Houde S C
Department of Nursing, University of Massachusetts Lowell, 01854, USA.
Res Nurs Health. 1998 Dec;21(6):533-43. doi: 10.1002/(sici)1098-240x(199812)21:6<533::aid-nur7>3.0.co;2-i.
The purposes of this study were to examine the characteristics of care recipients, caregivers, and their relationship to predict the use of formal services in the home by functionally impaired elders, and to explore the effect of informal care on formal service use in the home. A secondary analysis of data from the informal caregiver questionnaire and the community survey of the 1989 National Long-Term Care Survey was performed using logistic regression analysis. Results showed that the utilization of formal services was less frequent as the hours of informal care increased. Care recipient characteristics that emerged as important predictors included residence in elder housing, recent hospitalization, gender, limitations in activities of daily living, recipient of Medicaid, age, quantity of informal care, and number of household members. Important caregiver characteristics included difficulty getting around outside, rearrangement of work hours, and bowel and bladder care performed by female caregivers. The findings from this study support the consideration of both care recipient and caregiver characteristics when predicting the utilization of formal service use in the home. Data also support the development of interventions to promote the caregiving process.
本研究的目的是考察受照顾者、照顾者的特征及其关系，以预测功能受损老年人在家中使用正规服务的情况，并探讨非正规照顾对在家中使用正规服务的影响。利用逻辑回归分析对1989年全国长期护理调查中来自非正规照顾者问卷和社区调查的数据进行了二次分析。结果显示，随着非正规照顾时长的增加，正规服务的使用频率降低。作为重要预测因素出现的受照顾者特征包括居住在老年住房、近期住院、性别、日常生活活动受限、接受医疗补助、年龄、非正规照顾时长以及家庭成员数量。重要的照顾者特征包括外出行动困难、工作时间的重新安排以及女性照顾者进行的肠道和膀胱护理。本研究的结果支持在预测家中正规服务使用情况时考虑受照顾者和照顾者的特征。数据还支持开发促进照顾过程的干预措施。
