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Do the Reasons Emerging Adults Become Informal Caregivers Relate to Future Willingness to Care? A Mixed-Methods Study

机译:新兴成年人是否成为非正式护理人员的原因与未来的关心意愿?混合方法研究

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Abstract Approximately 12-18% of family caregivers to older adults in the U.S. are emerging adults (aged 18-25), yet minimal research focuses on this subgroup of caregivers (Levine, 2005). Although several theories have developed to explain the growing number of emerging adults assuming informal caregiving roles (e.g., alleviating burden on middle-aged caregivers, family obligation; Dellmann-Jenkins & Brittain, 2003), the reasons why emerging adults become caregivers have not been studied. In the current study, a sample of 248 emerging adult caregivers were asked to describe the circumstances that led to providing unpaid care to an older adult. Using discovery-oriented coding methodology, 11 themes emerged within participants’ responses: care-recipient illness (35.5%), familial relationship (35.5%), care-recipient became dependent (23.8%), proximity (13.7%), only option (10.1%), reciprocal care (8.9%), availability (8.5%), age-related decline (6.9%), monetary restrictions (6.9%), care-recipient desire (6.0%), and community service (4%). Follow-up analyses found that participants who identified familial relationships (e.g., “They are my parents so I felt obligated...”) were less likely to endorse willingness to provide nursing care in the future compared to those who did not identify familial relationships (p=.032). Participants who identified care-recipient dependency as a circumstance leading to caregiving (e.g., “My grandmother fell and was in rehab...”) were more likely to endorse willingness to provide instrumental (p=.034) and emotional (p=.047) care in the future than those who did not identify care-recipient dependency. These results demonstrate the unique reasons that may lead emerging adults to begin caregiving and how these reasons relate to future willingness to care for an older adult.
机译:摘要大约12-18%的家庭护理人员到美国的老年人是新兴成年人(年龄18-25岁),但最小的研究重点介绍了这一照顾者(Levine,2005)。虽然有几种理论来解释越来越多的新兴成年人,假设非正式的护理角色(例如,减轻中年护理人员的负担,家庭义务; Dellmann-Jenkins&Brittain,2003),新兴成年人成为护理人员的原因没有研究过。在目前的研究中,被要求描述了248名新兴成年护理人员的样本,以描述导致为老年人提供无偿护理的情况。使用发现的编码方法,在参与者的回答中出现了11个主题:护理受体疾病(35.5%),家族关系(35.5%),护理受援人士依赖(23.8%),邻近(13.7%),只有选择( 10.1%),互惠护理(8.9%),可用性(8.5%),年龄相关的下降(6.9%),货币限制(6.9%),护理受体欲望(6.0%)和社区服务(4%)。随访分析发现,鉴定家庭关系的参与者(例如,“他们是我的父母,所以我感到有义务......”)与那些没有识别家庭关系的人相比,不太可能赞同将来提供护理护理(p = .032)。确定护理受援依赖的参与者作为导致护理的情况(例如,“我的祖母落下并在康复......”)更有可能认可愿意提供工具(P = .034)和情绪(P =。 047)将来小心,那些没有识别护理人受援者的依赖。这些结果表明,可能导致新兴成年人开始关注的独特原因以及这些原因与未来愿意照顾老年人的意愿。

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