Reggentin H
Institut für sozialpolitische und gerontologische Studien, Knesebeckstr. 89, 10623 Berlin, Germany.
Z Gerontol Geriatr. 2005 Apr;38(2):101-7. doi: 10.1007/s00391-005-0295-9.
The care of demented people by family caregivers is tied with severe burdens. Changing the providing from home care to nursing home residents or outpatient group living will not entirely reduce these burdens. The study is based on evaluated burdens of 314 nursing persons whose demented relations are cared at home, supported by outpatient care or day care, at geriatric care centers and at outpatient group living. All physically improved troubles of these three kinds of care do not differ considerably, compared to the self-judgements in the list of complaints of Giessener-Beschwerdebogen (The Giessen Subjective Complaints List) as well as further burden lists. Respecting further parameters in concern of psychic adjustment and improved burdens, the factors of serious burdens by home caregivers exceed considerably the nursing home residents and outpatient group living. However, in both providing forms, familiar caregivers come up to the level of burden of home care in some factors. Thus, some problems will continue to persist with respect to the burden symptoms when changing from home care to nursing home care or to a quasi inpatient care.
家庭护理人员照顾痴呆患者负担沉重。将护理方式从居家护理转变为养老院护理或门诊集体生活并不能完全减轻这些负担。该研究基于对314名护理人员负担的评估，这些护理人员在家中照顾患有痴呆症的亲属，并得到门诊护理、日托、老年护理中心和门诊集体生活的支持。与吉森主观症状清单（The Giessen Subjective Complaints List）及其他负担清单中的自我判断相比，这三种护理方式在身体改善方面的问题并无显著差异。在心理调适和负担改善的其他参数方面，家庭护理人员的严重负担因素大大超过养老院居民和门诊集体生活的情况。然而，在这两种护理形式中，亲属护理人员在某些因素上达到了居家护理的负担水平。因此，从居家护理转变为养老院护理或准住院护理时，负担症状方面的一些问题仍将持续存在。
