Interrelationships between health, informal support, and formal support among the elderly

老年人健康、非正式支持和正式支持之间的相互关系

• 批准号: 10410064
• 负责人: SUGISAWA Hidehiro
• 金额: $ 4.93万
• 依托单位: Tokyo Metropolitan Institute of GERONTOLOGY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B).
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-10410064/
• 关键词: ELDERLY; INFORMAL SUPPORT; DECLINE IN HEALTH; FORMAL SUPPORT

This project examined interrelationships between health, informal support, and formal support among the elderly. Analyses were based on three kinds of database ; 1) survey of a representative sample of the elderly living in a urban area, 2) survey of primary family caregivers of the frail elderly who had been selected from all residents aged 65 and over, and 3) survey of the elderly who had qualified for community services under the long term care insurance.1. Contact with children living separately made a significantly positive contribution to service awareness among the elderly with IADL limitations. This is not true for those without IADL limitations. Participation in a community group significantly enhanced awareness, regardless of ADL level. Participation in a community group also had a significant positive impact on awareness among primary family caregivers of the frail elderly. Visits by a community nurse or social worker made a significant positive effect on awareness among those primary caregivers.2. Although support from friends or neighbors significantly enhanced intent to use community services for promotion of social participation among the elderly, support from family members or relatives did not have a such effect.3. Informational support from professionals made a significantly negative contribution to intent to be admitted the frail elderly into a nursing home among their family caregivers. Both of informal instrumental support and formal instrumental support did not have a such negative impact.4. Informal instrumental support was not related to underutilization of community services among the the elderly who had qualified for community services. Consciousness of traditional family care showed a significant positive impact on underutilization.

该项目研究了老年人的健康、非正式支持和正式支持之间的相互关系。分析基于三种数据库； 1）对城镇老年人代表性样本的调查；2）从所有65岁及以上居民中抽取的体弱老年人家庭主要照顾者的调查；3）对符合长期护理保险社区服务条件的老年人的调查。与单独居住的儿童接触对 IADL 受限老年人的服务意识做出了显着的积极贡献。对于没有 IADL 限制的人来说，情况并非如此。无论 ADL 水平如何，参与社区团体都可以显着提高意识。参与社区团体也对体弱老年人的主要家庭照顾者的认识产生了显着的积极影响。社区护士或社会工作者的拜访对这些主要护理人员的认识产生了显着的积极影响。2．虽然朋友或邻居的支持显着增强了老年人利用社区服务促进社会参与的意愿，但家人或亲戚的支持却没有这种效果。3．专业人士的信息支持对将年老体弱的老人送入疗养院和家庭护理人员的意愿产生了显着的负面影响。非正式工具性支持和正式工具性支持均没有产生这种负面影响。4．非正式工具支持与有资格获得社区服务的老年人中社区服务利用不足无关。传统家庭照顾意识对利用不足表现出显着的正向影响。