Informal Caregiving Networks of Older Adults With Dementia Superimposed on Multimorbidity: A Social Network Analysis Study.
Informal Caregiving Networks of Older Adults With Dementia Superimposed on Multimorbidity: A Social Network Analysis Study.
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DOI：
10.1093/geroni/igad033
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发表时间：
2023
影响因子：
7
通讯作者：
Turberville-Trujillo, Linda
中科院分区：
文献类型：
--
作者：
Song, Mi-Kyung;Paul, Sudeshna;Happ, Mary Beth;Lea, Janice;Pirkle, James L.;Turberville-Trujillo, Linda
照顾是一个社会过程，通常涉及不止一个照顾者，特别是对于患有多种疾病（包括痴呆症）的老年人。本研究的目的是表征老年痴呆症患者合并多种疾病（如终末期肾病）的非正式护理网络，并研究网络属性与护理者和老年人的结果之间的关系。进行了以自我为中心的社会网络调查。从2个州的11个透析中心招募了多达3名透析老年人的家庭照顾者，这些老年人患有中度至重度不可逆认知障碍，伴有或未伴有痴呆症的记录诊断。照顾者完成了一项关于照顾老年人的个人的社会网络调查，以及照顾负担和回报、抑郁和经济困难的测量。从医疗记录中提取过去12个月的老年人急诊科就诊和住院记录。共有46名老年人（78%为黑人）的76名护理者参与了这项研究。在46名老年人中，65%的人拥有多成员网络（中位数为4人）。随着网络密度（成员之间的联系在所有可能的联系中所占的比例）的增加，主要照顾者的经济困难减少，而非主要照顾者的经济困难增加。此外，平均程度每增加1个单位（成员之间的平均联系数量），老年人在前一年不住院的几率就会增加近四倍。非正式照顾网络的网络动态可能对照顾者和老年痴呆症患者的福祉产生影响，但需要进行确证性的纵向研究。
Caregiving is a social process and commonly involves more than a single caregiver, especially for older adults with multimorbidity, including dementia. This study was to characterize informal caregiving networks of older adults with dementia superimposed on multimorbidity (e.g., end-stage kidney disease) and to examine the relationships of network properties to outcomes of caregivers and older adults. An egocentric social network survey was conducted. Up to 3 family caregivers of older adults on dialysis who had moderate-to-severe irreversible cognitive impairment with or without a documented diagnosis of dementia were recruited from 11 dialysis centers in 2 states. Caregivers completed a social network survey about individuals providing caregiving to the older adult and measures of caregiving burden and rewards, depression, and financial hardship. Older adults’ emergency department visits and hospital admissions during the past 12 months were abstracted from the medical records. A total of 76 caregiver informants of 46 older adults (78% Black) participated in the study. Of the 46 older adults, 65% had a multimember network (median size of 4). As the network density (the proportion of ties between members among all possible ties) increased, primary caregivers’ financial hardship decreased whereas nonprimary caregivers’ financial hardship increased. Further, for every 1-unit increase in mean degree (the average number of connections among members), there was a nearly fourfold increase in the odds of no hospital admission during the prior year for the older adult. The network dynamics of informal caregiving networks may have an impact on the well-being of caregivers and older adults with dementia, but confirmatory longitudinal studies are needed.
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影响因子：
6.2
作者：
de Souza JA;Yap BJ;Wroblewski K;Blinder V;Araújo FS;Hlubocky FJ;Nicholas LH;O'Connor JM;Brockstein B;Ratain MJ;Daugherty CK;Cella D
通讯作者：
Cella D
DOI：
10.1007/s10880-015-9436-5
发表时间：
2015-12-01
影响因子：
2.2
作者：
Macias, Cathaleene;Gold, Paul B.;Panch, Trishan
通讯作者：
Panch, Trishan
影响因子：
5.7
作者：
Friedman, Esther M.;Kennedy, David P.
通讯作者：
Kennedy, David P.
影响因子：
3.3
作者：
Bosworth, HB;Bastian, LA;Siegler, IC
通讯作者：
Siegler, IC
影响因子：
3.5
作者：
Ekelund, Marie-Louise;Andersson, Sven Ingmar
通讯作者：
Andersson, Sven Ingmar