Swain Nicola
Senior Lecturer, Department of Psychological Medicine, Dunedin School of Medicine, University of Otago, Dunedin.
N Z Med J. 2018 Nov 9;131(1485):60-66.
Informal care, which is unpaid and often provided by family and friends, is the primary source of aged care in New Zealand. In addition to financial costs there are known psychological costs of being a carer, including poor mental health.
This research aimed to interview a group of New Zealand carers and describe their rates of depression and anxiety, their motivations for providing care, costs of care and their experience of aggression. Interviews used standardised questions and were conducted over the phone.
Results are reported from interviews of 48 carers and suggest this group have elevated symptoms of depression and anxiety. Most of the carers are partners or children of the carees and likely do the caring out of love. Unpaid family carers experience low levels of aggression. Carers reported personal and social restriction, and physical and emotional health the most burdensome aspect of being a carer.
Carers of the elderly in New Zealand show elevated levels of distress. Higher levels of emotional support are needed for New Zealand carers. If the health system continues to rely on unpaid carers more should be done to support them.
非正式照护是新西兰老年照护的主要来源,通常由家人和朋友无偿提供。除了经济成本外,作为照护者还存在已知的心理成本,包括心理健康状况不佳。
本研究旨在采访一组新西兰照护者,描述他们的抑郁和焦虑发生率、提供照护的动机、照护成本以及他们遭受攻击的经历。访谈使用标准化问题,通过电话进行。
报告了对48名照护者的访谈结果,表明这组人抑郁和焦虑症状有所加重。大多数照护者是受照护者的伴侣或子女,很可能出于爱而进行照护。无偿家庭照护者遭受攻击的程度较低。照护者报告称,个人和社会限制以及身心健康是作为照护者最沉重的负担。
新西兰老年照护者的痛苦程度较高。新西兰照护者需要更高水平的情感支持。如果卫生系统继续依赖无偿照护者,就应该采取更多措施来支持他们。