Transitions in spousal caregiving
Transitions in spousal caregiving
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DOI：
10.1093/geront/43.2.230
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发表时间：
2003-04-01
期刊：
影响因子：
5.7
通讯作者：
Hirsch, C
中科院分区：
文献类型：
--
作者：
Burton, LC;Zdaniuk, B;Hirsch, C
目的：本研究描述了居住在社区的老年配偶在5年以上的时间里向照顾者角色的转变以及相关的健康结果。设计和方法：参与护理者健康影响研究（n = 818）的参与者在5年内接受了4次访谈，并描述了他们护理状况的变化。对可获得四项观察结果的患者（n = 428）进行了过渡对健康结果的影响分析。结果：只有一半（49.5%）在基线时没有照顾者在5年随访中仍然没有照顾者。其余的人经历了一次或多次转变，包括进入照顾者的角色，他们自己或他们的配偶死亡，或他们的配偶被安置在长期护理机构。与护理相关的健康结果的轨迹总体上是下降的。那些过渡到重度照顾的人有更多的抑郁症状，自我报告的健康状况和健康行为也更差。启示：应监测进入照护角色和在照护角色内的过渡对照护者的不利健康影响，并根据个人在照护轨迹中的位置进行干预。
Purpose: This study describes transitions over 5 years among community-dwelling elderly spouses into and within caregiving roles and associated health outcomes. Design and Methods: Participants in the Caregiver Health Effects Study (n = 818) were interviewed four times over 5 years with changes in their caregiving status described. Analyses of the effect on health outcomes of transitions were performed on those for whom four observations were available (n = 428). Results: Only half (49.5%) of noncaregivers at baseline remained noncaregivers at 5-year follow-up. The remainder experienced one or more transitions, including moving into the caregiving role, their own or their spouse's death, or placement of their spouse in a long-term care facility. The trajectory of health outcomes associated with caregiving was generally downward. Those who transitioned to heavy caregiving had more symptoms of depression, and poorer self-reported health and health behaviors. Implications: Transitions into and within the caregiving role should be monitored for adverse health effects on the caregiver, with interventions tailored to the individual's location in the caregiving trajectory.