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首页> 外文期刊>Journal of the American Geriatrics Society >When home care ends-changes in the physical health of informal caregivers caring for dementia patients: a longitudinal study.
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When home care ends-changes in the physical health of informal caregivers caring for dementia patients: a longitudinal study.

机译：当家庭护理结束时，照顾痴呆症患者的非正式护理人员的身体健康发生变化：一项纵向研究。

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OBJECTIVES: To verify the change in health variables and parameters of health service utilization in a group of active caregivers for older persons with dementia in comparison with former caregivers who had ceased to provide home care for at least 6 months (death of the patient or institutionalized care). DESIGN: A prospective longitudinal study with 1-year follow-up. Active and former caregiver groups originated from a sample of active caregivers at baseline. SETTING: Participants were recruited mainly via advertisements placed in two magazines with large, nationwide circulation. The questionnaires were sent on request. PARTICIPANTS: Seven hundred twenty primary caregivers of dementia patients living in the community. All patients had a medical diagnosis of dementia and had a score of 20 or greater on the mental-mnestic disturbances factor of the Sandoz Clinical Assessment-Geriatric scale. Their care needs covered at least one of four activities of daily living (personal hygiene, eating, toilet use/excretion, mobility). After 12 months, 681 caregivers were reinterviewed. MEASUREMENTS: The physical complaints were assessed with the 24-item Giessen Symptom List (subscales: aching limbs, stomach complaints, heart complaints, physical exhaustion). Other key variables were the number of illnesses, number of somatic and psychotropic medications, and number of physician visits. RESULTS: Although the somatic symptoms of the active caregivers (n = 427) remained stable at a high level, they decreased significantly (24%) in the group of former caregivers (n = 121). Simultaneously, the number of visits former caregivers made to physicians almost doubled. The reason why home care was terminated (death or institutionalization) did not influence health variables or health service utilization. CONCLUSION: The physical health of former caregivers improves in the long term once they cease to provide home care. The fact that former caregivers go to the doctor much more frequently is to be interpreted as an indication that they take the time to attend to their own physical and medical needs.
机译：目的：与那些已停止提供家庭护理至少六个月（患者死亡或住院）的老年护理人员相比，验证一组老年痴呆症活跃护理人员的健康变量和健康服务利用参数的变化关心）。设计：一项为期一年的随访的前瞻性纵向研究。主动护理人员和以前的护理人员组来自基线时的主动护理人员样本。地点：参与者的招募主要是通过刊登在全国性大发行的两本杂志上的广告进行的。问卷是应要求发送的。参与者：居住在社区中的痴呆症患者的720名主要护理者。所有患者均具有痴呆症的医学诊断，并且在Sandoz临床评估-老年量表的精神记忆障碍因素中得分为20分或更高。他们的护理需求至少涵盖了日常生活的四项活动之一（个人卫生，饮食，上厕所/排便，流动）。 12个月后，对681名护理人员进行了重新访谈。测量：身体不适通过24项吉森症状列表进行评估（分量表：四肢疼痛，胃部不适，心脏不适，体力消耗）。其他关键变量是疾病的数量，躯体和精神药物的数量以及医师就诊的次数。结果：尽管积极看护者的躯体症状（n = 427）在较高水平上保持稳定，但在以前的看护者组（n = 121）中，它们的体征明显下降（24％）。同时，前护理人员去看医生的次数几乎翻了一番。终止家庭护理（死亡或机构化）的原因并不影响健康变量或卫生服务利用率。结论：前照顾者一旦停止提供家庭护理，其身体健康将长期改善。前照顾者去医生的频率更高的事实被解释为表明他们花时间照顾自己的身体和医疗需求。

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