a Department of Human Development and Family Studies , Iowa State University , Ames , IA , USA.
b Institute of Gerontology, University of Georgia , Athens , GA , USA.
Aging Ment Health. 2017 Nov;21(11):1214-1221. doi: 10.1080/13607863.2016.1206512. Epub 2016 Jul 20.
This study aimed (1) to determine whether octogenarian and centenarian care recipients' self-report on physical, social, and emotional status are different from caregivers' reports, (2) to assess associations between octogenarian and centenarian care recipients' poor physical, social, and emotional status and caregiver burden, and (3) to determine which report, the care recipients' self-report or caregivers' report, about the participants' physical and emotional status predicted more accurately levels of caregiver burden.
Self-ratings and caregiver informant ratings were obtained from 309 participants of the Georgia Centenarian Study. Care recipients' health, negative affect, and loneliness were reported by both the caregivers and care recipients for the analyses. Differences between care recipients' and caregivers' reports were assessed by t-test. Blockwise multiple regression analysis was computed to assess predictors of caregiver burden.
Caregivers' reports on the three measures were significantly higher than self-reports. Caregivers' negative affect and loneliness, not physical health, reported by caregivers predicted higher caregiver burden. Care recipients' reports did not predict caregiver burden.
Caregivers perceived care recipients' social and emotional status more negatively, and caregivers' negative perceptions on care recipients' well-being status were an important predictor of caregiver burden.
本研究旨在：(1)确定 80 岁及 100 岁以上的护理对象的自我报告的身体、社会和情感状况是否与护理人员的报告不同；(2)评估 80 岁及 100 岁以上的护理对象身体、社会和情感状况不佳与护理人员负担之间的关联；以及(3)确定护理对象的自我报告或护理人员的报告中，哪一份报告更能准确预测护理人员负担水平。
来自佐治亚州百岁老人研究的 309 名参与者提供了自我评估和护理人员报告。护理人员和护理对象都报告了护理对象的健康、负面情绪和孤独感。通过 t 检验评估护理对象和护理人员报告之间的差异。采用逐步多元回归分析评估护理人员负担的预测因素。
护理人员在这三个方面的报告明显高于自我报告。护理人员报告的护理对象的负面情绪和孤独感，而不是身体健康状况，预测了更高的护理人员负担。护理对象的报告不能预测护理人员负担。
护理人员对护理对象的社会和情感状况的感知更为负面，而护理人员对护理对象健康状况的负面看法是护理人员负担的一个重要预测因素。
