体弱老人虚弱程度与其亲属照顾者精神健康的关系:照顾者负担的中介效应研究  

The Frailty Index of Chinese Frail Elders and the Psychological Well-being of Family Caregivers in Shanghai: The Role of Caregiver Burden

作　　者：吕楠[1] 苏新帆 刘金玉 楼玮群[4,5] 

机构地区：[1]中国人民大学社会与人口学院社会工作系 [2]中国人民大学社会工作系 [3]密西根大学社会工作系 [4]香港大学社会工作及社会行政学系 [5]香港大学秀圃老年研究中心

出　　处：《社会建设》2015年第3期26-34,共9页Social Construction

基　　金：香港大学教育资助委员会资助课题;香港大学资助课题的成果。项目的研究团队包括香港大学的楼玮群(项目负责人)吕楠;杨帆;吴辉雄;华东师范大学的桂世勋;陈丽梅;刘婕;上海金融学院的洪娜;桂世勋教授主持的国家社科基金重大项目"未来十年我国城市老年人口居家养老保障体系研究"(12&ZD212)子课题的阶段成果

摘　　要：本文建构了体弱老人虚弱指数,并基于2010年和2013年"上海市高龄体弱老人状况及其主要照顾者需求调查"探讨了虚弱指数、照顾者负担以及照顾者精神健康的关系。研究发现体弱老人的虚弱指数是其死亡率的显著预测变量,体弱老人的虚弱指数对其亲属照顾者的精神健康有着显著影响,照顾者负担在虚弱指数与精神健康的关系中起到部分中介效应。虚弱程度较高的老年人不但自身的健康面临着较大的风险,其家庭照顾者也会面临更重的负担以及更差的精神健康状况。我国急需建立一个全国范围的长期照顾体系,为这些有着特殊需求提供支持性资源、专业化的培训以及相关照料服务。This study aimed to establish the construct of frailty index of frail elders and examine the role of caregiver burden in between frail elders' frailty levels and their caregivers' psychological well-being. The data were derived from the 2010 and 2013 waves of the project 'Family caregivers for the frail and very elderly: Well-being and needs in Shanghai'. 698 frail elder-family caregiver dyads were interviewed at Shanghai in 2010. Cox proportional hazard model was used to examine the relationship between frailty index and mortality. Path analysis was used to examine the relationship among frailty, caregiver burden and psychological well-being. The results showed that frailty is a statistically significant predictor of mortality, and that caregiver burden plays a mediating role between frailty and psychological well-being. Higher frailty levels not only imply that frail elders could face higher mortality risks in the future, but also lead to higher caregiver burden and worse psychological well-being outcomes among those caregivers.

关 键 词：虚弱指数 精神健康 照顾者负担 

分 类 号：D669.6[政治法律—政治学]