Bass D M, Noelker L S, Rechlin L R
Margaret Blenkner Research Center, Benjamin Rose Institute, Cleveland, Ohio USA.
J Gerontol B Psychol Sci Soc Sci. 1996 May;51(3):S121-31. doi: 10.1093/geronb/51b.3.s121.
This investigation adapts the social support conceptual framework to examine the moderating influence of community service use by impaired older persons on the negative consequences of caregiving for informal helpers. The model is modified by defining services as a type of social support that can counteract the stress associated with various care recipient impairments. Results from multivariate analyses of data from 401 caregivers suggest that certain services for care recipients can reduce the adverse effects of certain impairments on informal caregivers. The use of health care service by care recipients who are more disabled is related to lower levels of caregiver depression, health deterioration, and social isolation. Personal care service use consistently offsets the negative effects of care recipients' behavioral problems. Additionally, the use of household service when care recipients exhibit behavioral problems is associated with lower levels of caregiver depression.
本研究采用社会支持概念框架，以检验受损老年人使用社区服务对非正式照料者照料负面后果的调节作用。通过将服务定义为一种能够抵消与各种受照料者损伤相关压力的社会支持类型，对该模型进行了修正。对401名照料者的数据进行多变量分析的结果表明，为受照料者提供的某些服务可以减少某些损伤对非正式照料者的不利影响。残疾程度较高的受照料者使用医疗保健服务与照料者较低的抑郁水平、健康恶化和社会隔离有关。使用个人护理服务始终能抵消受照料者行为问题的负面影响。此外，当受照料者出现行为问题时使用家务服务与照料者较低的抑郁水平有关。
