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老年配偶照料者家庭功能的社会及健康相关预测因素：一项横断面研究。

Social and health-related predictors of family function in older spousal caregivers: a cross-sectional study.

作者信息

Pavarini Sofia Cristina Iost, Bregola Allan Gustavo, Luchesi Bruna Moretti, Oliveira Déborah, Orlandi Fabiana de Souza, de Moura Fernanda Gomez, Silva Helena Rita Oliveira, de Oliveira Nathalia Alves, Zazzetta Marisa Silvana, Dos Santos-Orlandi Ariene Angelini, Ottaviani Ana Carolina

机构信息

Department of Gerontology, Universidade Federal de São Carlos - São Carlos, SP, Brazil.

Graduate Program in Nursing, Universidade Federal de São Carlos - São Carlos, SP, Brazil.

出版信息

Dement Neuropsychol. 2020 Dec;14(4):372-378. doi: 10.1590/1980-57642020dn14-040007.

DOI:10.1590/1980-57642020dn14-040007
PMID:33354290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7735050/
Abstract

UNLABELLED

Given the benefits of adequate family function for the health and well-being of older adults, it is important to understand what factors predict adequate family function in older people who care for their spouses.

OBJECTIVE

Analyse predictors of family function in older spousal caregivers.

METHODS

A cross-sectional study design was used to investigate a non-probabilistic sample of 298 older spousal caregivers. Home-based face-to-face interviews were used to evaluate sociodemographic variables and care context, family function (Family APGAR), cognitive function, perceived stress, and depressive symptoms. Data were analysed using multiple logistic regression with stepwise forward method for variable section.

RESULTS

Older caregivers having some degree of cognitive impairment (OR=-0.160, 95%CI 0.444-0.579), depressive symptoms (OR=-0.848, 95%CI 0.726-0.992) or high levels of stress (OR=-0.955, 95%CI 0.914-0.999) had overall lower levels of family function. Having more children was linked to approximately 1.3 times higher family function (95%CI 1.080-1.057).

CONCLUSION

Stress, depression, cognitive decline, and number of children are predictors of family function and should be considered in social and health care strategies within the family caregiving context.

摘要

未标注

鉴于良好的家庭功能对老年人的健康和幸福有益，了解哪些因素能够预测照顾配偶的老年人拥有良好的家庭功能非常重要。

目的

分析老年配偶照顾者家庭功能的预测因素。

方法

采用横断面研究设计，对298名老年配偶照顾者的非概率样本进行调查。通过上门面对面访谈来评估社会人口统计学变量和照护情况、家庭功能（家庭APGAR量表）、认知功能、感知压力和抑郁症状。使用逐步向前法进行变量选择的多元逻辑回归分析数据。

结果

有一定程度认知障碍（比值比=-0.160，95%置信区间0.444-0.579）、抑郁症状（比值比=-0.848，95%置信区间0.726-0.992）或高水平压力（比值比=-0.955，95%置信区间0.914-0.999）的老年照顾者家庭功能总体水平较低。孩子数量较多与家庭功能高出约1.3倍相关（95%置信区间1.080-1.057）。

结论

压力、抑郁、认知衰退和孩子数量是家庭功能的预测因素，在家庭照护背景下的社会和医疗保健策略中应予以考虑。