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运用幸福感评估方法探索依赖他人照顾的老年人的非正式照料者的经历。

Exploring the experience of informal caregivers of dependent elderly people with the well-being valuation method.

作者信息

Lyu Tongzhou, Yuan Suwei, Xu Yanping, Liu Wenwei

机构信息

School of Politics and International Relations, East China Normal University, Shanghai, China.

Office of the Director, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Front Psychiatry. 2025 Apr 29;16:1584632. doi: 10.3389/fpsyt.2025.1584632. eCollection 2025.

Abstract

INTRODUCTION

Although informal caregivers are the primary providers of long-term care for the elderly globally, research on the impact of caregiving experiences on the well-being of caregivers is relatively limited.

METHODS

This study conducted interviews with 297 family informal caregivers in Shanghai, measured their subjective burdens, and applied the well-being valuation method to calculate the monetary value of the welfare changes resulting from caregiving burdens.

RESULTS

According to the findings, sub-dimensions of the Chinese version of the Caregiver Reaction Assessment (CRA) of disrupted schedule, lack of family support, and self-esteem were significantly related to caregivers' well-being. For caregivers with average income and average CRA scores, the impact of caregiving experiences on their well-being level was equivalent to a monthly income reduction of 226.69 RMB (4.7% of their monthly income).

DISCUSSION

This paper provides a new and useful perspective for the evaluation of long-term care policies, and suggests prioritizing the alleviation of caregivers' schedule and social relationship burdens, and understanding the 'intrinsic coping mechanisms' of caregiving responses from an economic perspective.

摘要

引言

尽管非正式照护者是全球老年人长期照护的主要提供者,但关于照护经历对照护者幸福感影响的研究相对有限。

方法

本研究对上海的297名家庭非正式照护者进行了访谈,测量了他们的主观负担,并应用幸福感估值方法计算因照护负担导致的福利变化的货币价值。

结果

根据研究结果,中文版照护者反应评估量表(CRA)中日常安排受干扰、缺乏家庭支持和自尊等子维度与照护者的幸福感显著相关。对于收入和CRA得分均处于平均水平的照护者而言,照护经历对其幸福感水平的影响相当于月收入减少226.69元人民币(占其月收入的4.7%)。

讨论

本文为长期照护政策的评估提供了一个新的且有用的视角,并建议优先减轻照护者的日常安排和社会关系负担,以及从经济角度理解照护反应的“内在应对机制”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638b/12069315/5d687aebc47f/fpsyt-16-1584632-g001.jpg

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