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美国越裔老年人健康和照顾者心理状况:越南老龄化和照顾者调查结果。

Health of Vietnamese Older Adults and Caregiver's Psychological Status in the United States: Result from the Vietnamese Aging and Care Survey.

机构信息

University of Houston, Graduate College of Social Work, Houston, USA.

Department of Neurology, University of California, Davis School of Medicine, Sacramento, USA.

出版信息

Clin Gerontol. 2022 Oct-Dec;45(5):1285-1293. doi: 10.1080/07317115.2020.1764157. Epub 2020 Jun 16.

Abstract

: We examined the association between care recipient's physical, mental, and cognitive health conditions and caregivers' psychological distress in Vietnamese older care recipients and their caregivers.: The Vietnamese Aging and Care Survey was developed for care recipients, and adult-child and spousal caregivers, and inquired about their sociodemographics and health-related variables.: Data were collected on 58 caregiver-care recipient dyads. Adult-child and spousal caregivers were on average 43 and 70 years-old respectively. The vast majority were female (76%) and born in Vietnam (97%). Adult-child caregivers reported more caregiver burden than spousal caregivers. Care recipients were on average 75 years-old. Care recipients of adult-child caregivers reported more depressive symptoms than care recipients of spousal caregivers and were more likely to have mild dementia. Care recipients' health had no effect on caregiver depressive symptoms but their educational attainment was associated with caregiver burden and depressive symptoms.: This study showed care recipients and caregivers' years of education were positively associated with caregivers' psychological distress. Vietnamese families lived in ethnic enclaves and shared caregiving responsibilities within the family. However, using available outside resources may alleviate psychological distress of not only caregivers but also families as a whole.: Healthcare professionals should encourage educated caregivers and educated care recipients to use outside resources to ease caregiving duties.

摘要

我们考察了越南老年护理者及其照顾者的护理对象的身体、心理和认知健康状况与照顾者心理困扰之间的关系。越南老龄化与护理调查面向护理对象和成年子女-照顾者以及配偶-照顾者开展,询问了他们的社会人口统计学和与健康相关的变量。研究共收集了 58 对照顾者-护理对象的数据。成年子女-照顾者和配偶-照顾者的平均年龄分别为 43 岁和 70 岁。他们绝大多数是女性(76%),出生在越南(97%)。成年子女-照顾者报告的照顾者负担比配偶-照顾者更重。护理对象的平均年龄为 75 岁。成年子女-照顾者的护理对象比配偶-照顾者报告了更多的抑郁症状,并且更有可能患有轻度痴呆症。护理对象的健康状况对照顾者的抑郁症状没有影响,但他们的受教育程度与照顾者的负担和抑郁症状有关。本研究表明,护理对象和照顾者的受教育年限与照顾者的心理困扰呈正相关。越南家庭居住在族裔飞地内,并在家庭内共同承担照顾责任。然而,利用现有的外部资源不仅可以减轻照顾者的心理困扰,也可以减轻整个家庭的心理困扰。医疗保健专业人员应鼓励受过教育的照顾者和受过教育的护理对象利用外部资源来减轻照顾责任。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c357/9724209/addc83c9a179/nihms-1850380-f0001.jpg

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