The enduring and contextual effects of physical health and depression on care-dyad mutuality
The enduring and contextual effects of physical health and depression on care-dyad mutuality
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DOI：
10.1002/nur.20165
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发表时间：
2007-02-01
影响因子：
2
通讯作者：
Stewart, Barbara J.
中科院分区：
文献类型：
--
作者：
Lyons, Karen S.;Sayer, Aline G.;Stewart, Barbara J.
相互性是家庭护理情况下的一个保护因素，但人们对护理-二元相互性的变化知之甚少。在这项研究中，我们检查了103个照顾者在20个月内的相互关系，以及老年人和家庭照顾者健康对相互关系变化的持久和背景影响。护理二人组由虚弱的老年人和他们的家庭照顾者组成。老年人报告的相互作用水平高于家庭照顾者，但随着时间的推移，他们的相互作用下降的速度明显更快。尽管对于老年人和家庭照顾者来说，身体健康的变化比平均健康更重要，但对于老年人来说，平均抑郁比抑郁的变化更重要。这项研究表明了检验护理二元体中随时间变化的协变量的重要性。(C)2007年威利期刊公司。
Mutuality is a protective factor in family care situations, but little is known about changes in care-dyad mutuality. In this study, we examined mutuality in 103 care dyads over 20 months, and the enduring and contextual impact of older adult and family caregiver health on changes in mutuality. Care dyads consisted of frail older adults and their family caregiver. Older adults reported higher levels of mutuality than family caregivers, but their mutuality declined significantly faster over time. Although changes in physical health were more important than mean health for both older adults and family caregivers, mean depression was more important than changes in depression for older adults. This study shows the importance of examining time-varying covariates in the care dyad. (c) 2007 Wiley Periodicals, Inc.