Honda Ayumi, Liu Yin, Fauth Elizabeth B, Honda Sumihisa
Department of Nursing, St. Mary's College, Kurume, Japan.
Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
SAGE Open Nurs. 2024 Oct 29;10:23779608241293686. doi: 10.1177/23779608241293686. eCollection 2024 Jan-Dec.
The growing obstacles to balancing work and family caregiving responsibilities (work-family care obstacles) have led to heightened difficulties in work-life adjustment among employees, potentially resulting in decreased life satisfaction.
The aims of this study were to investigate whether facing work-family care obstacles is associated with poor life satisfaction and whether it moderates the association between caregiver burden and life satisfaction among working family caregivers in Japan.
A cross-sectional descriptive study was conducted involving 141 family caregivers, all of whom were under 65 years old and living with older long-term care recipients. Multiple logistic regression analysis was conducted to examine the primary and moderating effects of work-family care obstacles on life satisfaction in the context of caregiver burden.
Experiencing significant work-family care obstacles was associated with poor life satisfaction among employed family caregivers. Moreover, work-family care obstacles exacerbated the relationship between caregiver burden and poor life satisfaction. Family caregivers who faced work-family care obstacles and experienced two or more caregiver burdens exhibited poor life satisfaction (odds ratio = 5.51, 95% confidence interval = [1.97, 15.43]) compared to those who had one or fewer caregiver burden. For family caregivers without work-family care obstacle, the risk of poor life satisfaction did not vary depending on the number of caregiver burdens.
These findings suggest that work-life adaptation is more important than work-life balance for maintaining feelings of satisfaction in both life and work.
平衡工作与家庭照料责任（工作 - 家庭照料障碍）方面日益增加的阻碍，已导致员工在工作 - 生活调整中面临更大困难，这可能会降低生活满意度。
本研究旨在调查面对工作 - 家庭照料障碍是否与生活满意度低相关，以及它是否会调节日本在职家庭照料者的照料负担与生活满意度之间的关联。
进行了一项横断面描述性研究，涉及141名家庭照料者，他们均未满65岁，且与长期需要照料的老年人生活在一起。采用多元逻辑回归分析，以检验在照料负担背景下，工作 - 家庭照料障碍对生活满意度的主要和调节作用。
在职家庭照料者中，经历显著的工作 - 家庭照料障碍与生活满意度低相关。此外，工作 - 家庭照料障碍加剧了照料负担与生活满意度低之间的关系。与照料负担为一项或更少的家庭照料者相比，面临工作 - 家庭照料障碍且经历两项或更多照料负担的家庭照料者生活满意度低（优势比 = 5.51，95%置信区间 = [1.97, 15.43]）。对于没有工作 - 家庭照料障碍的家庭照料者，生活满意度低的风险并不因照料负担的数量而有所不同。
这些发现表明，对于维持生活和工作中的满意度而言，如果说工作 - 生活平衡很重要，那么工作 - 生活适应更为重要。
