The effects of caring for a spouse with Parkinson's disease on social, psychological and physical well-being.
The effects of caring for a spouse with Parkinson's disease on social, psychological and physical well-being.
复制标题
照顾患有帕金森病的配偶对社会、心理和身体健康的影响。
DOI：
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Y. Ben
中科院分区：
文献类型：
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作者：
F. O'Reilly;F. Finnan;S. Allwright;G. Smith;Y. Ben
BACKGROUND
Several previous studies have examined the health of carers, but they have usually focused on elderly subjects and have often not had representative control samples.
AIM
To determine whether caring for a partner with Parkinson's disease is associated with a worsening social, psychological and physical well-being than people with partners who do not suffer with Parkinson's disease.
METHOD
One hundred and fifty-four carer spouses of subjects with Parkinson's disease, and 124 non-carer spouses of randomly selected population controls recruited from a national case-control study of early-onset Parkinson's disease in the Republic of Ireland, between 1992-1994, were studied. Outcome was measured along three dimensions: social functioning, assessed by the frequency of social contacts, outings and holidays; psychological well-being, measured by the General Health Questionnaire; and physical health, measured by the career's use of medical services, medications and episodes of chronic illness.
RESULTS
Carer spouses were less likely to get out of the house once a week at least (odds ratio 1.79, 95% confidence intervals 1.00-3.20) or to have had a holiday in the last year (odds ratio 1.71, 95% confidence intervals 1.01-2.90). Contact with friends and neighbours decreased with increasing care provision. For spouses providing a lot of care, there was an almost fivefold increase in psychiatric morbidity (odds ratio 4.86, 95% confidence intervals 1.5-15.9) after adjusting for other variables. Most of the medical outcomes were less favourable among carers, but only the use of tranquilizers (odds ratio 3.73, 95% confidence intervals 1.18-11.8) and episodes of chronic illness (odds ratio 2.96, 95% confidence intervals 1.27-6.94) were significant.
CONCLUSIONS
Overall, career spouses have slightly worse social, psychological and physical profiles. For social outcomes, increasing care provision is associated with fewer contacts, outings and holidays. For psychological and physical measures, carers providing a lot of care experience worse health. These results have implications for targeting appropriate interventions.
痴呆症患者的照顾者：丈夫和妻子的比较。
DOI：
10.1093/geront/26.3.248
发表时间：
1986
期刊：
The Gerontologist
影响因子：
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作者：
Fitting,M;Rabins,P;Lucas,MJ;Eastham,J
通讯作者：
Eastham,J