Preventive health behaviors among spousal caregivers
Preventive health behaviors among spousal caregivers
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DOI：
10.1006/pmed.1996.0129
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发表时间：
1997-03-01
影响因子：
5.1
通讯作者：
German, PS
中科院分区：
文献类型：
--
作者：
Burton, LC;Newsom, JT;German, PS
背景照顾功能受损配偶的身体和情感负担可能会对照顾者的预防性健康行为产生不利影响。本研究探讨照护与生活方式、健康行为及预防性服务使用之间的关系。护理者健康影响研究从来自美国四个县的3000多名已婚社区老年人中确定了配偶照顾者，他们都是心血管健康研究的参与者。高级照顾者被定义为有ADL障碍的配偶(n=212)和中等水平的照顾者，配偶有一种或多种IADL障碍(n=222)。对于每个照顾者，选择年龄和性别匹配的对照组(n=385)。在注册后，在家中进行了结构化访谈。与非照顾者相比，作为高水平的照顾者显著增加了得不到足够的休息、没有足够的时间锻炼、没有时间休息以从疾病中恢复以及忘记服用处方药的几率。这些发现并不适用于中等水平的病例发现者。无论是哪种水平的照顾者，与非照顾者相比，因错过饭菜、错过医生预约、丢失流感鞋和没有补充药物的几率都没有显著差异。与控制感较弱的照顾者相比，控制感较强的照顾者具有良好的预防性健康行为的比例较大。(C)1997年学术出版社。
Background The physical, and emotional burden of caring for a functionally impaired spouse may adversely affect the preventive health behavior of the caregiver. This study explores the relationship between caregiving and lifestyle health behaviors and use of preventive services.Methods. The Caregiver Health Effects Study identified spousal caregivers among a sample of more than 3,000 married, community-dwelling older persons, from four counties in the United States, who were enrollees in the Cardiovascular Health Study. High-level caregivers were defined as having a spouse with an ADL impairment (n = 212) and moderate-level caregivers, a spouse with one or more IADL impairments (n = 222). For each caregiver, a control, matched for age and gender, was selected (n = 385). Structured interviews were conducted in the home, following enrollment.Results. Being a high-level caregiver significantly increased the odds of not getting enough rest, not having enough time to exercise, not having time to rest to recuperate from illness, and forgetting to take prescription medications, compared with noncaregivers. These findings did not hold for moderate-level casegivers. The odds were not significantly different for either level of caregiver compared with noncaregivers for missing meals, missing doctor appointments, missing flu shoes, and not refilling medications. Larger proportions of caregivers with a strong sense of control had good preventive health behaviors, compared with care givers with a weak sense of control. (C) 1997 Academic Press.