Health Trajectories of Family Caregivers: Associations With Care Transitions and Adult Day Service Use
Health Trajectories of Family Caregivers: Associations With Care Transitions and Adult Day Service Use
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DOI：
10.1177/0898264314555319
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发表时间：
2015-06-01
影响因子：
2.8
通讯作者：
Zarit, Steven H.
中科院分区：
文献类型：
--
作者：
Liu, Yin;Kim, Kyungmin;Zarit, Steven H.
目的：该研究考察了家庭照顾者在一年内四个健康维度的健康变化，并探讨了不同健康轨迹与成人日间服务（ADS）使用和过渡的关联。方法：参与者是153名痴呆症患者（IWD）的主要照顾者，他们在基线，6个月和12个月的访谈中提供了有关护理情况和自身健康的信息。结果如下：随着时间的推移，照顾者表现出越来越多的功能限制和减少身体疼痛，而角色限制和一般健康感知保持稳定。此外，照顾者的功能限制轨迹与他们在基线时使用ADS的程度及其亲属的安置有关。讨论：健康是多方面的;照顾者健康的所有方面不会以统一的方式变化。研究结果强调了过渡期和照顾者健康之间的联系的重要性，以及ADS对家庭照顾者的潜在健康益处。
Objective: The study examines family caregivers' health changes over 1 year on four health dimensions and explores the association of differential health trajectories with adult day service (ADS) use and caregiving transitions. Method: The participants were 153 primary caregivers of individuals with dementia (IWDs) who provided information on care situations and their own health at baseline, 6-month, and 12-month interviews. Results: Caregivers showed increasing functional limitations and decreasing bodily pain over time, whereas role limitation and general health perception remained stable. Furthermore, caregivers' trajectories of functional limitation were associated with their extent of ADS use at baseline and their relatives' placement. Discussion: Health is multidimensional; all dimensions of caregiver health do not change in a uniform manner. The findings underscore the importance of the association of caregiving transitions and caregiver health and the potential health benefits of ADS use for family caregivers.