Winslow Betty Wehtje
Loma Linda University, School of Nursing, Loma Linda, California 92350, USA.
Public Health Nurs. 2003 Sep-Oct;20(5):341-8. doi: 10.1046/j.1525-1446.2003.20502.x.
Researchers of family caregiving have presented mixed results in evaluating the effectiveness of community services in reducing family caregiver stress and have indicated that many caregivers use limited services or access services late in their caregiving experience. The purpose of this study was to describe the experience of the use of community services, including benefits and barriers, by family caregivers of relatives with Alzheimer's disease or a related disorder. Community services included assistance with caregiving or related tasks and educational or emotional support that was provided by health professionals or community service providers. In this qualitative descriptive study, a convenience sample of 21 family caregivers was interviewed. Open-ended questions were used to explore the caregivers' experiences with community services. Transcribed data were analyzed using qualitative content-analysis techniques. Results indicated that family caregivers received benefits of renewal, sense of community, and new knowledge and believed that their patient benefited from the services. Barriers to service use included care receiver resistance, reluctance of the caregiver, hassles for the caregiver, concerns over quality, and concerns over finances. These findings provide direction for community nurses and other health professionals in targeting interventions that will meet the expressed needs of caregivers.
家庭护理研究人员在评估社区服务减轻家庭护理压力的效果时给出了喜忧参半的结果，并指出许多护理人员使用的服务有限，或者在护理过程后期才获得服务。本研究的目的是描述患有阿尔茨海默病或相关疾病亲属的家庭护理人员使用社区服务的经历，包括益处和障碍。社区服务包括护理或相关任务的协助，以及由健康专业人员或社区服务提供者提供的教育或情感支持。在这项定性描述性研究中，对21名家庭护理人员的便利样本进行了访谈。采用开放式问题来探究护理人员使用社区服务的经历。使用定性内容分析技术对转录数据进行分析。结果表明，家庭护理人员获得了恢复活力、社区归属感和新知识等益处，并认为他们的患者也从这些服务中受益。使用服务的障碍包括受护理者的抵触、护理人员的不情愿、护理人员的麻烦、对质量的担忧以及对财务的担忧。这些发现为社区护士和其他健康专业人员确定能够满足护理人员明确需求的干预措施提供了方向。
