Trajectories of caregiving time provided by wives to their husbands with dementia.
Trajectories of caregiving time provided by wives to their husbands with dementia.
复制标题
妻子为患有痴呆症的丈夫提供的护理时间轨迹。
DOI：
10.1097/wad.0b013e31815bebba
复制
发表时间：
2008
影响因子：
2.1
通讯作者：
Ostbye,Truls
中科院分区：
文献类型：
--
作者：
TaylorJr,DonaldH;Kuchibhatla,Maragatha;Ostbye,Truls
当他们的伴侣患上痴呆症时，配偶往往是第一批提供非正式护理的人。我们使用了国家纵向照顾者研究(NLCS，4次年度调查，1999至2002年)，并使用广义生长混合模型(GGMM)确定了妻子向丈夫提供的总每日照看时间的三种不同的纵向模式(轨迹类)。约56.4%的样本(N=828)发现每天总照看时间的轨迹增加(基线时平均为252min/d，时间4时增加到471min/d)。444名照顾者(30.3%)的护理时间有适度增加(从基线的平均464min/d增加到第4波的533分钟)，而195名(13.3%)的轨迹急剧下降(从基线的平均719min/d下降到第4波的421分钟)。在这三个轨迹中，基线的照护持续时间(自发病以来的时间)没有显著差异。GGMM非常适合于识别不同的弹道类别。在这里，他们表明，在提供给痴呆症患者的照顾时间方面有很大的差异，他们似乎非常相似。
Spouses are often the first providers of informal care when their partners develop dementia. We used The National Longitudinal Caregiver Study (NLCS, 4 annual surveys, 1999 to 2002) and identified 3 distinct longitudinal patterns (trajectory classes) of total daily caregiving time provided by the wife to her husband using Generalized growth mixture models (GGMM). About 56.4% of the sample (N= 828) was found to have an increase in the trajectory of total daily caregiving time (mean 252 min/d at baseline, rising to 471 min/d at time 4). Four hundred forty-four (30.3%) caregivers had a trajectory described by a moderate increase in caregiving time (an increase from a mean of 464 min/d at baseline to 533 at wave 4), whereas 195 (13.3%) had a sharply declining trajectory (a decline from a mean of 719 min/d at baseline to 421 at wave 4). There was no significant difference in the duration (time since onset) of caregiving at baseline for these 3 trajectories. GGMM are well suited for the identification of distinct trajectory classes. Here they show that there are large differences in caregiving time provided to persons with dementia, who seem to be quite similar.