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本文引用的文献

1
Caregiving Choice and Caregiver-Receiver Relation: Effects on Psychological Well-being of Family Caregivers in Canada.照顾选择和照顾者-接受者关系:对加拿大家庭照顾者心理健康的影响。
Can J Aging. 2020 Dec;39(4):634-646. doi: 10.1017/S0714980819000825. Epub 2020 Feb 10.
2
Differences in the Experience of Caregiving Between Spouse and Adult Child Caregivers in Dementia With Lewy Bodies.路易体痴呆患者配偶与成年子女照顾者的照护体验差异
Innov Aging. 2019 Sep 4;3(3):igz027. doi: 10.1093/geroni/igz027. eCollection 2019 Jul.
3
Spousal Caregivers Are Caregiving Alone In The Last Years Of Life.配偶照顾者在生命的最后几年独自照顾。
Health Aff (Millwood). 2019 Jun;38(6):964-972. doi: 10.1377/hlthaff.2019.00087.
4
A qualitative study of older informal carers' experiences and perceptions of their caring role.一项关于老年非正式照顾者的经验和对其照顾角色的看法的定性研究。
Maturitas. 2019 Jun;124:1-7. doi: 10.1016/j.maturitas.2019.03.006. Epub 2019 Mar 8.
5
Development and Concurrent Validity of a Composite Social Isolation Index for Older Adults Using the CLSA.利用 CLSA 为老年人开发并验证综合社会隔离指数。
Can J Aging. 2019 Jun;38(2):180-192. doi: 10.1017/S0714980818000612. Epub 2019 Jan 11.
6
Gender Differences in Social Support Received by Informal Caregivers: A Personal Network Analysis Approach.《非正式照护者所获得的社会支持中的性别差异:一种个人网络分析方法》。
Int J Environ Res Public Health. 2018 Dec 31;16(1):91. doi: 10.3390/ijerph16010091.
7
A dyadic analysis of loneliness and health-related quality of life in Latinas with breast cancer and their informal caregivers.乳腺癌拉丁裔患者及其非正规照护者的孤独感与健康相关生活质量的对偶分析
J Psychosoc Oncol. 2019 Mar-Apr;37(2):213-227. doi: 10.1080/07347332.2018.1520778. Epub 2018 Dec 11.
8
Development and validation of a multi-domain multimorbidity resilience index for an older population: results from the baseline Canadian Longitudinal Study on Aging.开发和验证老年人群多领域多病种韧性指数:来自加拿大老龄化纵向研究基线的结果。
BMC Geriatr. 2018 Jul 27;18(1):170. doi: 10.1186/s12877-018-0851-y.
9
Social Isolation in Later Life: Extending the Conversation.晚年的社会隔离:拓展对话
Can J Aging. 2018 Mar;37(1):76-83. doi: 10.1017/S071498081700054X. Epub 2018 Jan 8.
10
Distinct impacts of high intensity caregiving on caregivers' mental health and continuation of caregiving.高强度护理对护理人员心理健康及护理工作延续性的不同影响。
Health Econ Rev. 2017 Dec;7(1):15. doi: 10.1186/s13561-017-0151-9. Epub 2017 Apr 7.

配偶和成年子女照顾者的社会隔离:来自加拿大老龄化纵向研究的结果。

Social Isolation Among Spousal and Adult-Child Caregivers: Findings From the Canadian Longitudinal Study on Aging.

机构信息

Gerontology Research Centre, Simon Fraser University, Vancouver, British Columbia, Canada.

Department of Gerontology & Department of Sociology/Anthropology, Simon Fraser University, Burnaby, British Columbia, Canada.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Aug 13;76(7):1415-1429. doi: 10.1093/geronb/gbaa197.

DOI:10.1093/geronb/gbaa197
PMID:33170276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8363033/
Abstract

OBJECTIVES

The caregiving outcomes of spousal and adult-child caregivers are widely studied since they are the most common source of support provided to adults. However, the literature on social isolation among spousal and adult-child caregivers is very limited. In order to further elaborate and specify unique caregiving outcomes, this study focuses on social isolation, both longitudinally and comparatively between spousal and adult-child caregivers.

METHODS

This study was based on the Baseline and Follow-up 1 data from the Canadian Longitudinal Study on Aging. A total of 5,226 participants (1,293 spousal caregivers and 3,933 adult-child caregivers) were selected. The Linear mixed models were used to examine the effect of caregiver type and caregiving intensity on social isolation over the course of survey.

RESULTS

Spousal and adult-child caregivers reported greater social isolation over time, and spousal caregivers exhibited a steeper increase in social isolation from Baseline to Follow-up 1 than adult-child caregivers. Also, an increase in caregiving hours resulted in greater social isolation. Finally, male spousal or adult-child caregivers were more likely to be socially isolated over time than their female counterparts.

DISCUSSION

The findings of this study contribute to the existing literature on caregiving outcomes by demonstrating an association between family caregiving and social isolation. The results indicate a strong need for intervention programs that aim to enhance social connectedness among family caregivers, and especially for those who perform intensive caregiving, are older age, and are from a lower socioeconomic status.

摘要

目的

配偶和子女照顾者的照顾结果受到广泛研究,因为他们是为成年人提供支持的最常见来源。然而,关于配偶和子女照顾者社会隔离的文献非常有限。为了进一步详细说明和具体说明独特的照顾结果,本研究重点关注社会隔离,包括配偶和子女照顾者的纵向和比较。

方法

本研究基于加拿大老龄化纵向研究的基线和第 1 次随访数据。共选择了 5226 名参与者(1293 名配偶照顾者和 3933 名子女照顾者)。线性混合模型用于检查照顾者类型和照顾强度对调查过程中社会隔离的影响。

结果

配偶和子女照顾者随着时间的推移报告了更大的社会隔离,配偶照顾者从基线到第 1 次随访的社会隔离增加幅度大于子女照顾者。此外,照顾时间的增加导致更大的社会隔离。最后,男性配偶或子女照顾者随着时间的推移比女性更有可能感到社会隔离。

讨论

本研究的发现通过展示家庭照顾与社会隔离之间的关联,为现有照顾结果文献做出了贡献。结果表明,非常需要干预计划,旨在增强家庭照顾者的社会联系,特别是对于那些从事密集照顾、年龄较大和社会经济地位较低的照顾者。