Family Caregiver Factors Associated with Unmet Needs for Care of Older Adults
Family Caregiver Factors Associated with Unmet Needs for Care of Older Adults
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DOI：
10.1111/jgs.14547
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发表时间：
2017-03-01
影响因子：
6.3
通讯作者：
Schulz, Richard
中科院分区：
文献类型：
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作者：
Beach, Scott R.;Schulz, Richard
目的研究与老年人护理需求未满足相关的照顾者因素。设计2011年美国照顾者和老年人护理接受者的基于人口的调查。设置2011年全国健康和老龄化趋势研究和全国护理研究。（n = 1，996）的社区居住的老年残疾人（n = 1，366）。测量残疾护理接受者报告说，在过去一个月内，日常生活活动（ADL;例如，湿的或脏的衣服），移动性（例如，必须呆在室内），或工具性日常生活活动（IADL;例如，药物错误）。照顾者报告的社会人口学特征，observing强度和任务执行，健康和心理社会effects. ResultsOf的照顾者，44. 3%的报告至少有一个未满足的需要，在过去的一个月（38. 2% ADL相关，14. 6% IADL相关）的护理。较年轻的照顾者，养育的儿子，照顾者不与照顾对象生活在一起，并有补充支付照顾者与更多的未满足的需求。照顾者与收件人报告两个或两个以上的未满足的需求更有可能花费超过100个小时，每个月的照顾，帮助皮肤护理和伤口，报告照顾作为情感和身体上的困难，并报告有限的参与有价值的活动（所有P <.001）。照顾者经历高水平的负担，压力和负面的身体和心理社会影响可能会提供不合格或不良的照顾老年人，这可能是忽视的风险因素。照顾残疾老年人的临床医生应该评估他们未满足的需求和照顾者解决这些需求的能力。
ObjectivesTo examine caregiver factors associated with unmet needs for care of older adults.DesignPopulation-based surveys of caregivers and older adult care recipients in the United States in 2011.Setting2011 National Health and Aging Trends Study and National Study of Caregiving.ParticipantsFamily caregivers (n = 1,996) of community-dwelling older adults with disabilities (n = 1,366).MeasurementsDisabled care recipient reports of unmet needs for care in the past month with activities of daily living (ADLs; e.g., wet or soiled clothing), mobility (e.g., have to stay inside), or instrumental activities of daily living (IADLs; e.g., medication errors). Caregiver reported sociodemographic characteristics, caregiving intensity and tasks performed, health, and psychosocial effects.ResultsOf the care recipients, 44.3% reported at least one unmet need for care in the past month (38.2% ADL related, 14.6% IADL related). Younger caregivers, caregiving sons, caregivers not living with care recipients, and having supplemental paid caregivers were associated with more unmet needs. Caregivers with recipients reporting two or more unmet needs were more likely to spend more than 100 hours per month caregiving, help with skin care and wounds, report caregiving as emotionally and physically difficult, and report restricted participation in valued activities (all P < .001).ConclusionUnmet ADL needs are prevalent among older adults with family caregivers. Caregivers experiencing high levels of burden, stress, and negative physical and psychosocial impacts may provide substandard or poor care to older adults, which may be a risk factor for neglect. Clinicians caring for disabled older adults should assess their unmet needs and the capacity of caregivers to address them.