Resilience and transitions from dementia caregiving
Resilience and transitions from dementia caregiving
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DOI：
10.1093/geronb/62.1.p38
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发表时间：
2007-01-01
影响因子：
6.2
通讯作者：
Newcomer, Robert
中科院分区：
文献类型：
--
作者：
Gaugler, Joseph E.;Kane, Robert L.;Newcomer, Robert
纵向研究记录了痴呆症护理人员如何适应自己的角色。人们对弹性（定义为面对频繁的护理需求时较低或较高的感知负担）如何影响关键的痴呆症治疗结果知之甚少。本研究利用了1，979名痴呆症护理人员在3年内的数据，以确定弹性是否会影响痴呆症康复的过渡，例如机构化，护理人员死亡或失访。多项逻辑回归模型显示，高基线弹性（低负担，高护理需求）与较低频率的机构化和后续损失以及更频繁的护理接受者死亡率相关。研究结果表明，研究人员需要捕捉照顾者弹性的异质性时，检查非正式的长期护理和提供临床干预措施的纵向影响。
Longitudinal studies have documented how dementia caregivers adapt to their role. Less is known about how resilience (defined as lower or higher perceived burden in the face of frequent care demands) affects key dementia caregiving outcomes. The present study utilized data from 1,979 dementia caregivers over a 3-year period to ascertain whether resilience influences transitions from dementia caregiving, such as institutionalization, care recipient death, or loss to follow-up. Multinomial logistic regression models revealed that high baseline resilience (low burden, high care demands) was associated with less frequent institutionalization and loss to follow-up as well as more frequent care recipient mortality. The findings suggest the need for researchers to capture the heterogeneity of caregiver resilience when examining the longitudinal implications of informal long-term care and delivering clinical interventions.