Kadowaki Laura, Wister Andrew V, Chappell Neena L
Department of Gerontology,Simon Fraser University.
Centre on Aging and Department of Sociology,University of Victoria.
Can J Aging. 2015 Mar;34(1):75-89. doi: 10.1017/S0714980814000488. Epub 2014 Dec 30.
Strong evidence has established the medical and health services utilization benefits of home care services for older adults. However, sparse research has been conducted on potential psychosocial benefits. Older adults (65 and over) receiving home care with their needs met are compared with persons who have unmet needs (whether they received home care or not) on three key indicators of quality of life – life satisfaction, loneliness, and perceived life stress. Data are drawn from the 2008-2009 Canadian Community Health Survey respondents who met the study criteria (n = 3,244). Regression analyses showed that older adults who had their home care needs met reported higher levels of life satisfaction, and lower levels of loneliness and perceived life stress, than those with unmet needs, net of co-variates. The results suggest that filling this home care gap would significantly raise quality of life by increasing social and environmental resilience to age in place.
有力证据表明，家庭护理服务对老年人的医疗卫生服务利用有益。然而，关于潜在心理社会益处的研究却很少。将需求得到满足的接受家庭护理的老年人（65岁及以上）与需求未得到满足的人（无论是否接受家庭护理）在生活质量的三个关键指标——生活满意度、孤独感和感知生活压力——方面进行比较。数据来自2008 - 2009年加拿大社区健康调查中符合研究标准的受访者（n = 3244）。回归分析表明，在扣除协变量后，需求得到满足的老年人比需求未得到满足的老年人报告了更高的生活满意度、更低的孤独感和感知生活压力。结果表明，填补这一家庭护理缺口将通过增强就地养老的社会和环境适应力来显著提高生活质量。
