Ayalon Liat
School of Social Work, Bar Ilan University, Ramat Gan, Israel.
Int Psychogeriatr. 2009 Feb;21(1):40-9. doi: 10.1017/S1041610208008090. Epub 2008 Dec 1.
Filipino home care workers provide the majority of around-the-clock personal care to frail individuals in Israel. To date, the working conditions as well as exposure to work-related abuse of Filipino home care workers in Israel have not been evaluated.
A survey of 245 Filipino home care workers was conducted to evaluate their working conditions and exposure to abuse as well as their clinical correlates (e.g. burnout as measures by the Maslach Burnout Inventory). This was integrated with findings from interviews with Filipino home care workers, social workers, and family members of care recipients cared by Filipino home care workers.
A majority of the workers (88%) reported paying large amounts of money in order to work in the country. Overall, 43% reported being asked to do more than was specified in their job description, 41% reported being verbally abused, and 40% reported not receiving adequate food. Almost half reported work-related injuries. The most consistent predictor of burnout (as measured by the Emotional Exhaustion and Depersonalization scales) was exposure to work-related abuse. Interview data identified system and societal barriers that prevent workers from using the legal system for their protection.
The present study calls for further supervision of this caregiving arrangement. Psychoeducational programs directed towards all stakeholders (e.g. social workers, home care workers, care recipients, and family members of care recipients) are needed.
在以色列，菲律宾家庭护理工为体弱的个人提供了大部分全天候的个人护理服务。迄今为止，以色列菲律宾家庭护理工的工作条件以及遭受与工作相关虐待的情况尚未得到评估。
对245名菲律宾家庭护理工进行了一项调查，以评估他们的工作条件、遭受虐待的情况以及他们的临床相关因素（例如用马氏职业倦怠量表测量的倦怠）。这与对菲律宾家庭护理工、社会工作者以及由菲律宾家庭护理工照顾的受护理者家庭成员的访谈结果相结合。
大多数工人（88%）报告称，为了在该国工作支付了大量金钱。总体而言，43%的人报告被要求做超出其工作描述规定的事情，41%的人报告遭受言语虐待，40%的人报告没有得到足够的食物。近一半的人报告有与工作相关的受伤情况。倦怠（用情感耗竭和去个性化量表测量）最一致的预测因素是遭受与工作相关的虐待。访谈数据确定了阻碍工人利用法律制度保护自己的制度和社会障碍。
本研究呼吁对这种护理安排进行进一步监督。需要针对所有利益相关者（例如社会工作者、家庭护理工、受护理者以及受护理者家庭成员）开展心理教育项目。
