当错过重要时:社会活动限制与护理人员负担之间的关联
Mara Rosenberg1, Irena Cenzer1, Kenneth Covinsky1
1Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Journal of the American Geriatrics Society
|October 17, 2025
概括
护理人员对社交活动的限制显著增加了经历情绪,身体或财务负担的可能性. 错过重要的社会活动,特别是宗教活动,加剧了这种负担.
科学领域:
- 老年学是一门学科.
- 卫生社会学 卫生社会学
- 公共卫生 公共卫生
背景情况:
- 社会参与对于整体福祉至关重要.
- 照顾者经常因为照顾职责而受到社会参与的限制.
- 这些社会限制对护理人员的具体影响仍未得到充分研究.
研究的目的:
- 调查社会活动限制与护理人员负担之间的关系.
- 为了确定哪些社会活动,当错过,最强烈地与增加的护理人员负担相关.
- 在错过宗教服务的背景下,探索活动重要性的调节作用.
主要方法:
- 利用了2021年国家护理研究的横截面数据,这是一个全国代表性的1619名无薪成年护理人员的样本.
- 照顾者自我报告四种社会活动的限制:参观,宗教服务,外出和团体活动.
- 调查加权后勤回归分析了错过活动与自我报告的情感,身体或财务照顾者负担之间的关系.
主要成果:
- 43%的护理人员报告至少有一种形式的负担 (35%的情绪,17%的身体,9%的财务).
- 被限制外出,访问或团体活动的护理人员显示,任何负担的调整后概率显著更高 (分别为88%与62%,86%与55%,88%与61%).
- 缺少宗教活动与更高的负担有关,特别是如果该活动被认为是重要的 (85%对任何负担的57%). 观察到一种剂量-反应关系:缺失的2+活动与91%的负担相关.
结论:
- 社会参与的限制与照顾者的负担增加有显著的关联.
- 错过的活动的重要性,尤其是宗教活动,会影响照顾者负担的程度.
- 调查结果强调了有针对性的干预措施的必要性,以支持护理人员在护理责任中进行社会参与.
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