Carretero Stephanie, Garcés Jorge, Ródenas Francisco
University of Valencia, Valencia, Spain.
Int J Geriatr Psychiatry. 2007 Aug;22(8):738-49. doi: 10.1002/gps.1733.
This study looks at the objective and subjective characteristics of home respite service provision and its impact on the informal care burden of dependent elders.
A sample of 296 dependent people and their informal caregivers was randomly selected among users and non-users of the Home Help Service (HHS) in an autonomous Spanish region (Comunidad Valenciana). An experimental design was used and a field study was carrying out that collected information on sociodemographic variables of the dependent person and his/her caregiver, HHS characteristics and the assessment of the services delivered by this resource as well as the informal caregivers'burden.
The results show that the services of this resource are very limited, with low cover and frequency, and they do not address the real dependency needs in specific activities of daily living. However, users and caregivers are satisfied with this care and experience a higher quality of life since it was implemented, although the HHS does not alleviate informal caregivers' stress.
These data show the need to extend the services delivered by the HHS and the duration of care, address the caregiver's need for psychological care, and look at potentially modifiable variables in the care context when designing prevention and psychosocial intervention programmes to lessen the informal caregiver's burden.
本研究探讨居家喘息服务提供的客观和主观特征及其对依赖型老年人非正式照料负担的影响。
在西班牙一个自治区（巴伦西亚自治区）的居家帮助服务（HHS）使用者和非使用者中，随机抽取了296名受赡养者及其非正式照料者作为样本。采用实验设计并开展了一项实地研究，收集了受赡养者及其照料者的社会人口统计学变量、HHS特征、对该资源所提供服务的评估以及非正式照料者的负担等信息。
结果表明，该资源的服务非常有限，覆盖范围和频率较低，且未满足日常生活特定活动中的实际照料需求。然而，使用者和照料者对这种照料感到满意，自实施以来生活质量有所提高，尽管HHS并未减轻非正式照料者的压力。
这些数据表明，需要扩大HHS提供的服务范围和照料时长，满足照料者的心理关怀需求，并在设计预防和心理社会干预项目以减轻非正式照料者负担时，关注照料环境中可能可改变的变量。
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