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多重疾病背景下的非正式护理网络:规模、构成及其与受助者心理健康的关联

Informal Care Networks in the Context of Multimorbidity: Size, Composition, and Associations With Recipient Psychological Well-Being.

作者信息

Andersson Matthew A, Monin Joan K

机构信息

1 Baylor University, Waco, TX, USA.

2 Yale University, New Haven, CT, USA.

出版信息

J Aging Health. 2018 Apr;30(4):641-664. doi: 10.1177/0898264316687623. Epub 2017 Jan 16.

Abstract

OBJECTIVE

We evaluate how the size and composition of care networks change with increasing morbidity count (i.e., multimorbidity) and how larger care networks relate to recipient psychological well-being.

METHOD

Using the National Health and Aging Trends study (NHATS; N = 7,026), we conduct multivariate regressions to analyze size and compositional differences in care networks by morbidity count and recipient gender, and to examine differences in recipient psychological well-being linked to care network size.

RESULTS

Women report larger and more diverse care networks than men. These gender differences strengthen with increasing morbidity count. Larger care networks are associated with diminished psychological well-being among care recipients, especially as morbidity increases.

DISCUSSION

These findings reveal how increasing morbidity translates differently to care network size and diversity for men and women. They also suggest that having multiple caregivers may undermine the psychological well-being of care recipients who face complex health challenges.

摘要

目的

我们评估护理网络的规模和构成如何随着发病率计数增加(即多种疾病并存)而变化,以及规模更大的护理网络与接受者心理健康之间的关系。

方法

利用国家健康与老龄化趋势研究(NHATS;N = 7,026),我们进行多元回归分析,以按发病率计数和接受者性别分析护理网络的规模和构成差异,并检验与护理网络规模相关的接受者心理健康差异。

结果

女性报告的护理网络比男性更大且更多样化。随着发病率计数增加,这些性别差异会加剧。规模更大的护理网络与护理接受者心理健康状况下降相关,尤其是随着发病率上升。

讨论

这些发现揭示了发病率增加如何以不同方式转化为男性和女性护理网络的规模和多样性。它们还表明,有多个护理人员可能会损害面临复杂健康挑战的护理接受者的心理健康。

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