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配偶照顾及其对伴侣关系特征的影响——德国配偶照顾和接受照顾的纵向分析。

Spousal care and its effect on partnership characteristics - a longitudinal analysis of spousal caregiving and care receipt in Germany.

机构信息

Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Scand J Caring Sci. 2022 Mar;36(1):109-119. doi: 10.1111/scs.12968. Epub 2021 Feb 13.

Abstract

OBJECTIVES

Many studies have investigated the impact of spousal care on the caregiver's (sometimes care recipient's) life, whereas only few studies took its effect on the partnership into account. Therefore, the aim of the study was to examine whether the onset of spousal caregiving or care receipt in a person's life is associated with a change of the own partnership characteristics.

METHOD

A longitudinal design was set up which included 4573 participants of 2014 and 2017 (fifth and sixth wave) of the DEAS (German Ageing Survey - a nationally representative sample). Receipt of spousal care or spousal caregiving activity was detected by dichotomous questions, and the partnership characteristics (partnership satisfaction, conflict frequency and partnership bond) were measured by three 5-point scales. For estimating the effect of spousal care on the own partnership characteristics, linear fixed effects (FE) regressions were used for each of the independent subgroups (caregiver and care recipient). Thus, the analysis was performed with an unpaired sample of caregivers and care recipients.

RESULTS

Adjusted for potential confounders, regression analysis showed that while the caregivers' satisfaction with partnership decreased, partnership satisfaction of the care recipients increased with the onset of spousal care. A decrease of the conflict frequency and the partnership bond were only identified among caregivers.

CONCLUSION

This longitudinal study extends previous knowledge in the field of spousal care research and underlines the importance of appropriate interventions in these care situations.

摘要

目的

许多研究调查了配偶照顾对照顾者(有时是照顾对象)生活的影响,而只有少数研究考虑了配偶照顾对伴侣关系的影响。因此,本研究旨在探讨配偶照顾或配偶接受照顾的开始是否与自身伴侣关系特征的变化有关。

方法

采用纵向设计,纳入了 2014 年和 2017 年(第五和第六波)德国老龄化调查(一项具有全国代表性的样本)的 4573 名参与者。通过二项式问题来检测配偶照顾或配偶照顾活动的接受情况,通过三个 5 点量表来测量伴侣关系特征(伴侣满意度、冲突频率和伴侣关系纽带)。为了估计配偶照顾对自身伴侣关系特征的影响,对每个独立亚组(照顾者和被照顾者)使用线性固定效应(FE)回归进行分析。因此,分析是在未配对的照顾者和被照顾者样本中进行的。

结果

调整了潜在的混杂因素后,回归分析表明,随着配偶照顾的开始,照顾者对伴侣关系的满意度下降,而被照顾者对伴侣关系的满意度增加。只有照顾者的冲突频率和伴侣关系纽带下降。

结论

这项纵向研究扩展了配偶照顾研究领域的现有知识,并强调了在这些照顾情况下进行适当干预的重要性。

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