Department of Public Health, College of Medicine, 38026National Cheng Kung University, Tainan, Taiwan.
Institute of Gerontology, College of Medicine, 38026National Cheng Kung University, Tainan, Taiwan.
J Appl Gerontol. 2022 May;41(5):1283-1292. doi: 10.1177/07334648211073876. Epub 2022 Mar 3.
The utilization rate of respite care in Taiwan is low, and past studies that evaluated the effects of in-home respite care on caregiver burden are few. This two-wave panel study used Taiwan's long-term care plan 1.0 database and included 2342 care recipient-caregiver dyads who used home services to examine the impact of in-home respite care on caregiver burden. Propensity score matching was used to select 323 in-home respite service users matched with 646 nonusers as control groups (1:2 matching). The mixed effect model was applied to estimate the effects of receiving in-home respite care on caregiver burden. Results showed that compared with those of nonusers, caregiver burden scores of service users decreased significantly after receiving in-home respite care for more than 14 days (adjusted B = -0.14, SE = 0.05). The government should prioritize increasing the number of days of in-home respite care for those in need to reduce the caregiver burden.
台湾地区喘息服务利用率低，既往评估居家喘息服务对照顾者负担影响的研究较少。本项两波纵向研究使用了台湾地区长期照顾计划 1.0 数据库，纳入了 2342 对使用居家服务的照护者-被照护者对，以调查居家喘息服务对照顾者负担的影响。采用倾向评分匹配法选择了 323 名居家喘息服务使用者和 646 名非使用者作为对照组（1:2 匹配）。应用混合效应模型来估计接受居家喘息服务对照顾者负担的影响。结果显示，与非使用者相比，居家喘息服务使用者在接受超过 14 天的服务后，其照顾者负担评分显著下降（调整 B=-0.14，SE=0.05）。政府应优先增加有需要者的居家喘息服务天数，以减轻照顾者负担。
