Factors associated with medication hassles experienced by family caregivers of older adults.
Factors associated with medication hassles experienced by family caregivers of older adults.
复制标题
与老年人的家庭护理人员经历的药物麻烦相关的因素。
DOI：
10.1016/j.pec.2006.10.004
复制
发表时间：
2007
影响因子：
3.5
通讯作者：
Greene,Ruth
中科院分区：
文献类型：
--
作者：
Travis,ShirleyS;McAuley,WilliamJ;Dmochowski,Jacek;Bernard,MarieA;Kao,Hsueh-FenS;Greene,Ruth
目的 我们希望在为 55 岁或以上的人提供长期药物援助的非正式护理人员中，确定与药物管理麻烦、日常刺激相关的潜在因素。方法 从 7 个州和多种类型的环境中招募了 156 名非正式护理人员作为样本。因变量是家庭看护者药物管理麻烦量表 (FCMAHS) 的分数。分析中包含的自变量是药物复杂性；照顾者的性别、种族、与接受者的关系、照顾时间的长短、教育程度以及外出就业情况；受照顾者的身体能力和精神能力；以及看护者和看护接受者是否住在一起。经过初步分析以减少自变量的数量，其余变量包含在线性模型（GLM 程序）中。考虑了可能的相互作用和残留。 结果白人和西班牙裔比其他群体经历更多的药物管理麻烦，并且感知的麻烦强度随着药物复杂性而增加。药物管理麻烦分数随着教育水平的提高而增加，直到高中学历，之后一直保持较高水平。护理接受者具有中等认知功能水平的护理人员比护理接受者认知功能非常高或非常低的护理人员具有更高的药物管理麻烦得分。 结论 初步的显着变量集可用于识别可能面临药物管理麻烦、压力增加和对其护理对象有潜在有害事件风险的护理人员。 实践意义家庭护理人员正在接受对家庭成员的复杂护理责任，同时很少或根本没有获得护理支持或协助与此职责相关的麻烦。 FCMAHS 提供了监测护理人员如何处理与药物管理相关的日常刺激物的方法，以便在麻烦导致更严重的压力和紧张之前提供教育干预措施。
OBJECTIVEWe wished to identify potential factors associated with medication administration hassles, daily irritants, among informal caregivers who provide long-term medication assistance to persons aged 55 or older.METHODSA sample of 156 informal caregivers were recruited from seven states and several types of settings. The dependent variable was scores on the Family Caregiver Medication Administration Hassles Scale (FCMAHS). Independent variables included in the analyses were medication complexity; caregiver's gender, ethnicity, relationship to recipient, length of time in caregiving, education, and employment outside the home; care recipient's physical capacity and mental capacity; and whether the caregiver and care recipient live together. After preliminary analysis to reduce the number of independent variables, the remaining variables were included in a linear model (GLM procedure). Possible interactions and residuals were considered.RESULTSWhites and Hispanics experience greater medication administration hassles than other groups, and perceived hassle intensity increases with medication complexity. Medication administration hassle scores increase with increasing education levels up to a high school degree, after which they remain consistently high. Caregivers whose care recipients have moderate levels of cognitive functioning have higher medication administration hassles scores than those whose care recipients have very high or very low cognitive functioning.CONCLUSIONThe preliminary set of significant variables can be used to identify caregivers who may be at risk of experiencing medication administration hassles, increased stress, and potentially harmful events for their care recipients.PRACTICE IMPLICATIONSFamily caregivers are accepting complex caregiving responsibility for family members while receiving little or no support or assistance with caregiving hassles associated with this duty. The FCMAHS offers the means to monitor how caregivers are handling the daily irritants involved with medication administration so that educational interventions can be provided before hassles lead to more serious stress and strain.