an integrated care model aimed at the frail elderly on the perceived health, objective burden, subjective burden and quality of life of informal caregivers.

METHODS

A quasi-experimental design with before/after measurement (with questionnaires) and a control group was used. The analysis encompassed within and between groups analyses and regression analyses with baseline measurements, control variables (gender, age, co-residence with care receiver, income, education, having a life partner, employment and the duration of caregiving) and the intervention as independent variables.

RESULTS

The intervention significantly contributed to the reduction of subjective burden and significantly contributed to the increased likelihood that informal caregivers assumed household tasks. No effects were observed on perceived, health, time investment and quality of life.

CONCLUSIONS

This study implies that integrated care models aimed at the frail elderly can benefit informal caregivers and that such interventions can be implemented without demanding additional time investments from informal caregivers. Recommendations for future interventions and research are provided.

TRIAL REGISTRATION

Current Controlled Trials http://ISRCTN05748494. Registration date: 14/03/2013.

摘要

背景

本研究探讨了针对体弱老年人的综合护理模式对非正式照料者的健康认知、客观负担、主观负担和生活质量的影响。

方法

采用前后测量(问卷调查)的准实验设计和对照组。分析包括组内和组间分析以及以基线测量、控制变量(性别、年龄、与受照料者同住、收入、教育程度、有生活伴侣、就业情况和照料时长)和干预措施作为自变量的回归分析。

结果

该干预措施对减轻主观负担有显著作用,且显著提高了非正式照料者承担家务的可能性。在健康认知、时间投入和生活质量方面未观察到影响。

结论

本研究表明,针对体弱老年人的综合护理模式可使非正式照料者受益,且此类干预措施的实施无需非正式照料者投入额外时间。提供了对未来干预措施和研究的建议。

试验注册

Current Controlled Trials http://ISRCTN05748494。注册日期:2013年3月14日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a77/4021048/a0b6a2542530/1471-2318-14-58-1.jpg

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