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照顾澳大利亚老年人的人:未满足的支持需求和照顾者的幸福感。

Carers of older Australians: unmet support needs and carer well-being.

机构信息

Demography and Ageing Unit, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3053, Australia; and Corresponding author. Email:

Demography and Ageing Unit, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3053, Australia; and National Ageing Research Institute, 34-54 Poplar Road, Parkville, Vic. 3052, Australia.

出版信息

Aust J Prim Health. 2021 Jun;27(3):178-185. doi: 10.1071/PY20161.

Abstract

Primary carers play an important role in supporting the Australian Government's policy of 'ageing in place' or encouraging people to receive care in their own homes or communities rather than in institutions. Supporting carers in their role is therefore an important aspect of the policy's success. Despite numerous programs in place, this study finds that among carers of older Australians, a relatively high proportion (39%) cite unmet needs in their carer role, including a need for financial support, physical assistance, emotional support, improvement in carer health and more respite care. Concerningly, unmet support needs were shown to be strongly associated with markers of poor carer well-being, including an almost 2-fold increase in odds of poor carer satisfaction (odds ratio (OR) 1.77, 95% confidence interval (CI) 1.24-2.51), a 4- to 5-fold increase in the odds of changes to physical and emotional well-being (OR 5.29, 95% CI 3.83-7.31), deterioration in financial situation (OR 4.60, 95% CI 3.26-6.48) and strained carer-recipient relationship (OR 3.79, 95% CI 2.39-6.01).

摘要

主要照顾者在支持澳大利亚政府“就地养老”政策方面发挥着重要作用,该政策鼓励人们在自己的家中或社区接受护理,而不是在机构中。因此,支持照顾者履行其职责是该政策成功的一个重要方面。尽管有许多计划已经到位,但这项研究发现,在照顾老年澳大利亚人的照顾者中,相当大比例(39%)表示在他们的照顾者角色中存在未满足的需求,包括对财务支持、身体援助、情感支持、改善照顾者健康和更多喘息护理的需求。令人担忧的是,未满足的支持需求与照顾者福祉不佳的标志物密切相关,包括照顾者满意度降低的可能性增加近两倍(优势比 (OR) 1.77,95%置信区间 (CI) 1.24-2.51),身体和情绪健康状况发生变化的可能性增加 4 到 5 倍(OR 5.29,95% CI 3.83-7.31),财务状况恶化(OR 4.60,95% CI 3.26-6.48)和照顾者与受照顾者关系紧张(OR 3.79,95% CI 2.39-6.01)。

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