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居家暂托照顾对照顾者负担之影响:以台湾为例。

The Effects of in-Home Respite Care on the Burden of Caregivers in Taiwan.

机构信息

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.

出版信息

J Appl Gerontol. 2022 May;41(5):1283-1292. doi: 10.1177/07334648211073876. Epub 2022 Mar 3.

Abstract

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.

摘要

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。

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