Ayalon Liat, Roziner Ilan
a Louis and Gabi and Weisfield School of Social Work , Bar Ilan University , Ramat Gan , Israel.
Aging Ment Health. 2016;20(1):56-64. doi: 10.1080/13607863.2015.1020412. Epub 2015 Mar 20.
Given the increasing reliance on both formal (paid) and informal (unpaid) assistance for the care of older adults and the close relationships which are often formed with home care workers, the present study evaluated satisfaction with the relationship from the perspectives of the three members that make up the home caregiving triad: older adults, their family members and their home care workers.
We relied on a representative sample of 223 complete caregiving triads composed of an older adult, a family member and a home care worker. Each of the members rated his or her level of satisfaction with all other members in the unit, using a seven-item self-report satisfaction with the relationship scale (e.g., satisfaction with communication, intimacy). The Social Relations Model (SRM) was used to partial out the specific variance associated with each of the members as either an actor (i.e., the average satisfaction as a rater, unrelated to whom the person rates) or a partner (i.e., the unique satisfaction level elicited by a person, which is consistent across all ratings of this person).
The structural equations model yielded acceptable results: χ²(3) = 6.94, p = .07. Our analysis revealed that the variability associated with the worker as partner was significantly greater than the variability associated with the older adult as partner (∆χ² [1] = 9.21, p = .002) or with the family member as partner (∆χ² [1] = 8.46, p = .004).
The study highlights the importance of studying satisfaction with the relationship in the home care setting and calls for further examination of the entire caregiving triad. The home care worker plays a key role in ensuring the overall satisfaction in the caregiving triad.
鉴于在照顾老年人方面对正式（有偿）和非正式（无偿）援助的依赖日益增加，以及与家庭护理人员经常形成的密切关系，本研究从构成家庭护理三角关系的三个成员的角度评估了对这种关系的满意度，这三个成员分别是老年人、他们的家庭成员和家庭护理人员。
我们采用了一个具有代表性的样本，其中包括由一名老年人、一名家庭成员和一名家庭护理人员组成的223个完整的护理三角关系。每个成员使用一个包含七个项目的自我报告关系满意度量表（例如，对沟通、亲密程度的满意度）对其对单位中所有其他成员的满意度水平进行评分。社会关系模型（SRM）被用来区分与每个成员相关的特定方差，这些成员既可以是行为者（即作为评分者的平均满意度，与被评分者无关），也可以是伙伴（即由一个人引发的独特满意度水平，在对这个人的所有评分中是一致的）。
结构方程模型产生了可接受的结果：χ²(3) = 6.94，p = 0.07。我们的分析表明，与作为伙伴的护理人员相关的变异性显著大于与作为伙伴的老年人相关的变异性（∆χ² [1] = 9.21，p = 0.002）或与作为伙伴的家庭成员相关的变异性（∆χ² [1] = 8.46，p = 0.004）。
该研究强调了在家庭护理环境中研究关系满意度的重要性，并呼吁对整个护理三角关系进行进一步研究。家庭护理人员在确保护理三角关系的总体满意度方面起着关键作用。
