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社区老年护理服务与老年人家庭照顾者身心负担之间的关联:来自中国北京的证据

Association Between Community Elderly Care Services and the Physical and Emotional Burden of Family Caregivers of Older Adults: Evidence from Beijing, China.

作者信息

Gao Xiuwen, Tang Yong

机构信息

Postdoctoral Research Station of Theoretical Economics, Shenzhen University, China.

School of Government, Shenzhen University, China.

出版信息

Int J Aging Hum Dev. 2024 Sep;99(2):247-262. doi: 10.1177/00914150241238140. Epub 2024 Mar 9.

DOI:10.1177/00914150241238140
PMID:38460958
Abstract

The rate of usage of community elderly care services in China is low, and past studies about the effects of these services on caregiver burden domestically are few. This study used a large sample of Beijing census data ( = 55,634) to examine the impact of these services on caregiver burden. Logistic regression and propensity score matching were used to estimate the effects. The results showed that meal assistance, respite care, and spiritual comfort are all significantly associated with a lower likelihood of perceived emotional burden among caregivers, while only respite care is very significantly associated with a lower likelihood of feeling physically burdened. However, the effects of these services on caregiver burden also depend on the activities of daily living performance and location of residence of the care recipients. The practical implications for policy makers are discussed.

摘要

中国社区老年护理服务的使用率较低,国内以往关于这些服务对照顾者负担影响的研究较少。本研究使用了大量北京人口普查数据样本(n = 55634)来检验这些服务对照顾者负担的影响。采用逻辑回归和倾向得分匹配来估计其效果。结果表明,膳食协助、临时护理和精神慰藉均与照顾者感知到的情感负担可能性降低显著相关,而只有临时护理与身体负担可能性降低非常显著相关。然而,这些服务对照顾者负担的影响还取决于受照顾者的日常生活能力表现和居住地点。文中讨论了对政策制定者的实际启示。

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