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[评估在职非正式照料者的健康状况:使用倾向得分匹配法对一项就业调查的分析]

[Assessing the health of working informal caregivers : Analysis of an employment survey using propensity score matching].

作者信息

Elling Jan Mathis, Hetzel Christian, Hampel Sarah, von Spee Adelheid, Ollertz Greta

机构信息

iqpr - Institut für Qualitätssicherung in Prävention und Rehabilitation GmbH, an der Deutschen Sporthochschule Köln, Eupener Str. 70, 50933, Köln, Deutschland.

Kuratorium Deutsche Altershilfe gGmbH (KDA), Köln, Deutschland.

出版信息

Z Gerontol Geriatr. 2025 Jul;58(4):296-302. doi: 10.1007/s00391-024-02387-0. Epub 2025 Jan 6.

DOI:10.1007/s00391-024-02387-0
PMID:39760959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12238193/
Abstract

BACKGROUND

The majority of people in need of care in Germany are cared for at home by relatives or other close individuals. Many informal caregivers are also in paid employment and face the challenge of juggling the demands of both areas of life. This can adversely affect the caregiver's own health.

OBJECTIVES

(1) To what extent is informal caregiving related to health complaints among people in paid employment? (2) Within the group of working caregivers, how are the amounts of informal care and work related to health complaints?

MATERIAL AND METHODS

This secondary data analysis is based on the BIBB/BAuA employment survey 2018. To account for systematic differences between caregivers and non-caregivers in the analyses, propensity score matching was applied.

RESULTS

Working caregivers more frequently experience psychosomatic and physical complaints compared to people in paid employment without caregiving responsibilities. The working hours and the extent of caregiving are interrelated and a high burden in both areas of life is associated with poorer health.

CONCLUSION

People who provide informal care in addition to their work are often burdened with health problems. Targeted health promotion interventions are therefore necessary to support this vulnerable group and improve their health.

摘要

背景

在德国,大多数需要护理的人由亲属或其他亲近的人在家中照顾。许多非正式护理人员也有带薪工作,面临着兼顾生活中这两个方面需求的挑战。这可能会对护理人员自身的健康产生不利影响。

目的

(1)在有带薪工作的人群中,非正式护理在多大程度上与健康问题相关?(2)在在职护理人员群体中,非正式护理量和工作量与健康问题有怎样的关系?

材料与方法

这项二次数据分析基于2018年德国联邦职业教育与培训研究所/德国联邦劳动保护与职业病研究所的就业调查。为了在分析中考虑护理人员和非护理人员之间的系统差异,采用了倾向得分匹配法。

结果

与没有护理责任的带薪就业人员相比,在职护理人员更容易出现身心和身体方面的问题。工作时间和护理程度相互关联,生活中这两个方面的高负担都与较差的健康状况相关。

结论

除工作外还提供非正式护理的人往往面临健康问题。因此,有针对性的健康促进干预措施对于支持这一弱势群体并改善他们的健康状况是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/fb53c5a64294/391_2024_2387_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/1d71e7dd98ac/391_2024_2387_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/ee173817456d/391_2024_2387_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/e6a52f0dc4bf/391_2024_2387_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/fb53c5a64294/391_2024_2387_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/1d71e7dd98ac/391_2024_2387_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/ee173817456d/391_2024_2387_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/e6a52f0dc4bf/391_2024_2387_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7892/12238193/fb53c5a64294/391_2024_2387_Fig4_HTML.jpg

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本文引用的文献

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[How effective are non-pharmacological interventions for family caregivers? A systematic review with meta-analyses].[非药物干预对家庭照顾者的效果如何?一项荟萃分析的系统评价]
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BMC Geriatr. 2023 Jan 14;23(1):26. doi: 10.1186/s12877-022-03650-y.
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Autism Spectrum as an Etiologic Systemic Disorder: A Protocol for an Umbrella Review.作为病因性全身性疾病的自闭症谱系障碍:一项系统评价方案
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[More free time for me? Effects of a group intervention for informal caregivers based on routine data from the SVLFG long-term care insurance].[我能有更多空闲时间吗?基于德国法定长期护理保险(SVLFG)常规数据的针对非正式照料者的团体干预效果]
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Mortality, Morbidity and Health-Related Outcomes in Informal Caregivers Compared to Non-Caregivers: A Systematic Review.非照料者与照料者的死亡率、发病率和健康相关结局比较:系统评价。
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