Care Challenges Due to COVID-19 and Mental Health Among Caregivers of U.S. Adults With a Chronic or Disabling Condition.
Care Challenges Due to COVID-19 and Mental Health Among Caregivers of U.S. Adults With a Chronic or Disabling Condition.
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DOI：
10.1093/geroni/igab031
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发表时间：
2021
影响因子：
7
通讯作者：
Gonzalez R
中科院分区：
文献类型：
--
作者：
Leggett AN;Carmichael A;Leonard N;Jackson J;Kirch M;Solway E;Kullgren JT;Singer D;Malani PN;Gonzalez R
2019冠状病毒病（COVID-19）大流行为患有慢性或致残性疾病的成年人的护理人员带来了新的挑战。这项研究使用全国代表性的数据，以检查流行病护理的挑战和支持的流行率，以及它们与照顾者的心理健康和人际关系的福祉。参与者包括311名年龄在50-80岁之间的美国护理人员，他们在2020年6月的全国健康老龄化民意调查中为患有慢性或残疾的成年人提供护理。五个护理挑战（例如，对公共卫生指南的混淆）和2个支持（例如，医生提供的关于COVID-19期间护理的信息）被视为照顾者心理健康（护理相关压力，自我报告的心理健康和抑郁症状）和人际幸福感（人际冲突，缺乏陪伴和孤立）的预测因素。每项护理挑战/支持得到13%-23%的护理人员的认可。在调整后的模型中，难以获得所需的医疗服务与更大的照顾者压力，抑郁症状和较低的人际幸福感有关。所有的护理挑战普遍预测更大的照顾者的压力。照顾支持与照顾者的心理健康和人际幸福感没有独立的关系。在大流行的最初几个月，护理挑战与护理人员的心理健康和人际关系健康有关。其中一些挑战可能归因于随着大流行的展开而改变的公共卫生准则和做法，而另一些挑战则与所有护理环境有关（例如，家庭支持少）。为照顾者提供的工具和支持必须考虑到不断变化的政策和照顾需求。
The coronavirus disease 2019 (COVID-19) pandemic poses new challenges for caregivers of adults with chronic or disabling conditions. This study uses nationally representative data to examine the prevalence of pandemic care challenges and supports and their associations with caregiver mental health and interpersonal well-being. Participants include 311 caregivers aged 50–80 in the United States who were providing care for an adult with a chronic or disabling condition from the June 2020 National Poll on Healthy Aging. Five care challenges (e.g., confusion on public health guidelines) and 2 supports (e.g., physician offered information on care during COVID-19) are treated as predictors of caregiver mental health (care-related stress, self-reported mental health, and depressive symptoms) and interpersonal well-being (interpersonal conflicts, lack of companionship, and isolation). Each care challenge/support was endorsed by 13%–23% of caregivers. In adjusted models, difficulty getting needed medical care was associated with greater caregiver stress, depressive symptoms, and lower interpersonal well-being. All care challenges universally predicted greater caregiver stress. Caregiving supports were not independently associated with caregiver’ mental health and interpersonal well-being. Care challenges were associated with caregivers’ mental health and interpersonal well-being during the early months of the pandemic. Some of these challenges may be attributed to changing public health guidelines and practices as the pandemic unfolded, whereas others are relevant to all care contexts (e.g., less support from family). Tools and supports for caregivers must consider both changing policies and care needs.
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影响因子：
2.7
作者：
Cohen SA;Kunicki ZJ;Drohan MM;Greaney ML
通讯作者：
Greaney ML
影响因子：
2.8
作者：
Budnick A;Hering C;Eggert S;Teubner C;Suhr R;Kuhlmey A;Gellert P
通讯作者：
Gellert P
影响因子：
2.7
作者：
Lightfoot E;Yun H;Moone R;Otis J;Suleiman K;Turck K;Kutzler C
通讯作者：
Kutzler C
DOI：
10.1016/j.ccell.2010.10.003
发表时间：
2010-12-01
影响因子：
1.5
作者：
Cloyd, Elizabeth;Dyer, Carmel B.
通讯作者：
Dyer, Carmel B.
影响因子：
4
作者：
Clay, Olivio J.;Roth, David L.;Haley, William E.
通讯作者：
Haley, William E.