The case for involving adult children outside of the household in the self-management support of older adults with chronic illnesses
The case for involving adult children outside of the household in the self-management support of older adults with chronic illnesses
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DOI：
10.1177/1742395309347804
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发表时间：
2010-03-01
期刊：
影响因子：
1.3
通讯作者：
Langa, Kenneth M.
中科院分区：
文献类型：
--
作者：
Piette, John D.;Rosland, Ann Marie;Langa, Kenneth M.
目的：本研究旨在 (1) 确定社区老年人慢性病自我护理的配偶赡养障碍； (2) 描述生活在家庭之外的成年子女可能获得的自我护理支持。方法：作为健康与退休研究的一部分，对具有全国代表性的 51thorn 慢性病成年人样本进行了访谈（N = 14,862）。参与者及其配偶（如果有）都报告了有关其健康和功能的信息。参与者还报告了他们与成年子女的接触以及这些关系的质量的信息。 结果：美国超过三分之一 (38%) 患有慢性病的老年人未婚；当有配偶时，他们中的大多数患有多种慢性疾病和功能限制。然而，绝大多数患有慢性病的老年人（93%，约占 6000 万美国人）都有成年子女，其中一半的子女住在 10 英里以外的地方。大多数有孩子的受访者（78%）表示每周至少进行一次电话联系，并且这些关系是积极的。大约 1,900 万患有慢性病的美国老年人的成年子女住在远处，但附近却没有；这些儿童经常进行电话联系，受访者（包括患有多种慢性病的儿童）报告说，这种关系是积极的。 讨论：随着疾病管理方面现有的卫生服务与社区居民患者的需求之间的差距不断扩大，成年儿童（包括居住在远处的儿童）成为改善慢性病患者自我护理支持的重要资源。
Objectives: This study sought to (1) identify barriers to spousal support for chronic illness self-care among community-dwelling older adults; and (2) describe the potential availability of self-care support from adult children living outside of the household.Methods: Nationally representative US sample of chronically ill adults aged 51thorn were interviewed as part of the Health and Retirement Study (N = 14,862). Both participants and their spouses (when available) reported information about their health and functioning. Participants also reported information about their contact with adult children and the quality of those relationships.Results: More than one-third (38%) of chronically ill older adults in the US are unmarried; and when spouses are available, the majority of them have multiple chronic diseases and functional limitations. However, the vast majority of chronically ill older adults (93%, representing roughly 60 million Americans) have adult children, with half having children living over 10 miles away. Most respondents with children (78%) reported at least weekly telephone contact and that these relationships were positive. Roughly 19 million older chronically ill Americans have adult children living at a distance but none nearby; these children are in frequent telephone contact and respondents (including those with multiple chronic diseases) report that the relationships are positive.Discussion: As the gap between available health services for disease management and the need among community-dwelling patients continues to grow, adult children-including those living at a distance-represent an important resource for improving self-care support for people with chronic diseases.