A qualitative inquiry on the effective support for the use of social services by the older adults with dementia and their family

痴呆老年人及其家人对利用社会服务的有效支持的定性调查

• 批准号: 17592291
• 负责人: YAMAMOTO Noriko
• 金额: $ 2.05万
• 依托单位: Chiba University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592291/
• 关键词: Older Adults; Dementia; Family; Social Services; Care Managers; Qualitative Inquiry

The purpose of this study was to elucidate the process of social service use by the older adults with dementia and their family and to conceptualize effective support for them. We have recruited study participants through various social service agencies such as home care nursing stations. Upon acquiring consent to participate the study, we have conducted qualitative interviews to the family members and their care managers.We have interviewed 16 pairs of family/care managers. The barriers of social service use were categorized into 4 groups : 1) issues around care manager, 2) issues around the older adult, 3) issues around the family, and 4) issues around the service systems/others. The details of the barriers and how they take effect in each case as well as how the family members dealt with the barriers were different according to the types of social services. There are multiple factors that relate to the differences. First, some families have difficulty in finding and connecting to the care manager. Second, the willingness of the older adult is a significant factor of service use but how much it influences the actual service use depends upon the type of kin relationship between the older adult and the primary family caregiver. It was also suggested that both older adult and the family must accept aging of the older adult before they can move on to use the service. Some families refer to the financial burden of service use.There was a variety of approach by the side of the care managers in assisting older adults and their family in using social services. Typically the service use is gradually increased in the amount so that the older adult and the family can gradually get used to the service. Multiple non-nurse care managers discussed their difficulty in estimating future physical condition of the older adults, while other non-nurse care managers do not have such a difficulty.

本研究旨在探讨失智症老人及其家人使用社会服务的过程，并提出有效支援的概念。我们通过各种社会服务机构（如家庭护理护理站）招募研究参与者。在获得同意参与研究后，我们对家庭成员及其护理经理进行了定性访谈。我们采访了16对家庭/护理经理。使用社会服务的障碍分为4类：1）围绕护理经理的问题，2）围绕老年人的问题，3）围绕家庭的问题，和4）围绕服务系统/其他的问题。根据社会服务的类型，障碍的细节、障碍在每种情况下如何发挥作用以及家庭成员如何处理障碍都是不同的。有多种因素与差异有关。首先，一些家庭很难找到并联系到护理经理。第二，老年人的意愿是服务使用的一个重要因素，但它对实际服务使用的影响程度取决于老年人与主要家庭照顾者之间的亲属关系类型。也有人建议，老年人和家庭必须接受老年人的老龄化，然后才能继续使用服务。一些家庭提到了使用服务的经济负担，护理管理人员在协助老年人及其家庭使用社会服务方面采取了各种办法。通常，服务使用量逐渐增加，以便老年人和家庭可以逐渐习惯服务。多个非护士护理管理人员讨论了他们在估计老年人未来的身体状况的困难，而其他非护士护理管理人员没有这样的困难。