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照顾强度对 overnight hospitalization 的差异影响。

The Differential Effects of Caregiving Intensity on Overnight Hospitalization.

机构信息

Caring for the Caregiver, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

Glenn Biggs Institute on Alzheimer's and Neurodegenerative Diseases, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

出版信息

West J Nurs Res. 2022 Jun;44(6):528-539. doi: 10.1177/01939459211002907. Epub 2021 Mar 25.

DOI:10.1177/01939459211002907
PMID:33764207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8463626/
Abstract

This study aims to examine how caregiving for a spouse affects caregivers' likelihood of overnight hospitalization. Using data from the Health and Retirement Study, we examine the odds of spousal caregivers experiencing an overnight hospitalization in the previous two years according to caregiving status, intensity, and change in caregiving intensity. Caregivers were no more likely to experience an overnight hospitalization than noncaregivers ( = .92; CI [.84, 1.00]). Effects varied by intensity of care. Compared to noncaregivers, caregivers who reported providing no assistance with activities of daily living were less likely to experience overnight hospitalization ( = .77; CI [.66, .89]); however, caregivers who provided care to someone living with dementia for 4 to <6 years had 2.11 times the odds of experiencing an overnight hospitalization (CI [1.16, 3.85]). Although caregivers overall experience overnight hospitalization at a similar rate as noncaregivers, there are differences between caregivers by the intensity of care.

摘要

本研究旨在探讨配偶护理对护理人员住院过夜的可能性的影响。我们利用健康与退休研究的数据,根据护理状况、护理强度以及护理强度的变化,来研究配偶护理人员在过去两年中经历住院过夜的几率。护理人员住院过夜的可能性并不比非护理人员高( = .92;CI [.84, 1.00])。影响因护理强度而异。与非护理人员相比,报告没有提供任何日常生活活动帮助的护理人员住院过夜的可能性较小( = .77;CI [.66,.89]);然而,为患有痴呆症且居住在一起的人提供 4 到 <6 年护理的护理人员住院过夜的几率是前者的 2.11 倍(CI [1.16, 3.85])。尽管护理人员总体上住院过夜的比例与非护理人员相似,但护理人员之间的护理强度存在差异。

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Comparison of Healthcare Utilization Between Informal Caregivers and Non-Caregivers: An Analysis of the Health Information National Trends Survey.非正式照料者和非照料者之间的医疗保健利用比较:对健康信息国家趋势调查的分析。
J Aging Health. 2020 Jun/Jul;32(5-6):453-461. doi: 10.1177/0898264319830262. Epub 2019 Feb 22.
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It's Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt.还是价格问题:美国医疗保健支出为何如此之高——纪念乌韦·赖因哈特。
Health Aff (Millwood). 2019 Jan;38(1):87-95. doi: 10.1377/hlthaff.2018.05144.
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