1、2150 英文 单词， 12500英文字符， 4150汉字 出处： Horowitz A, Goodman C R, Reinhardt J P. Congruence between disabled elders and their primary caregivers.J. 2004, 44(4):532-542. Congruence Between Disabled Elders and Their Primary Caregivers Amy Horowitz, Caryn R. Goodman, and Joann P. Reinhardt Purpose: This study
2、 examines the extent and independent correlates of congruence between disabled elders and their caregivers on several aspects of the caregiving experience. Design and Methods: Participants were 117 visually impaired elders and their caregivers. Correlational analyses, kappa statistics, and paired t
3、tests were used to examine the extent of congruence. Hierarchical multiple regression analyses identified significant correlates of congruence on four target issues: elders functional disability, elders adaptation to vision impairment, caregivers over-protectiveness, and caregivers understanding of
4、the vision problem. Results: Caregivers assessed elders as more disabled and rated themselves as more overprotective than did the elders. Although independent correlates varied by target issue, two domains most consistently influenced congruence across measures: the caregivers assessment of the elde
5、rs status and quality of the relationship. Implications: Findings underscore the importance of addressing congruence by target issue, rather than as a global characteristic of the caregiving relationship. Key Words: Family caregiving, Vision impairment, Caregiving relationships, Disability, Proxy Co
6、ngruence may be dened as the level of agreement between two or more individuals in their perceptions, assessments, or beliefs. Many investigators have suggested that congruence (also referred to as consensus, shared relational reality, or shared meaning), within marital and other close relation- ships, is critically important in maintaining relational quality (Acitelli, 1996; Deal, Wampler, & Halverson, 1992; Duck, 1994). For older, disabled adults, one of their most important relati
