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香港老年人家庭照顾者的照顾活动模式:一项探索性潜在类别分析

The Patterns of Caregiving Activities for Family Caregivers of Older Adults in Hong Kong: An Exploratory Latent Class Analysis.

作者信息

Huang Jing, Chau Pui Hing, Choi Edmond Pui Hang, Wu Bei, Lou Vivian W Q

机构信息

School of Nursing, The University of Hong Kong, Hong Kong.

School of Nursing and Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1605-1616. doi: 10.1093/geronb/gbaa203.

Abstract

OBJECTIVES

This study identified the classes (i.e., patterns) of caregivers' activities, based on their engagements in caregiving activities, and explored the characteristics and the caregiver burden of these classes.

METHODS

This study was a secondary analysis of a cross-sectional survey on the profiles of family caregivers of older adults in Hong Kong. A latent class analysis approach was adopted to classify family caregivers (N = 932) according to their routine involvements in 17 daily caregiving activities: 6 activities of daily living (ADLs) and 8 instrumental activities of daily living activities (IADLs) in addition to emotional support, decision making, and financial support. Multinomial logistic regression and multiple linear regression illuminated the characteristics of the classes and compared their levels of caregiver burden.

RESULTS

The family caregivers fell into 5 classes: All-Round Care (High Demand, 19.5%), All-Round Care (Moderate Demand, 8.2%), Predominant IADLs Care (High Demand, 23.8%), Predominant IADLs Care (Moderate Demand, 32.5%), and Minimal ADLs and IADLs Care (Low Demand, 16.0%). These classes exhibited different characteristics in terms of care recipients' cognitive statuses and caregiver backgrounds. The levels of caregiver burden differed across classes; the All-Round Care (High Demand) class experienced the highest levels of caregiver burden.

DISCUSSION

This study contributes to existing scholarship by turning away from a predefined category of care tasks to explore the patterns of caregiving activities. By identifying caregiving activity patterns and understanding their associated characteristics and caregiver burden, prioritizing and targeting caregiver support interventions better is possible.

摘要

目的

本研究根据照顾者参与的照护活动确定其活动类别(即模式),并探讨这些类别的特征及照顾者负担。

方法

本研究是对香港老年人家属照顾者概况的横断面调查进行的二次分析。采用潜在类别分析方法,根据932名家庭照顾者在17项日常照护活动中的常规参与情况进行分类:6项日常生活活动(ADL)、8项日常生活工具性活动(IADL),以及情感支持、决策和经济支持。多项逻辑回归和多元线性回归阐明了这些类别的特征,并比较了它们的照顾者负担水平。

结果

家庭照顾者分为5类:全方位照顾(高需求,19.5%)、全方位照顾(中等需求,8.2%)、主要IADL照顾(高需求,23.8%)、主要IADL照顾(中等需求,32.5%)和最低限度ADL和IADL照顾(低需求,16.0%)。这些类别在受照顾者的认知状况和照顾者背景方面表现出不同的特征。照顾者负担水平在不同类别间存在差异;全方位照顾(高需求)类别经历的照顾者负担水平最高。

讨论

本研究通过摒弃预先定义的照护任务类别来探索照护活动模式,为现有学术研究做出了贡献。通过识别照护活动模式并了解其相关特征及照顾者负担,更有针对性地优先安排和实施照顾者支持干预措施成为可能。

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