中国失能老年人家庭照顾者的照护压力。
Caregiving stress among family caregivers of older adults living with disabilities in China.
机构信息
Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China; NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong 250012, China.
Care Policy and Evaluation Centre, London School of Economics and Political Science, WC2A 2AE, London, United Kingdom.
出版信息
Geriatr Nurs. 2022 Sep-Oct;47:226-231. doi: 10.1016/j.gerinurse.2022.07.017. Epub 2022 Aug 17.
OBJECTIVES
This study aimed to describe caregiving stress among family caregivers of Chinese older adults living with disabilities, and explore how care intensity, financial expenses, and care difficulties are associated with caregiving stress.
METHODS
Data of 220 older adult-caregiver dyads were collected from 6 urban districts and 6 rural counties from Shandong province, China. Descriptive analyses and multivariate ordinal logistic regression analyses were performed.
RESULTS
Family caregivers providing nine or more hours of care per day reported higher caregiving stress than those who provided fewer than nine hours. Caregivers who experienced insufficient care abilities, economic hardships, or time conflicts were more likely to report caregiving stress. Financial support provided to older adults was not associated with caregiving stress.
CONCLUSIONS
Family caregivers of Chinese older adults with disabilities are experiencing excessive caregiving stress. Social support groups and China's long-term care insurance system should be promoted to better assist family caregivers.
目的
本研究旨在描述中国失能老年人家庭照顾者的照顾压力，并探讨照顾强度、经济负担和照顾困难与照顾压力的关系。
方法
本研究数据来自山东省 6 个城区和 6 个农村县的 220 对老年-照顾者。采用描述性分析和多元有序逻辑回归分析。
结果
每天提供 9 小时或以上照顾的家庭照顾者报告的照顾压力高于每天提供少于 9 小时照顾的家庭照顾者。照顾者感觉照顾能力不足、经济困难或时间冲突，更有可能报告照顾压力。为老年人提供的经济支持与照顾压力无关。
结论
中国失能老年人的家庭照顾者正经历过度的照顾压力。应推广社会支持团体和中国的长期护理保险制度，以更好地帮助家庭照顾者。
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