The dynamics of caregiving: Transitions during a three-year prospective study
The dynamics of caregiving: Transitions during a three-year prospective study
复制标题
DOI：
10.1093/geront/40.2.165
复制
发表时间：
2000-04-01
期刊：
影响因子：
5.7
通讯作者：
Li, LW
中科院分区：
文献类型：
--
作者：
Seltzer, MM;Li, LW
这项前瞻性研究(n=476)调查了老年人的妻子和女儿经历的三种照顾过渡：进入、住院和丧失亲人。与妻子相比，女儿更有可能扮演照顾者的角色，但扮演这一角色对妻子的影响更明显。在成为照顾者后，妻子在休闲活动中的参与度、对家庭关系质量的感知和婚姻满意度都有所下降。女儿照顾者比妻子更有可能将他们的照顾者安置在机构中，他们在安置后增加了社会参与度，减少了主观负担。在研究期间，妻子和女儿照顾者的丧亲比例大致相同，对于妻子来说，丧亲伴随着社会参与度和个人成长的增加。这些结果强调了护理职业的高度动态性质，以及护理者和护理接受者之间的亲属关系在调节护理过渡的影响方面的重要性。
This prospective study (n = 476) examined 3 types of caregiving transitions experienced by wives and daughters of older persons: entry, institutionalization, and bereavement. Daughters were more likely to enter the caregiving role than wives, but the impact of entering the role was more pronounced for wives. After becoming a caregiver, wives decreased in their participation in leisure activities, perceptions of quality of family relations, and marital satisfaction. Daughter caregivers were more likely than wives to place their care recipient in an institution, and they increased in social participation and decreased in subjective burden after placement. Roughly the same percentage of wife and daughter caregivers were bereaved during the study period, and for wives bereavement was accompanied by an increase in social involvement and personal growth. The results underscore the highly dynamic nature of the caregiving career and the importance of the kinship relationship between caregiver and care recipient in conditioning the effects of caregiving transitions.