Staying in the loop: Quality of family-paid caregiver communication and influences on resident mental health in long-term care.
Staying in the loop: Quality of family-paid caregiver communication and influences on resident mental health in long-term care.
复制标题
随时了解情况：家庭付费护理人员的沟通质量及其对长期护理中居民心理健康的影响。
DOI：
10.1111/jgs.18184
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发表时间：
2023
影响因子：
6.3
通讯作者：
Siedlecki,KarenL
中科院分区：
文献类型：
--
作者：
Falzarano,FrancescaB;Cimarolli,Verena;Siedlecki,KarenL
背景：一项值得考虑的研究考察了疗养院(NHS)家庭成员和工作人员之间的沟通动态，并证明更好的沟通与家庭照顾者和有偿照顾者的最佳心理健康结果有关。然而，关于沟通动态如何影响长期护理居民心理健康的文献有限，还没有确定沟通如何影响护理环境中的居民，如辅助生活设施(ALF)。这项研究的目的是检验家庭照顾者对与付费照顾者沟通的看法及其对长期照顾者结果的影响，并比较不同照护环境(NHS和ALF)的结果差异。方法数据来自国家健康和老龄化趋势研究(NHATS)和国家护理研究(NSOC)的子样本。样本包括142名NHATS参与者，他们居住在长期护理中(ALF居民n=993人；NH居民n=1049人)，有一名合格的家庭照顾者参加了NSOC。家庭照顾者的感知沟通质量通过与付费照顾者沟通的频率、可用性和帮助程度的问题进行评估。通过测量积极和消极的情绪、抑郁症状和焦虑来评估居民的心理健康。结果在总样本中，付费照顾者与家庭照顾者之间沟通的可用性越高，居民的抑郁症状和消极情绪越低。当考察这些关系如何在护理环境中变化时，沟通是ALF环境中居民较少抑郁症状的更强预测因素。结论研究结果为深入了解家庭和付费照顾者之间的人际动态如何影响居民心理健康提供了洞察，并强调了加强初级保健团队所有成员，即付费照顾者、居民及其家庭成员之间沟通的重要性。
BackgroundConsiderable research has examined communication dynamics among family members and staff in nursing homes (NHs) and has demonstrated that better communication is associated with more optimal mental health outcomes in both family caregivers and paid caregivers. However, the literature on how communication dynamics influence mental health in long‐term care residents is limited and it has yet to be determined how communication impacts residents across care contexts, such as assisted living facilities (ALFs). The purpose of this study is to examine family caregivers' perceptions of communication with paid caregivers and its influence on long‐term care resident outcomes and to compare how results differ across care settings (NHs vs. ALFs).MethodsData were drawn from a subsample of the National Health and Aging Trends Study (NHATS) and the National Study on Caregiving (NSOC). The sample consisted of 142 NHATS participants residing in long‐term care (n= 93 ALF residents;n= 49 NH residents) with an eligible family caregiver who participated in the NSOC. Family caregivers' perceived quality of communication was assessed via questions regarding the frequency, availability, and helpfulness of communication with paid caregivers. Resident mental health was assessed via measures of positive and negative affect, depressive symptoms, and anxiety.ResultsAcross the total sample, greater availability of communication between paid and family caregivers was associated with lower depressive symptoms and negative affect in residents. When examining how these relationships varied across care settings, communication was a stronger predictor of fewer depressive symptoms among residents in ALF settings.ConclusionsStudy findings provide insights into how interpersonal dynamics between family and paid caregivers influence resident mental health and underscore the importance of enhanced communication among all members of the primary care team, that is, paid caregivers, residents, and their family members.