新疆牧业地区失能老年人居家照护时间影响因素分析
|
摘要
目的探讨新疆牧业地区失能老年人居家照护时间及影响因素。方法对335例新疆牧业地区哈萨克族失能老年人居家照护时间影响因素进行分析。结果居家照护总时间为(5.72±2.108)h/d,其中以日常家务活动照护时间(IADLT)最高,为(4.19±0.857)h/d。多重线性回归分析显示:老年人失能程度、居家照护者性别、年龄、照护能力、照护者健康状况、照护者的子女是否需要照护、社会支持以及照护负担会影响照护时间。结论居家照护时间的影响因素涉及失能老年人、居家照护者及家庭内外部相关因素,应优先针对不同影响因素导致居家照护时间较长的照护者进行相应的照护费用补偿及政策支持。
Objective The aim of this study was to investigate the status and the influencing factors of home-based care time of disabled elderly in pastoral areas of Xinjiang. Methods 335 home-based caregivers of disabled elderly of Kazakh in pastoral areas were studied for obtaining home-based care time. Results Total home-based care time was 5.72±2.108 h/day.Instrumental activity of daily living care time was the longest for 4.19 ±0.857 h/day. The multiple liner regression analysis indicated that disability severity of elderly, gender, age, care ability, health status of caregivers, children need care or not,social support, and care burden were factors of care time. Conclusion The influencing factors for home-based care time concerned disabled elders, home-based caregivers, and internal and external domestic factors. National policy support and fund compensation should be given preferentially to the home-based caregivers who have the longer care time caused by different influencing factors.
Objective The aim of this study was to investigate the status and the influencing factors of home-based care time of disabled elderly in pastoral areas of Xinjiang. Methods 335 home-based caregivers of disabled elderly of Kazakh in pastoral areas were studied for obtaining home-based care time. Results Total home-based care time was 5.72±2.108 h/day.Instrumental activity of daily living care time was the longest for 4.19 ±0.857 h/day. The multiple liner regression analysis indicated that disability severity of elderly, gender, age, care ability, health status of caregivers, children need care or not,social support, and care burden were factors of care time. Conclusion The influencing factors for home-based care time concerned disabled elders, home-based caregivers, and internal and external domestic factors. National policy support and fund compensation should be given preferentially to the home-based caregivers who have the longer care time caused by different influencing factors.
引文
[1]许承云.基于草原牧区可持续发展的牧区劳动力老龄化问题研究[J].现代农业科技,2017,(12):280-283.
[2]李建新,常庆玲.新疆各主要民族人口现状及变化特征[J].西北民族研究,2015,(3):21-36,47.
[3]安华.西部民族地区农牧区养老保障差异化制度设计研究[J].西南民族大学学报(人文社科版),2014,(5):113-118.
[4]Berg BVD,Brouwer WBF,Koopmanschap MA.Economic valuation of informal care[J].The European Journal of Health Economics,2004,5(1):36-45.
[5]Brinda EM,Rajkumar AP,Enemark U,et al.Cost and burden of informal caregiving of dependent older people in a rural Indian community[J].BMC Health Services Research,2014,14:207.
[6]Shamsaei F,Cheraghi F,Esmaeilli R.The family challenge of caring for the chronically mentally III:a phenomenological study[J].Iranian Journal of Psychiatry and Behavioral Sciences,2015,9(3):e1898.
[7]吴复琛,王玉环,王美艳,等.维吾尔族、哈萨克族失能老年人居家主要照护者照护负担研究[J].现代预防医学,2014,41(19):3539-3541.
[8]王美艳,王玉环,陈雪峰,等.新疆维吾尔族、哈萨克族失能老年人居家照护者照护负担干预效果[J].中国卫生事业管理,2016,(5):384-387.
[9]Gervès C,Chauvin P,Bellanger MM.Evaluation of full costs of care for patients with Alzheimer's disease in France:the predominant role of informal care[J].Health Policy,2014,116(1):114-122.
[10]Lawton MP,Brody EM.Assessment of older People:self-maintaining and instrumental activities of daily living[J].The Gerontologist,1969,9(3):179-186.
[11]王烈,杨小湜,侯哲,等.护理者负担量表中文版的应用与评价[J].中国公共卫生,2006,22(8):970-972.
[12]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,(2):98-100.
[13]Clark NM,Rakowski W.Family caregivers of older adults:improving helping skills[J].The Gerontologist,1983,23(6):637-642.
[14]符柯.农村失能老人居家长期照护问题研究[D].郑州:郑州大学,2017.
[15]董少敬,赵常丽.以父为兄:青海哈萨克族"还子"习俗调查[J].青海民族大学学报(社会科学版),2015,41(2):62-69.
[16]尉小霞,杨开虎,于磊,等.四季放牧草地营养类型与季节变化特征研究[J].中国草地学报,2017,(1):111-116.
[17]Lacey L,Bobula J,Niecko T,et al.Informal care time and cost in a large clinical trial sample of patients with mild to moderate alzheimer's disease:determinants and level of change observed[J].Neurology Therapy,2017,6(1):11-23.
[18]De Zwart PL,Bakx P,Van Doorslaer E.Will you still need me,will you still feed me when I'm 64?The health impact of caregiving to one's spouse[J].Health Economics,2017,26(2):127-138.
[19]庞丽媛,马晓钰.贫困地区人均收入与其影响因素分析--以新疆南疆三地州地区为例[J].西北人口,2018,(1):119-126.
[20]Del RM,García-Calvente MM,Marcos-Marcos J,et al.Gender identity in informal care:impact on health in Spanish caregivers[J].Qualitative Health Research,2013,23(11):1506-1520.
[21]Pen軌a-Longobardo LM,Oliva-Moreno J.Economic valuation and determinants of informal care to people with Alzheimer's disease[J].The European Journal of Health Economics:HEPAC:Health Economics in Prevention and Care,2015,16(5):507-515.
[22]程静.论哈萨克族传统法律文化中的互助制度[J].伊犁师范学院学报(社会科学版),2015,34(3):5-7.
[2]李建新,常庆玲.新疆各主要民族人口现状及变化特征[J].西北民族研究,2015,(3):21-36,47.
[3]安华.西部民族地区农牧区养老保障差异化制度设计研究[J].西南民族大学学报(人文社科版),2014,(5):113-118.
[4]Berg BVD,Brouwer WBF,Koopmanschap MA.Economic valuation of informal care[J].The European Journal of Health Economics,2004,5(1):36-45.
[5]Brinda EM,Rajkumar AP,Enemark U,et al.Cost and burden of informal caregiving of dependent older people in a rural Indian community[J].BMC Health Services Research,2014,14:207.
[6]Shamsaei F,Cheraghi F,Esmaeilli R.The family challenge of caring for the chronically mentally III:a phenomenological study[J].Iranian Journal of Psychiatry and Behavioral Sciences,2015,9(3):e1898.
[7]吴复琛,王玉环,王美艳,等.维吾尔族、哈萨克族失能老年人居家主要照护者照护负担研究[J].现代预防医学,2014,41(19):3539-3541.
[8]王美艳,王玉环,陈雪峰,等.新疆维吾尔族、哈萨克族失能老年人居家照护者照护负担干预效果[J].中国卫生事业管理,2016,(5):384-387.
[9]Gervès C,Chauvin P,Bellanger MM.Evaluation of full costs of care for patients with Alzheimer's disease in France:the predominant role of informal care[J].Health Policy,2014,116(1):114-122.
[10]Lawton MP,Brody EM.Assessment of older People:self-maintaining and instrumental activities of daily living[J].The Gerontologist,1969,9(3):179-186.
[11]王烈,杨小湜,侯哲,等.护理者负担量表中文版的应用与评价[J].中国公共卫生,2006,22(8):970-972.
[12]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,(2):98-100.
[13]Clark NM,Rakowski W.Family caregivers of older adults:improving helping skills[J].The Gerontologist,1983,23(6):637-642.
[14]符柯.农村失能老人居家长期照护问题研究[D].郑州:郑州大学,2017.
[15]董少敬,赵常丽.以父为兄:青海哈萨克族"还子"习俗调查[J].青海民族大学学报(社会科学版),2015,41(2):62-69.
[16]尉小霞,杨开虎,于磊,等.四季放牧草地营养类型与季节变化特征研究[J].中国草地学报,2017,(1):111-116.
[17]Lacey L,Bobula J,Niecko T,et al.Informal care time and cost in a large clinical trial sample of patients with mild to moderate alzheimer's disease:determinants and level of change observed[J].Neurology Therapy,2017,6(1):11-23.
[18]De Zwart PL,Bakx P,Van Doorslaer E.Will you still need me,will you still feed me when I'm 64?The health impact of caregiving to one's spouse[J].Health Economics,2017,26(2):127-138.
[19]庞丽媛,马晓钰.贫困地区人均收入与其影响因素分析--以新疆南疆三地州地区为例[J].西北人口,2018,(1):119-126.
[20]Del RM,García-Calvente MM,Marcos-Marcos J,et al.Gender identity in informal care:impact on health in Spanish caregivers[J].Qualitative Health Research,2013,23(11):1506-1520.
[21]Pen軌a-Longobardo LM,Oliva-Moreno J.Economic valuation and determinants of informal care to people with Alzheimer's disease[J].The European Journal of Health Economics:HEPAC:Health Economics in Prevention and Care,2015,16(5):507-515.
[22]程静.论哈萨克族传统法律文化中的互助制度[J].伊犁师范学院学报(社会科学版),2015,34(3):5-7.