Bulsara Caroline E, Fynn Noreen
Primary Health Care Research, Evaluation and Development Unit, General Practice, University of Western Australia, 328 Stirling Highway, Claremont, 6010, Western Australia.
BMC Fam Pract. 2006 May 24;7:33. doi: 10.1186/1471-2296-7-33.
The impact of caring for a family member or friend is a life changing experience. Often carers are struggling to cope with ongoing demands of caring for someone. At some point, most carers will approach their family physician for advice on aspects of their role. Carers Western Australia sought information and opinions of General Practitioners (GPs) regarding being a carer. This exploratory survey was to assess the perceptions of Western Australian GPs regarding their role in providing information and support to carers and their awareness of carer needs and issues.
A telephone survey design of an opportunistic sample of 66 Western Australian GPs was conducted. The responses were both closed and open-ended questions to allow for probing of responses. Responses were analysed using both qualitative and quantitative analysis.
GPs are generally aware of their role in regard to carers and most doctors (88%) said that they had been approached for help in accessing services by carers. A majority of respondents said that carers and spoken to them (70%) and asked for help with (77%) emotional needs. However, when asked how these needs are met, GPs tended to provide practical assistance for the care recipient and carer as a means of addressing those needs. This primarily included providing referral to services to ensure that the carer has practical assistance in caring for the person. However, GPs are less able to provide the necessary emotional or psychological support needed by carers before crisis point is reached. Most doctors said that they had experienced difficulties in providing assistance to carers (84%) at some time.
GPs may be unable or unwilling to provide the necessary assistance to carers who are showing signs of carer burnout and stress. The GP needs to adopt a more holistic approach when treating a patient as to the interaction with the caregiver.
照顾家庭成员或朋友会带来改变人生的影响。护理者常常难以应对照顾他人的持续需求。在某些时候,大多数护理者会向家庭医生寻求有关其角色方面的建议。西澳大利亚护理者协会收集了全科医生(GPs)关于作为护理者的信息和意见。这项探索性调查旨在评估西澳大利亚全科医生对于他们在为护理者提供信息和支持方面的角色认知,以及他们对护理者需求和问题的认识。
对66名西澳大利亚全科医生的机会样本进行了电话调查设计。问题既有封闭式的也有开放式的,以便深入探究回答。使用定性和定量分析方法对回答进行分析。
全科医生普遍意识到他们在护理者方面的角色,大多数医生(88%)表示护理者曾向他们寻求获取服务的帮助。大多数受访者表示护理者与他们交谈过(70%)并寻求情感需求方面的帮助(77%)。然而,当被问及这些需求如何得到满足时,全科医生倾向于为受照顾者和护理者提供实际帮助,以此作为满足这些需求的方式。这主要包括提供转介服务,以确保护理者在照顾他人方面获得实际帮助。然而,在危机点到来之前,全科医生不太能够提供护理者所需的必要情感或心理支持。大多数医生表示他们在某些时候为护理者提供帮助时遇到过困难(84%)。
全科医生可能无法或不愿意为表现出护理倦怠和压力迹象的护理者提供必要的帮助。在治疗患者时,全科医生需要对与照顾者的互动采取更全面的方法。