Perceived Stress and Health among Home Care Aides: Caring for Older Clients in a Medicaid-Funded Home Care Program
Perceived Stress and Health among Home Care Aides: Caring for Older Clients in a Medicaid-Funded Home Care Program
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DOI：
10.1353/hpu.2019.0052
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发表时间：
2019-05-01
影响因子：
1.4
通讯作者：
Zanoni, Joseph
中科院分区：
文献类型：
--
作者：
Muramatsu, Naoko;Sokas, Rosemary K.;Zanoni, Joseph
家庭护理助理 (HCA) 提供家政和个人护理服务，帮助老年客户留在社区。然而，人们对 HCA 的健康状况知之甚少，他们本身就是服务不足的人群。本研究的目的是调查 HCA 的工作和生活环境如何影响 HCA 所感知的健康状况。 HCA 进行了六个焦点小组 (N=45)。分析揭示了 HCA 的工作和生活相关压力如何随着时间的推移而累积，并影响 HCA 的健康以及与老年客户的互动。家庭护理助理对个人健康促进和客户福祉感兴趣。家庭护理助理可能是照顾残疾老年人的未充分利用的资源。有关错综复杂的工作和生活环境的信息应为政策制定者和家庭护理提供者提供信息，帮助他们努力提高公共资助的家庭护理服务的质量。
Home care aides (HCAs) provide housekeeping and personal care services to help older clients remain in the community. However, little is known about the health of HCAs, who themselves constitute an underserved population. The goal of this study was to investigate how HCAs' work and life contexts manifest themselves in HCAs' health as perceived by HCAs. Six focus groups were conducted with HCAs (N=45). Analysis revealed how HCAs' work-and life-related stress accumulated over time and affected HCAs' health and interaction with their older clients. Home care aides were interested in personal health promotion and client well-being. Home care aides may constitute an underused resource for the care of older adults with disabilities. Information about intricately intertwined work and life contexts should inform policymakers and home care providers in their efforts to improve the quality of publicly funded home care services.