Girona Biomedical Research Institute (IdIBGI), Girona, Catalonia, Spain.
Memory and Dementia Assessment Unit, Hospital Santa Caterina, Institut d'Assistència Sanitària, Salt, Catalonia, Spain.
PLoS One. 2018 Mar 8;13(3):e0194232. doi: 10.1371/journal.pone.0194232. eCollection 2018.
In Europe, informal caregiving is frequent and is expected to grow. Caregiving has an impact on caregivers' health, but its effect may vary according to the policies of support that are available to caregivers. The aim of this study was to assess the association between the policies of support to caregivers available in 12 European countries and the health of caregivers, considering separately the policies based on financial help and those based on training and other non- financial services. We used data from 13,507 caregivers from 12 European countries from the fifth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) to build a path model. Poor health among caregivers was associated with living in a family-based care country (β = 0.50; 95% CI = 0.42-0.59), and with an increased extent of caregiving (β = 0.18; 95% CI = 0.15-0.22). Non-financial support measures seem to have a larger protective impact (β = -0.33; 95% CI = -0.38 - -0.28) on the health of caregivers than do financial support measures (β = 0.03; 95% CI = 0.01-0.04), regardless of the gender of the caregiver. According to our results, the currently available policies of support associated with better health among caregivers are those that: 1) provide them with some free time, 2) help them to deal emotionally with caregiving, and 3) give them skills to both improve the care situation and to deal with it better.
在欧洲，非正式护理很常见，预计还会增加。护理对护理人员的健康有影响，但影响可能因可用的护理支持政策而异。本研究旨在评估 12 个欧洲国家提供的支持护理人员政策与护理人员健康之间的关联，同时分别考虑基于财务帮助和基于培训及其他非财务服务的政策。我们使用了来自欧洲 12 个国家的 13507 名护理人员的第五波欧洲健康、老龄化和退休调查（SHARE）数据来构建路径模型。护理人员健康状况较差与生活在以家庭为基础的护理国家（β=0.50；95%CI=0.42-0.59）和护理范围扩大（β=0.18；95%CI=0.15-0.22）有关。非财务支持措施（β=-0.33；95%CI=-0.38 至-0.28）似乎对护理人员健康的保护作用大于财务支持措施（β=0.03；95%CI=0.01-0.04），而与护理人员的性别无关。根据我们的结果，目前与护理人员健康状况改善相关的支持政策包括：1）为他们提供一些空闲时间，2）帮助他们在情感上应对护理工作，3）为他们提供技能，以改善护理状况并更好地应对护理工作。
