Lee H, Kim S, You K S
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106-4920, USA.
J Gerontol Nurs. 1997 Sep;23(9):21-31. doi: 10.3928/0098-9134-19970901-08.
The aims of the study reported here were to describe the socio-demographic characteristics of caregivers of demented elders in Korea and their care recipients and to compare the positive and negative meanings and outcomes of the caregiving experiences of caregivers who had admitted their elderly demented relative to a nursing home (G1: n = 24) and caregivers still caring for their elderly demented relatives at home (G2: n = 30). Most caregivers were female (80%), married (89%), and related to the care receiver as daughter-in-law (39%), daughter (22%), wife (15%), son (13%), or neighbor (6%). Social class differences were found between the home care and nursing home groups: the upper classes were significantly more likely to have placed their demented elder in a nursing home, whereas the low social classes were more likely to keep taking care of their demented elder at home instead of placing them in a nursing home. Caregivers who had admitted their relative to a nursing home (G1) reported significantly more difficulties from disturbed sleep, disrupted children's studies, and limited personal life when they were caring for the elder at home (p < .05). Caregivers in the home care group (G2) had significantly greater satisfaction in serving as a model for their children and practicing religion (p < .05), and they also reported a better relationship with the care receiver than those who have placed their demented elder in a nursing home, although the difference in this case was not significant.
本文所报告的研究目的是描述韩国老年痴呆患者照料者及其照料对象的社会人口学特征，并比较将老年痴呆亲属送入养老院的照料者（G1组：n = 24）和仍在家中照料老年痴呆亲属的照料者（G2组：n = 30）照料经历的积极和消极意义及结果。大多数照料者为女性（80%）、已婚（89%），与照料对象的关系为儿媳（39%）、女儿（22%）、妻子（15%）、儿子（13%）或邻居（6%）。在家照料组和养老院组之间发现了社会阶层差异：上层社会阶层将老年痴呆亲属送入养老院的可能性显著更高，而低社会阶层更有可能继续在家照料老年痴呆亲属而非将其送入养老院。将亲属送入养老院的照料者（G1组）报告称，在家照料老人时，睡眠障碍、孩子学业受影响以及个人生活受限等困难明显更多（p < 0.05）。在家照料组（G2组）的照料者在为孩子树立榜样和宗教修行方面的满意度显著更高（p < 0.05），并且他们还报告称与照料对象的关系比将老年痴呆亲属送入养老院的照料者更好，尽管在这种情况下差异不显著。
