Riedel S E, Fredman L, Langenberg P
Association of Teachers of Preventive Medicine, Washington, DC, USA.
J Gerontol B Psychol Sci Soc Sci. 1998 May;53(3):P165-74. doi: 10.1093/geronb/53b.3.p165.
The associations between self-reported rewards and difficulties of caregiving and burden were examined in a sample of 200 informal caregivers to older post-rehabilitation patients. Sixteen percent (16%) of caregivers reported that caregiving was physically difficult only, 15% reported emotional difficulties only, 11% reported social difficulties only, 17% reported multiple difficulties, and 40% had no difficulties. Each type of difficulty (e.g., social, emotional, and physical) was significantly associated with burden in univariate and multiple linear regression analyses, controlling for confounding characteristics. Caregivers reporting multiple types of difficulty experienced higher levels of burden than caregivers who reported only one type of difficulty. Caregivers who received more rewards from caregiving reported fewer difficulties. Caregiving rewards had no independent effect on burden but modified the associations between social and emotional difficulties and burden. In summary, caregiving rewards and difficulties were not mutually exclusive, and their relationship in turn affected burden.
在一个由200名老年康复后患者的非正式照料者组成的样本中，研究了自我报告的照料奖励与照料困难及负担之间的关联。16%的照料者报告称照料仅存在身体上的困难，15%报告仅存在情感上的困难，11%报告仅存在社交上的困难，17%报告存在多种困难，40%没有困难。在控制混杂特征的单变量和多元线性回归分析中，每种类型的困难（如社交、情感和身体方面）均与负担显著相关。报告多种困难类型的照料者比仅报告一种困难类型的照料者经历更高水平的负担。从照料中获得更多奖励的照料者报告的困难较少。照料奖励对负担没有独立影响，但改变了社交和情感困难与负担之间的关联。总之，照料奖励和困难并非相互排斥，它们之间的关系进而影响负担。
