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A Study on Reduction in Care Burden of the Families of the Bedridden and senile elderly

减轻卧床高龄老人家庭护理负担的研究

基本信息

批准号：
04404083
负责人：
IIDA Sumiko
金额：
$ 8万
依托单位：
St.Luke's College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (A)
财政年份：
1992
资助国家：
日本
起止时间：
1992 至 1994
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-04404083/
关键词：
Living in urban Tokyo Elderly age 75 and over Caregiver Home Care Nursing Intervention Care Barden Coping Capability Line of stress defense 訪問看護寝たきり老人痴呆老人悉皆調査寝たきり・痴呆老人家族介護負担介護負担感評価尺度地域ケア

项目摘要

The authors put emphasis on a project that began with a preliminary survey in 1992. An inspection of documented records made it obvious that the quality of home care given by caregivers depends on the status of illness and/or the degree of the disorder of the patients and, hence, influences the caregivers' restraint and/or burden.In 1993 an effective nursing intervention was done in response to the above progress, i.e., an all-inclusive survey was carried out by mailing questionnaires to the elderly age 75 and over who were living at home in the Chuo ward, urban Tokyo, in order to gain a comprehensive grasp of the health and caregiving status of the elderly.In response to the questionnairing on 5,043 subjects, valid responses of 3,409 were obtained and 197 (5.8%) of the bedridden and senile elderly were screened, through interviews with their caregivers to assess the burden, mental and physical status and the use of social services, etc., of the families who supply caregiving.Valid res … More ponses of 110 subjects were analyzed and as a result emotional exhaustion was remarkably observed in the care burden and then followed by depersonalization and/or decline in personal accomplishment.In 1994, using the data from the 1993 survey as a basis, a nursing intervention was done through home visits and interviews with caregivers and their subjects who need proper care services.From these home visits and interviews, the following four constituents of the care burden were extracted ; namely, the function of caregivers, the function of assistant caregivers, the function of professionals and the function of care systems. All the functions except that of caregivers were positioned at the line of stress defense, and in our view the caregiver's coping capability would be increased as the line of stress defense functions and, hence, the care burden might be reduced.In order to reduce the care burden of families, it is necessary to assess multilaterally the constituents and/or structures of care burden in the future, and at the same time the additional functions will be required to furnish information and educate the caregivers on how to utilize various social care services, thereby enabling them to cope with psychological stress effectively.These findings suggest that it is also necessary to complete the training of profesionals concerning feasible means that could promote the caregivers' abilities to cope with the bedridden and senile elderly. Less

作者将重点放在一个项目上，该项目始于1992年的初步调查。查阅记录表明，照顾者提供的家庭护理的质量取决于患者的病情和/或疾病的程度，从而影响照顾者的克制和/或负担。1993年，针对上述进展，采取了有效的护理干预措施，即通过邮寄问卷对居住在东京市中心中央病房的75岁及以上老年人进行了全面调查，以全面掌握老年人的健康和照看状况。针对5043名调查对象进行了问卷调查，通过与照顾者的访谈，获得了3,409份有效回复，并对197名卧床不起和老年老年人进行了筛查，以评估提供护理的家庭的负担、心理和身体状况以及社会服务利用等。Valid res…通过对110名受试者的调查分析，发现护理负担中存在明显的情绪衰竭现象，然后是去人格化和/或成就感下降。1994年，以1993年的调查数据为基础，通过对需要适当护理服务的照顾者及其受试者的家访和访谈，进行了护理干预。从这些家访和访谈中，我们提取了照顾者的功能、助理照顾者的功能、专业人员的功能和护理系统的功能。除了照顾者的功能外，所有的功能都位于压力防线上，在我们看来，照顾者的应对能力将随着压力防御线的增加而增加，因此护理负担可能会减轻。为了减轻家庭的护理负担，有必要对未来护理负担的构成和/或结构进行多边评估，同时需要增加的功能将需要提供信息，教育照顾者如何利用各种社会护理服务。从而使他们能够有效地应对心理压力。这些发现表明，还有必要完成对专业人员的培训，了解可行的方法，以提高护理员应对卧床不起和高龄老人的能力。较少