Using care navigation to address caregiver burden in dementia: A qualitative case study analysis
Using care navigation to address caregiver burden in dementia: A qualitative case study analysis
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DOI：
10.1002/trc2.12010
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发表时间：
2020-01-01
影响因子：
4.8
通讯作者：
Possin, Katherine L.
中科院分区：
文献类型：
--
作者：
Bernstein, Alissa;Merrilees, Jennifer;Possin, Katherine L.
简介：由于护理的强度，许多痴呆症患者的护理人员都会承受负担并由此产生健康影响。基于电话和网络的护理导航是一种创新的护理模式，可能有助于解决痴呆症护理人员的负担。方法：作为痴呆症护理导航计划的一部分，使用定性方法（访谈、焦点小组和案例研究分析）来确定用于解决痴呆症护理人员负担的护理导航方法。结果：护理导航器通过重点关注减少护理人员内疚和挫败感、管理患者相关行为、解决护理人员抑郁症的策略来瞄准护理人员负担，改善照顾者与痴呆症患者之间的关系。所提供的案例研究展示了护理导航员如何识别患者和护理人员的需求，并定制方法以满足他们所工作的二人组的特定社会、文化、经济和地理背景。讨论：研究结果提供了有关通过护理导航解决护理人员负担的策略的见解。与一起工作的护理人员使用相同语言并且深入了解不同痴呆症症状的护理导航员可能特别有效。
Introduction: Many caregivers of people with dementia experience burden and resulting health effects due to the intensive nature of caregiving. Phone- and web-based care navigation is an innovative model of care that may be useful in addressing caregiver burden in dementia.Methods: Qualitative methods (interviews, focus groups, and case study analysis) were used to identify care navigator approaches used to address caregiver burden in dementia as part of a dementia care navigation program.Results: Care navigators targeted caregiver burden by focusing on strategies to reduce caregiver guilt and frustration, manage patient-related behavior, address caregiver depression, and improve the relationship between the caregiver and person with dementia. The case studies presented demonstrate the ways that care navigators identified patient and caregiver needs and tailored their approaches to meet the specific social, cultural, economic, and geographic contexts of the dyads with which they worked.Discussion: Findings provide insights into strategies used to address caregiver burden through care navigation. Care navigators who speak the same language as the caregivers with whom they work and who have an in-depth understanding of the symptoms of different dementia syndromes may be particularly effective.