[Impact of the positive appraisal of care on quality of life, purpose in life, and will to continue care among Japanese family caregivers of older adults: analysis by kinship type].
[Impact of the positive appraisal of care on quality of life, purpose in life, and will to continue care among Japanese family caregivers of older adults: analysis by kinship type].
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[积极评价护理对日本老年人家庭护理人员的生活质量、生活目的和继续护理意愿的影响：按亲属关系类型分析]。
DOI：
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
C. Sugishita
中科院分区：
文献类型：
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作者：
N. Yamamoto;K. Ishigaki;M. Kuniyoshi;Noriko Kawahara;Kiyomi Hasegawa;Kunihiko Hayashi;C. Sugishita
目的
研究积极护理评价(PAC)对照顾者生活质量(QL)、生活使命感(Ikigai)和继续护理意愿的影响。
方法
数据来自322名日本老年人的家庭照顾者，他们通过东京都、静冈县、三叶县和冲绳县的21家机构使用探访护理服务。
结果
这些数据按亲属关系类型(丈夫或儿子、妻子、女儿或儿媳)分组，并分别进行分析。通过多元回归和Logistic回归分析，得出以下结论：1)无论关系类型如何，PAC与生理QL均不相关；2)关系类型不同，PAC仅与丈夫和儿子照顾者的心理QL有关，妻子的PAC和对照顾的消极评价(NAC)都重要，女儿和儿媳中没有；(3)除丈夫和儿子照顾者外，其他照顾者的PAC和NAC都与Ikigai感相关，NAC与Ikigai感无相关性；4)帐委会和新来港儿童委员会都与是否愿意继续照顾儿子和丈夫照顾者有关，而只有帐委会与妻子和儿媳有关。只有NAC在女儿中有亲缘关系。然而，亲属关系类型之间的差异似乎对意愿继续照顾的影响很小。
结论
了解家庭照顾者中的PAC可能是重要的，以便更好地帮助他们提高心理QL或IKIGAI意识，以及预测他们在家中继续照看的情况。政治行动委员会的影响因亲属关系类型而异，应参照这一比喻单独进行评估，以制定适当援助计划。
PURPOSE
The impact of positive appraisal of care (PAC) on the caregiver's quality of life (QL), sense of purpose in life (sense of ikigai) and will to continue care was examined.
METHODS
Data were collected from 322 Japanese family caregivers of older adults who were using visiting nursing services through 21 facilities in the Tokyo metropolitan area, and the prefectures of Shizuoka, Mie and Okinawa.
RESULTS
The data were grouped by kinship type (husband or son, wife, daughter or daughter-in-law) and analyzed separately. From the multiple regression and logistic regression analyses, the following results were derived: 1) The PAC was not related to the physical QL regardless of the relationship type; 2) The relationship depended upon the relationship type: only the PAC was related to the mental QL among husband and son caregivers, both the PAC and the negative appraisal of care (NAC) were important among wives, only the NAC among daughters, and none of them among daughters-in-law; 3) Both the PAC and NAC were related to the sense of ikigai in all caregiver types except among husband and son caregivers, which showed no relationship between the NAC and sense of ikigai; 4) Both the PAC and NAC were related to will to continue care among son and husband caregivers, whereas only the PAC was among wives and daughters-in-law. Only the NAC was related among daughters. However, the difference across kinship type seems minimal for will to continue care.
CONCLUSIONS
Understanding the PAC among family caregivers may be important in order to better assist them to improve their mental QL or sense of ikigai as well as to predict their continuation of caregiving at home. The impact of PAC varies depending on the kinship type, and it should be assessed separately with reference to this pariable to develop plans for appropriate assistance.