Families filling the gap: Comparing family involvement for assisted living and nursing home residents with dementia
Families filling the gap: Comparing family involvement for assisted living and nursing home residents with dementia
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DOI：
10.1093/geront/45.suppl_1.87
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发表时间：
2005-10-01
期刊：
影响因子：
5.7
通讯作者：
Williams, SW
中科院分区：
文献类型：
--
作者：
Port, CL;Zimmerman, S;Williams, SW
目的：本研究的目的是比较住院护理/辅助生活 (RC/AL) 与疗养院环境中痴呆症居民的社会人口统计学、自评健康状况以及家庭护理人员的参与程度。设计和方法：我们对最相关的家庭护理人员进行了电话采访，其中包括 34 个寄宿护理机构和 10 个疗养院设施的 353 名居民。我们通过护理人员自我报告的每月自付费用、参与度和负担评级以及参与八项特定护理活动的频率来衡量参与度。开放式问题引出了护理人员喜欢不同参与的领域以及设施可以促进参与的方式。结果：疗养院护理人员认为自己的健康状况比 RC/AL 护理人员差，但两者之间不存在社会人口统计学差异。与疗养院护理人员相比，RC/AL 护理人员对自己的参与度和负担的看法更高，并且更频繁地参与监测居民的健康、福祉和财务状况，尽管报告的每周护理时间没有差异。启示：RC/AL 和疗养院的痴呆症居民护理人员可以根据居民和环境的需求调整他们的护理。结果与人-环境契合的一致性模型相关进行讨论。
Purpose: The purpose of this study was to compare the sociodemographics, self-rated health, and involvement levels of family caregivers of residents with dementia in residential care/assisted living (RC/AL) versus nursing home settings. Design and Methods: We conducted telephone interviews with the family caregivers most involved with 353 residents of 34 residential care and 10 nursing home facilities. We measured involvement by caregiver self-report of monthly out-of-pocket spending, involvement and burden ratings, and the frequency of engaging in eight specific care activities. Open-ended questions elicited areas in which caregivers preferred different involvement and ways the facility could facilitate involvement. Results: Nursing home caregivers rated their health poorer than RC/AL caregivers, but there were no sociodemographic differences between the two. RC/AL caregivers rated both their perception of involvement and burden higher and engaged more frequently in monitoring the resident's health, wellbeing, and finances than did nursing home caregivers, although the reported time spent per week care did not differ. Implications: RC/AL and nursing home caregivers to residents with dementia may tailor their care to fit the needs of the resident and setting. Results are discussed in relation to the Congruence Model of Person-Environment Fit.