Understanding the Daily Experiences and Perceptions of Homebound Older Adults and Their Caregivers: A Qualitative Study.
Understanding the Daily Experiences and Perceptions of Homebound Older Adults and Their Caregivers: A Qualitative Study.
复制标题
DOI：
10.1177/0733464821990171
复制
发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Sheehan OC
中科院分区：
文献类型：
--
作者：
Mickler AK;Leff B;Eaton England A;Garrigues SK;Schuchman M;Perissinotto C;Ritchie CS;Harrison KL;Sheehan OC
在美国，超过730万老年人难以离开家或完全呆在家里，但关于居家老年人及其照顾者的经历的数据很少。我们进行了30个半结构化的定性访谈与居家老年人和照顾者招募通过家庭为基础的医疗护理实践在巴尔的摩和旧金山弗朗西斯科。专题模板分析显示，居家的老年人在日常生活活动中的独立程度各不相同，尽管他们的依赖程度随着时间的推移而增加。护理人员具有多方面的、全天候的作用。病人和照顾者都经历了社会孤立和内疚等负担。由于美国医疗保健系统的复杂性，导航医疗保健和护理变得更加复杂;然而，家庭医疗保健被视为医院或疗养院的高质量替代品。我们的研究结果表明，提供者和卫生保健系统应该扩大家庭护理的可用性和可及性，并改善护理人员的支持机会。
More than 7.3 million older adults in the United States have difficulty leaving their homes or are completely homebound, yet little data exist on the experiences of homebound older adults and their caregivers. We conducted 30 semi-structured qualitative interviews with homebound older adults and caregivers recruited through home-based medical care practices in Baltimore and San Francisco. Thematic template analyses revealed that homebound older adults experience varying degrees of independence in activities of daily living, although their degree of dependence increases over time. Caregivers have a multifaceted, round-the-clock role. Both patients and caregivers experience burdens including social isolation and guilt. Navigating medical care and caregiving was further complicated by the complexity of the U.S. health care system; however, home-based medical care was viewed as a high-quality alternative to hospitals or nursing homes. Our findings suggest that providers and health care systems should expand the availability and accessibility of home-based care and improve caregiver support opportunities.
登录
查看更多内容
影响因子：
9.7
作者：
Ornstein, Katherine A.;Kelley, Amy S.;Wolff, Jennifer L.
通讯作者：
Wolff, Jennifer L.
影响因子：
2.8
作者：
Wilkins, Victoria M.;Bruce, Martha L.;Sirey, Jo Anne
通讯作者：
Sirey, Jo Anne
影响因子：
3
作者：
Bell, Sheri;Menec, Verena
通讯作者：
Menec, Verena
影响因子：
6.3
作者：
Shafir, Adi;Garrigues, Sarah K.;Ritchie, Christine
通讯作者：
Ritchie, Christine
影响因子：
5.7
作者：
England, Ashley L. Eaton;Ritchie, Christine S.;Harrison, Krista L.
通讯作者：
Harrison, Krista L.