Caregiving for Older Adults With Dementia During the Time of COVID-19: A Multi-State Exploratory Qualitative Study.
Caregiving for Older Adults With Dementia During the Time of COVID-19: A Multi-State Exploratory Qualitative Study.
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DOI：
10.1177/07334648231175414
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发表时间：
2023-10
影响因子：
3
通讯作者：
Konetzka, R. Tamara
中科院分区：
文献类型：
--
作者：
Yan, Kevin;Sadler, Tonie;Brauner, Daniel;Pollack, Harold A.;Konetzka, R. Tamara
关键词：
这项定性的半结构访谈研究探索了的家庭照顾者如何在新冠肺炎疫情爆发之前和期间，在八个州为患有阿尔茨海默病及相关痴呆的老年人提供护理服务。首先，护理者在所有护理环境中都遇到了与亲人和医护人员沟通的困难。其次，护理人员在适应大流行限制方面表现出了弹性的应对策略，找到了在保持沟通、监督和安全的同时平衡风险的新策略。第三，许多护理人员修改了护理安排，一些人回避，另一些人接受机构护理。最后，护理人员反思了与大流行相关的创新的好处和挑战。某些政策变化减轻了照顾者的负担，如果成为永久性的，可能会改善护理机会。远程医疗的使用越来越多，突显了对有认知缺陷的个人可靠的互联网接入和住宿的需求。公共政策必须更多地关注家庭照顾者面临的挑战，他们的劳动力既是必不可少的，也是被低估的。
This qualitative semi-structured interview study explores how 64 family caregivers for older adults with Alzheimer’s Disease and related dementias across eight states experienced and executed caregiving decisions before and during the COVID-19 pandemic. First, caregivers experienced challenges communicating with loved ones and healthcare workers in all care settings. Second, caregivers displayed resilient coping strategies in adapting to pandemic restrictions, finding novel strategies to balance risks while preserving communication, oversight, and safety. Third, many caregivers modified care arrangements, with some avoiding and others embracing institutional care. Finally, caregivers reflected on the benefits and challenges of pandemic-related innovations. Certain policy changes reduced caregiver burden and could improve care access if made permanent. Telemedicine’s increasing use highlights the need for reliable internet access and accommodations for individuals with cognitive deficits. Public policies must pay greater attention to challenges faced by family caregivers, whose labor is both essential and undervalued.
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DOI：
10.1016/j.apnr.2018.10.005
发表时间：
2018-12
期刊：
Applied nursing research : ANR
影响因子：
--
作者：
Corey KL;McCurry MK;Sethares KA;Bourbonniere M;Hirschman KB;Meghani SH
通讯作者：
Meghani SH
影响因子：
4
作者：
Tousi, Babak
通讯作者：
Tousi, Babak
影响因子：
7.2
作者：
O'Connor, Maureen K.;Nicholson, Roscoe;Epstein, Cynthia;Donley, Tiffany;Salant, Rebecca;Nguyen, Andrew H.;Shirk, Steven;Stevenson, Elizabeth;Mittelman, Mary S.
通讯作者：
Mittelman, Mary S.
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
DOI：
10.2307/3349613
发表时间：
1973-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
ANDERSEN, R;NEWMAN, JF
通讯作者：
NEWMAN, JF