Can burdened caregivers be effective facilitators of elder care-recipient health care?
Can burdened caregivers be effective facilitators of elder care-recipient health care?
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DOI：
10.1046/j.1365-2648.2003.02531.x
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发表时间：
2003-02-01
影响因子：
3.8
通讯作者：
Litwin, H
中科院分区：
文献类型：
--
作者：
Greenberger, H;Litwin, H
背景非正式家庭照顾者对社区中受扶养老年人的照顾可能会受到负担以及照顾者可利用的个人和社会资源的影响。鉴于受抚养的老年人口增加，有必要研究影响非正式抚养的因素。研究照顾者资源、负担和能力作为老年患者健康护理促进的预测因素。横断面数据收集的采访时间表从240随机抽样的配偶和子女照顾者在耶路撒冷。研究变项包括照顾者背景变项、一般自我概念与照顾者能力感受、正式与非正式社会支持、负担与健康照护便利程度。路径分析明确了直接和间接的预测因素的卫生保健设施。护理人员的便利保健是积极相关的个人和社会资源的存在和负担水平。研究结果表明，质量负担可以共存，提供充足的照顾者资源。最重要的资源是照顾者的能力感和专业医疗服务提供者的支持。鉴于老年人健康问题的长期性质，照料负担不容易减轻。然而，可以加强护理人员的资源，特别是保健专业人员的资源。护士，谁是面向整体家庭为中心的护理，特别适合这一重要的干预。
Background. Caregiving by informal family caregivers of dependent older people in the community may be affected by burden and by the personal and social resources available to the caregiver. Given the increase in the dependent older population, study of factors affecting informal caregiving is necessary.Aim. To examine caregiver resources, burden and competence as predictors of health-care facilitation on behalf of older patients.Design. Cross-sectional data were collected by an interview schedule from 240 randomly sampled spousal and filial caregivers in Jerusalem. Study variables included caregiver background variables, general self-concept and feelings of caregiver competence, informal and formal social support, burden and levels of health-care facilitation. Path analysis was performed to clarify the direct and indirect predictors of health-care facilitation.Results. Caregiver facilitation of health-care was positively related both to the presence of personal and social resources and to burden levels. The results suggest that quality caregiving can coexist with burden, provided that ample caregiver resources are present. The most important resources were caregiver sense of competence and support from the professional health-care provider.Discussion. Caregiving burden is not readily reducible, given the chronic nature of older people's health problems. However, caregiver resources can be bolstered, particularly by health professionals. Nurses, who are orientated to holistic family centred care, are especially well-suited for this important intervention.