Lu Nan, Liu Jinyu, Lou Vivian W Q
Department of Social Work, School of Sociology and Population Studies, Renmin University of China, No.59 Zhongguancun St., Haidian District, Beijing, China.
School of Social Work, Columbia University, 1255 Amsterdam Ave., New York, NY 10027, USA.
Geriatr Nurs. 2016 Jan-Feb;37(1):19-24. doi: 10.1016/j.gerinurse.2015.08.014. Epub 2015 Sep 26.
The present study aimed to investigate the reciprocal relationship between caregiver burden and care recipient dependence in activities of daily living (ADLs) from the perspective of frail older adults and their family caregivers in China. Data were derived from a sample of 469 older adult-caregiver dyads that participated in both the 2010 and 2013 waves of the panel study Family Caregivers for the Frail and Very Elderly: Well-Being and Needs in Shanghai. A two-wave cross-lag analysis was used to examine the proposed model. ADL dependence in 2010 was a significant predictor of caregiver burden in 2013. Furthermore, caregiver burden in 2010 was a significant predictor of ADL dependence in 2013. This finding confirms the dyadic model of caregiver burden and care recipient well-being. Implications for interventions and policy to help frail older adults and their family caregivers are discussed.
本研究旨在从中国体弱老年人及其家庭照顾者的角度，探讨照顾者负担与日常生活活动（ADL）中受照顾者依赖之间的相互关系。数据来自469对老年照顾者二元组样本，这些样本参与了2010年和2013年两轮关于上海体弱和高龄老年人家庭照顾者：幸福感与需求的面板研究。采用两波交叉滞后分析来检验所提出的模型。2010年的ADL依赖是2013年照顾者负担的显著预测因素。此外，2010年的照顾者负担是2013年ADL依赖的显著预测因素。这一发现证实了照顾者负担与受照顾者幸福感的二元模型。文中还讨论了对帮助体弱老年人及其家庭照顾者的干预措施和政策的启示。
