护理悖论:老年人的护理安排与制度化和死亡率之间的关系
Meggan Jordan1, Kenzie Latham-Mintus2, Sarah E Patterson3
1Department of Sociology, Gerontology, and Gender Studies, California State University Stanislaus, Turlock, CA, USA.
Research on aging
|January 22, 2024
概括
负责自己照顾的老年人有较低的医疗机构住院或死亡风险. 这与传统的 (配偶/孩子) 和非传统的 (雇员) 照顾安排形成鲜明对比,突出了"照顾悖论".
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 衰老的社会学 衰老的社会学
背景情况:
- 护理安排对老年人的健康结果产生重大影响.
- 了解不同护理模式的细微差别对于改善老年护理至关重要.
- 在日常生活活动 (ADLs) 中受到限制的老年人通常依赖外部支持.
研究的目的:
- 调查老年美国人的护理安排类型与健康结果之间的联系.
- 为了比较传统,非传统和自我指导的照顾者模型中制度化或死亡的风险.
主要方法:
- 利用了来自健康和退休研究 (2004-2018) 的数据.
- 采用离散时间事件历史分析来评估14年期间的结果.
- 将照顾分为传统的 (配偶/成年子女),非传统的 (大家庭/员工/朋友) 和自主指导的.
主要成果:
- 一个小小的东西.
- 护理悖论的悖论
- 观察到:与传统和非传统护理相比,自我指导的护理与较低的医疗机构住院/死亡风险有关.
- 与传统护理相比,雇员照顾与更高的医疗机构入院风险有关.
- 在控制损伤水平和健康因素后,这些发现仍然存在.
结论:
- 自主指导的护理可能为老年人提供保护性好处,挑战传统的护理假设.
- 进一步的研究对于阐明成功的自我指导护理背后的机制至关重要.
- 这些发现表明,需要探索和支持那些选择自己管理护理安排的老年人.
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