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婴儿潮一代照顾者与痴呆症护理:来自全国护理研究的结果。

Baby boomer caregiver and dementia caregiving: findings from the National Study of Caregiving.

作者信息

Moon Heehyul, Dilworth-Anderson Peggye

机构信息

Raymond A. Kent School of Social Work, University of Louisville, KY, US.

Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Age Ageing. 2015 Mar;44(2):300-6. doi: 10.1093/ageing/afu119. Epub 2014 Oct 30.

Abstract

BACKGROUND

Previous studies have well documented the characteristics of baby boomers but less is known about the experiences of boomer caregivers (CGs) of people with dementia.

OBJECTIVE

The purpose of this study was to compare the characteristics of boomer CGs of people with dementia with those of boomer CGs for people without dementia and to ascertain factors associated with outcomes.

DESIGN

We selected baby boomer CGs from the National Study of Caregiving (NSOC) with 650 primary boomer CGs (138 CGs of people with dementia and 512 CGs of people without dementia).

METHODS

The Stress Process Model (SPM) was used to examine the effects of resources (the use of paid help and informal support) and stressors (primary: level of CG care activities and interrupted sleep; secondary: strain of caregiving on work, other care and social activities) on CGs' down, depressed or hopeless feelings and self-perceived general health. T-tests and chi-square tests were used to compare SPM domain differences and ordinary least-square multiple regression analysis was used to investigate predictors of CGs' outcomes.

RESULTS

High blood pressure and arthritis were the most prevalent chronic diseases in both groups. Boomer CGs of people with dementia reported providing more help with daily activities, higher level of caregiving and social activity conflict, experiencing more interrupted sleep and more down, depressed or hopeless feelings than CGs of people without dementia. Different factors predicted boomer CGs' outcomes.

CONCLUSION

The current results yield important information about the considerable differences between two baby boomer CG groups within the caregiving experiences. The findings highlight the need to provide tailored interventions to boomer CGs to help them cope with caregiving stress to improve their physical and mental health.

摘要

背景

以往研究对婴儿潮一代的特征已有充分记录,但对于患有痴呆症者的婴儿潮一代照料者(CGs)的经历了解较少。

目的

本研究旨在比较患有痴呆症者的婴儿潮一代照料者与未患痴呆症者的婴儿潮一代照料者的特征,并确定与结果相关的因素。

设计

我们从全国照料研究(NSOC)中选取了婴儿潮一代照料者,共有650名主要的婴儿潮一代照料者(138名患有痴呆症者的照料者和512名未患痴呆症者的照料者)。

方法

采用压力过程模型(SPM)来检验资源(使用付费帮助和非正式支持)和压力源(主要压力源:CG照料活动水平和睡眠中断;次要压力源:照料对工作、其他照料和社交活动的影响)对CG的情绪低落、抑郁或绝望情绪以及自我感知的总体健康状况的影响。使用t检验和卡方检验来比较SPM领域差异,并使用普通最小二乘多元回归分析来调查CG结果的预测因素。

结果

高血压和关节炎是两组中最常见的慢性病。患有痴呆症者的婴儿潮一代照料者报告称,他们在日常活动中提供的帮助更多,照料水平和社交活动冲突更高,睡眠中断更多,情绪低落、抑郁或绝望的情绪也比未患痴呆症者的照料者更多。不同因素预测了婴儿潮一代照料者的结果。

结论

目前的结果提供了关于两个婴儿潮一代照料者群体在照料经历方面存在显著差异的重要信息。研究结果强调需要为婴儿潮一代照料者提供量身定制的干预措施,以帮助他们应对照料压力,改善身心健康。

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