Family caregivers' assessments of caring for a relative with dementia: a comparison of urban and rural areas
Family caregivers' assessments of caring for a relative with dementia: a comparison of urban and rural areas
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DOI：
10.1111/opn.12044
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发表时间：
2015-03-01
影响因子：
2.2
通讯作者：
Emami, Azita
中科院分区：
文献类型：
--
作者：
Ehrlich, Kethy;Bostrom, Anne-Marie;Emami, Azita
瞄准本研究旨在描述和比较城市和农村家庭照顾者对照顾一名痴呆亲属的反应，并探讨照顾与社会人口学因素之间的关系。大多数关于家庭照顾者照顾老年痴呆症患者的经验的研究都是在城市地区进行的，而对生活在农村地区的家庭照顾者的经验知之甚少。采用横断面研究设计。共有102照顾者（响应率85%），从城市（n = 57）和农村（n = 46）地区完成照顾者反应评估（CRA）量表和人口统计学信息。数据分析采用描述性和推断性统计和线性回归模型。总体而言，家庭照顾者的满意度很高，即使他们也报告了对财务和日常生活的高度影响。农村照顾者经历了更大的财务负面影响，但报告更多的支持，从家庭成员比城市照顾者。年龄，性别和关系显着相关的5个CRA分量表中的4个。受教育程度和地理环境与CRA的任何子量表均不相关。研究结果对老年女性照顾者的财务状况以及对城市和农村地区固有家庭结构的期望提出了疑问。进一步研究家庭的意义和构成将有助于我们了解这些因素如何影响农村和城市地区的家庭护理。对实践的影响。为了提供以人为本的护理和避免陈规定型的护理，更好地了解家庭护理的传统可以改善更有区别和更适当的专业护理，使其适应进行护理的文化背景。
Aim. This study aimed to describe and compare urban and rural family caregivers' reactions to caring for a relative with dementia and to examine the associations between caregiving and socio-demographic factors.Background. Most studies on family caregivers' experiences caring for older people with dementia have been conducted in urban areas, and little is known about the experiences of family caregivers living in rural areas.Design. A cross-sectional study design was used.Methods. A total of 102 caregivers (response rate 85%) from urban (n = 57) and rural (n = 46) areas completed the Caregiver Reaction Assessment (CRA) Scale and demographic information. Data were analysed using descriptive and inferential statistics and linear regression models.Results. Overall, family caregivers reported high satisfaction even if they also reported high impact on finances and daily living. Rural caregivers experienced a higher negative impact on finances but reported more support from family members than urban caregivers. Age, gender and relationship were significantly associated with four of the five CRA subscales. Educational level and geographical setting were not associated with any of the CRA subscales.Conclusions. The results of the study raise questions about the financial situation of older female caregivers and on the expectations of built-in family structures in urban and rural areas. Further studies focusing on the meaning and constitution of a family would help us to understand how these factors influence family caregiving both in rural and urban areas.Implications for practice. To provide person-centred care and to avoid stereotyped caregiving, a better picture of traditions in family caregiving can improve a more differentiated and appropriate professional caregiving pliable with the cultural context in which it is carried out.