The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review.

The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review.
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DOI:
10.1093/geront/gny137
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发表时间:
2019-09-17
期刊:
The Gerontologist
影响因子:
--
通讯作者:
van Doorslaer E
van Doorslaer E
中科院分区:
其他
文献类型:
--
作者:
Bom J;Bakx P;Schut F;van Doorslaer E

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非正式护理,即向受依赖的朋友或家人提供无偿护理,往往与身心健康的影响有关。由于一些人比其他人更有可能提供照看任务,因此很难估计照看的因果影响。这一系统的文献综述提供了所有研究的概述,这些研究的目的是估计非正式照料对照顾者不同亚群的健康的因果影响。遵循PRISMA指南,在4个数据库中进行结构化文献检索。三名独立研究人员根据预先定义的标准对研究的资格进行了评估。综述中包括的研究结果以预定义的摘录形式汇总,并以叙述性的方式综合。系统检索共产生了1,331篇文章,其中15篇用于综合。审查中的研究表明,有证据表明,照料对非正式照顾者的心理和身体健康有负面影响。这些健康影响的存在和强度因照顾者的不同而有很大不同。尤其是女性、已婚照料者以及那些提供重症监护的人,看护似乎会对健康产生负面影响。研究结果强调,有必要采取有针对性的干预措施,以减少护理在不同亚群中的负面影响。由于护理效果的强度和存在程度在不同的照顾者亚群之间不同,政策制定者应该特别针对那些经历非正式护理对健康影响最大的照顾者。
Informal care, the provision of unpaid care to dependent friends or family members, is often associated with physical and mental health effects. As some individuals are more likely to provide caregiving tasks than others, estimating the causal impact of caregiving is difficult. This systematic literature review provides an overview of all studies aimed at estimating the causal effect of informal caregiving on the health of various subgroups of caregivers. A structured literature search, following PRISMA guidelines, was conducted in 4 databases. Three independent researchers assessed studies for eligibility based on predefined criteria. Results from the studies included in the review were summarized in a predefined extraction form and synthesized narratively. The systematic search yielded a total of 1,331 articles of which 15 are included for synthesis. The studies under review show that there is evidence of a negative impact of caregiving on the mental and physical health of the informal caregiver. The presence and intensity of these health effects strongly differ per subgroup of caregivers. Especially female, and married caregivers, and those providing intensive care appear to incur negative health effects from caregiving. The findings emphasize the need for targeted interventions aimed at reducing the negative impact of caregiving among different subgroups. As the strength and presence of the caregiving effect differ between subgroups of caregivers, policymakers should specifically target those caregivers that experience the largest health effect of informal caregiving.
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