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情境中的照料者健康:心理健康与健康行为的调节作用

Caregiver Health by Context: Moderating Effects of Mental Health and Health Behaviors.

作者信息

Longacre Margaret L, Brewer Benjamin, Hubbard Adeline, Ashare Rebecca L, Patterson Freda

机构信息

Department of Public Health, College of Health Sciences, Arcadia University, Glenside, PA, USA.

College of Health Sciences, University of Delaware, Newark, DE, USA.

出版信息

West J Nurs Res. 2021 Jul;43(7):622-630. doi: 10.1177/0193945920964936. Epub 2020 Oct 26.

Abstract

This study assessed caregivers' perceptions of their physical health by care context and explored the moderating role of mental health and health behaviors. This a cross-sectional, secondary analysis using de-identified Behavioral Risk Factor Surveillance System survey data. Deficits in mental health and engaging in healthier behaviors was associated with an increased odds of experiencing at least one week of poor physical health or being in a fair or better health category, respectively. Differences in the odds were noted according to care context (i.e., reason for care). For example, with each unit increase in mental health score (worse mental health), the odds of experiencing at least one week of poor physical health increased among cancer caregivers at about one-and-a-half times as compared to old age caregivers (p=0.006). Findings suggest that some caregiving groups derive less benefit from positive health behaviors, while some groups are more adversely impacted by poorer mental health.

摘要

本研究按照护理背景评估了护理人员对自身身体健康的认知,并探讨了心理健康和健康行为的调节作用。这是一项横断面二次分析,使用了经过去识别化处理的行为风险因素监测系统调查数据。心理健康方面的不足和采取更健康的行为分别与经历至少一周身体健康不佳或处于一般及以上健康类别的几率增加有关。根据护理背景(即护理原因)观察到几率存在差异。例如,心理健康得分每增加一个单位(心理健康状况更差),癌症护理人员经历至少一周身体健康不佳的几率相比老年护理人员增加约1.5倍(p = 0.006)。研究结果表明,一些护理群体从积极健康行为中获得的益处较少,而一些群体受到较差心理健康的负面影响更大。

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