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Preethy S. Samuel Christina N. Marsack Lisa A. Johnson Barbara W. LeRoy Catherine L. Lysack Peter A. Lichtenberg 《Occupational Therapy in Health Care》2017,31(1):1-19
The aim of this study was to describe the context and impact of caregiving for grandchildren with health concerns on grandparents. The study sample comprised 391 African American grandparents aged 55 or older. Logistic regression analysis indicated that grandparent caregivers of grandchildren with psychiatric or behavioral problems were more likely to experience a negative impact on their health (AOR = 7.86, p =.008) and leisure (AOR = 14.31, p =.024) than grandparent caregivers of grandchildren with no or other types of health problems. The findings underscore the need to support African American grandparent caregivers, particularly those raising grandchildren with mental health problems. 相似文献
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On the basis of a qualitative study of 31 grandparents, this article highlights how separation in the middle generation can result in an erosion of trust and quality of paternal grandparent‐grandchild relationships. Notwithstanding these changes, grandparents endeavor to support and remain involved in the lives of their grandchildren by, inter alia, compensating for a perceived lack of their sons' parenting skills, affirming their grandchild's position in the paternal kin network, and acting as a mediator between the separated couple to ensure continued contact with grandchildren. The findings suggest that the actions of paternal grandparents can potentially have important future implications not only for the grandparent‐grandchild relationship, but also the relationship trajectories of their adult son and child in the post‐separation family. 相似文献
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This cross‐sectional study of 129 grandparents raising their grandchildren examined the extent to which social supports are related to the grandparents' stress (psychological anxiety). A hierarchical regression analysis, with variables entered in blocks, revealed that contextual factors, stressors related to caregiving, and lack of supports accounted for 35% of the variance. Younger grandparents, grandchildren with psychological and physical problems, and low family cohesion were associated with stress. Implications for clinical and educational intervention are discussed. 相似文献
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《Alcoholism treatment quarterly》2013,31(2-3):107-130
SUMMARY The abuse of alcohol and other substances has long been the source of disruption in family structures and lifestyles. Yet, the impact on Latino grandparent-headed households in rural communities has received little attention to date. Health and social services agencies can reach out to rural elderly Latinos by involving community representatives in the intervention process and making culturally sound recommendation for practice and program development. 相似文献
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Using data on 67,558 children (age 0 to 17) from the 1999 and 2002 rounds of the National Survey of America's Families, the association between complex living arrangements and children's health is examined. The authors consider children residing in a wide range of living arrangements, including with stepparents, single fathers, custodial grandparents, and nonkin foster parents. Findings suggest that children's health varies by family structure. The authors find a key role for living with a biological father when predicting children's health. Children living with a single father are less likely to have poor health outcomes than most other groups, whereas those with a stepfather have reduced health outcomes. The same is not true for those living with a single mother or stepmother. Children being raised by a grandparent and those in foster care have particularly poor health outcomes. Mediation analysis suggests income and health insurance status do not explain these relationships. 相似文献
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The aim of this study was to investigate possible changes in quality of life (QoL) in elderly persons diagnosed with cancer (65 years and above), in relation to age, contact with the health-care system, activities of daily living, hope, social network and support. The investigation points were at time of diagnosis (baseline), and again 3 and 6 months after the diagnosis. The study also aimed to investigate which of the aforementioned factors predicted deteriorated QoL in elderly persons with cancer from baseline to the 6-month investigation. At baseline, the sample consisted of 101 individuals aged (age 65+) recently diagnosed with cancer (74 women, 27 men), but was reduced to 75 (57 women, 18 men) by the 6-month investigation point. EORTC QLQ C30, Katz ADL, Nowotny's Hope Scale and Interview Schedule for Social Interaction were used in structured personal interviews and questionnaires. Emotional function improved significantly over time, and complaints of nausea and vomiting decreased. Contact with a district nurse at baseline predicted deteriorated QoL from baseline to 6 months later. Support from grandchildren increased significantly. About 30% of the total sample deteriorated in QoL, by the significant >/=10 units, from baseline to 6-month follow-up, while about 70% remained stable in QoL from baseline. The majority of the elderly persons with cancer showed an ability to adjust to the new condition. However, in clinical practice, specific attention should be paid to the most vulnerable groups of elderly persons with cancer: those with advanced disease and decreased hope, and those with increased need of both informal and formal assistance. 相似文献
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Jennen C Uhlenbruck G 《Evidence-based complementary and alternative medicine : eCAM》2004,1(2):157-165
Moderate training of an endurance nature, but also other exerciseactivities, not only has a preventive effect on various illnessesand pre-illness states such as the metabolic syndrome and cancer,but is also effective in treating patients in the rehabilitationphase after illness, e.g. cardiovascular or cancer. Our investigationdemonstrates that even low level physical activity has a verygood preventive effect too, which is enhanced when it is accompaniedby mental activity and psychological well-being. In total, weinvestigated 13 000 people on the basis of socio-economic panelpolls with respect to life contentment, health status and leisure-timeactivities. Life contentment is positively linked to contentmentwith labor, which seems to be an essential aspect with regardto the increasing number of unemployed people in Europe. Thesecond important factor is health-promoting activities duringleisure time. Exercise, especially, has a significant influenceon life satisfaction as a feeling of physical fitness feelingis regarded as synonymous with good health. The results underlinethe psycho-neuroimmunological network, which stabilizes ourhealth and shows that different activities in older adults havea significant effect on the aging process and age-related illnesses.Besides the various activities that are important in this arena,namely muscle and mental mobility (brawn and brain),a third component must be taken into consideration: life contentmentin the form of a successful retrospective view and a positiveoutlook, embedded in a psychosocial family environment (brood)and integrated in a stress-free biotope, where life does makesense. Alternative and complementary strategies should be consideredin light of these three aspects when we think about additionalanti-inflammatory strategies in preventing diseases or treatingthem and their relapses. Sport has made a few healthy people ill, but sport has alsomade a good few of ill people healthy! (Gerhard Uhlenbruck,Aphorisms) 相似文献