A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities
A National Profile of Family and Unpaid Caregivers Who Assist Older Adults With Health Care Activities
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DOI：
10.1001/jamainternmed.2015.7664
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发表时间：
2016-03-01
影响因子：
39
通讯作者：
Kasper, Judith D.
中科院分区：
文献类型：
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作者：
Wolff, Jennifer L.;Spillman, Brenda C.;Kasper, Judith D.
重要性家庭和无偿照顾者通常帮助老年人谁是在高风险的协调较差care. ObjectiveTo探讨如何照顾者参与老年人的卫生保健活动涉及到照顾的责任，支持服务的使用，和照顾相关的影响。和参与者共有1739名家庭和无偿照顾者的1171个社区-参加2011年国家健康和老龄化趋势研究（NHATS）和国家护理研究（NSOC）的居住老年残疾人。主要结果和指标护理相关的影响，包括情感，身体，财政困难;参与有价值活动的限制;暴露护理人员帮助老年人提供大量，一些或没有医疗保健帮助，通过协调护理和管理药物来定义结果基于来自1171名老年残疾人的1739名家庭和无偿照顾者的NHATS和NSOC响应，为每项调查的抽样设计编制了加权估计数。根据这些加权估计，1470万名照顾者协助770万名老年人，650万人（44.1%）提供了实质性帮助，440万人（29.8%）提供了一些帮助，380万人（26.1%）没有提供医疗保健帮助。几乎一半（45.5%）的照顾者提供实质性的医疗保健帮助老年人痴呆症。提供实质性帮助的照顾者每周提供的帮助时间比提供一些帮助或不提供帮助的照顾者多（28.1 vs 15.1和8.3小时，P
IMPORTANCE Family and unpaid caregivers commonly help older adults who are at high risk for poorly coordinated care.OBJECTIVE To examine how caregivers' involvement in older adults' health care activities relates to caregiving responsibilities, supportive services use, and caregiving-related effects.DESIGN, SETTING, AND PARTICIPANTS A total of 1739 family and unpaid caregivers of 1171 community-dwelling older adults with disabilities who participated in the 2011 National Health and Aging Trends Study (NHATS) and National Study of Caregiving (NSOC).MAIN OUTCOMES AND MEASURES Caregiving-related effects, including emotional, physical, and financial difficulty; participation restrictions in valued activities; and work productivity loss.EXPOSURES Caregivers assisting older adults who provide substantial, some, or no help with health care, defined by coordinating care and managing medications (help with both, either, or neither activity, respectively).RESULTS Based on NHATS and NSOC responses from 1739 family and unpaid caregivers of 1171 older adults with disabilities, weighted estimates were produced that accounted for the sampling designs of each survey. From these weighted estimates, 14.7 million caregivers assisting 7.7 million older adults, 6.5 million (44.1%) provided substantial help, 4.4 million (29.8%) provided some help, and 3.8 million (26.1%) provided no help with health care. Almost half (45.5%) of the caregivers providing substantial help with health care assisted an older adult with dementia. Caregivers providing substantial help with health care provided more hours of assistance per week than caregivers providing some or no help (28.1 vs 15.1 and 8.3 hours, P