ABUSE OF ELDERLY PEOPLE BY THEIR CARERS
ABUSE OF ELDERLY PEOPLE BY THEIR CARERS
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DOI：
10.1136/bmj.301.6765.1359
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发表时间：
1990-12-15
影响因子：
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通讯作者：
GILLEARD, C
中科院分区：
文献类型：
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作者：
HOMER, AC;GILLEARD, C
目的-评估老年人的照顾者和虐待者和abused.Design的特点滥用和风险因素的信息，收集了超过六个月的照顾者和病人的虐待的患病率。 在滥用组的风险因素进行了确定，并与那些在非滥用的控制group.Setting -照顾者进行了采访，在家里，病人在病房的普特尼和巴恩斯老年医院，伦敦进行了检查。主题-所有患者从任何来源的喘息护理的老年服务超过6个月的时间和他们的carerrs.Main结果措施-量的身体和言语虐待或忽视。 量化的风险因素和相关性的存在或不存在abuse.Results - 45%的照顾者公开承认某种形式的虐待。 很少有病人承认受到虐待。 身体虐待的最重要的危险因素是照顾者的饮酒（p < 0.001）。 其他重要风险因素包括病前关系不佳和多年的虐待经历。 虐待往往是相互的，并与许多患者的社会功能障碍。 服务提供，喘息护理，和精神和身体残疾的水平没有显着相关abuse.Conclusion -高水平的滥用发现在老年患者喘息护理特别是与酗酒和长期的关系质量差，这是很难改变。 即使提供更多服务，社区护理对这些人来说可能不是最好的。
Objective - To assess the prevalence of abuse of elderly people by their carers and the characteristics of abusers and the abused.Design - Information on abuse and risk factors was collected over six months from carers and patients. Risk factors were identified in the abused group and compared with those in a non-abused control group.Setting - Carers were interviewed at home; patients were examined in the wards of Putney and Barnes geriatric hospitals, London.Subjects - All patients referred from any source for respite care to the geriatric services over a six month period and their carers.Main outcome measures - Amount of physical and verbal abuse or neglect. Quantification of risk factors and correlation with the presence or absence of abuse.Results - 45% Of carers openly admitted to some form of abuse. Few patients admitted abuse. The most significant risk factor for physical abuse was alcohol consumption by the carer (p < 0.001). Other significant risk factors were a poor pre-morbid relationship and previous abuse over many years. Abuse was often reciprocated and was associated with social dysfunction in many patients. Service delivery, respite care, and level of mental and physical disability were not significantly associated with abuse.Conclusion - The high level of abuse found in elderly patients in respite care was particularly associated with alcohol abuse and long term relationships of poor quality, which are difficult to change. Even with increased provision of services, care in the community may not be the best for these people.