School of Nursing and Midwifery, University of Tasmania, Launceston, Australia.
Aging Ment Health. 2011 Nov;15(8):995-1007. doi: 10.1080/13607863.2011.583625. Epub 2011 Jun 27.
This study sought to explore the effect of the family involvement in care (FIC) intervention on family and staff well-being over a nine-month period in a long-term care (LTC) facility providing dementia care.
A quasi-experimental design with randomised allocation of two LTC sites but not the participants was employed. Family caregivers (n = 57) of residents with dementia and staff (n = 59) from two LTC facilities in Queensland, Australia, were recruited. Participants were assessed once pre-intervention and three times post-intervention for knowledge, stress and satisfaction outcomes. Between-group and within-group effects were analysed using ANOVAs at <0.05 level of significance. Pre- and post-intervention interviews from a purposive sample of family caregivers were also conducted to enhance understanding of FIC benefits.
Beneficial intervention effects associated with family caregivers' knowledge of dementia were found (p < 0.001). Negative intervention effects were also found for family satisfaction outcomes in relation to staff consideration of their relatives and management effectiveness (p < 0.05). In addition, staff well-being and job satisfaction were found to be negatively affected by their perceived inappropriate behaviour of residents with dementia (p < 0.05).
Participation in the FIC intervention improved family caregiver knowledge. The major barrier to the success of the partnership intervention in achieving beneficial long-term psychosocial effects for family and staff caregivers was lack of resources and leadership required to support collaboration between family and staff, mainly due to environment and structural changes. This study contributes to our understanding of the importance of partnerships in promoting family involvement in dementia care.
本研究旨在探讨在提供痴呆症护理的长期护理（LTC）机构中，家庭参与护理（FIC）干预对家庭和工作人员福祉的影响，为期九个月。
采用准实验设计，对两个 LTC 地点进行随机分组，但不包括参与者。来自澳大利亚昆士兰州两个 LTC 设施的痴呆症居民的家庭照顾者（n = 57）和工作人员（n = 59）被招募。参与者在干预前一次和干预后三次进行知识、压力和满意度评估。使用方差分析（ANOVA）在<0.05 的显著性水平上分析组间和组内效应。还对家庭照顾者的目的抽样进行了预干预和干预后访谈，以增强对 FIC 益处的理解。
发现与家庭照顾者对痴呆症知识相关的有益干预效果（p < 0.001）。还发现家庭满意度结果的负面干预效果与工作人员对其亲属的考虑和管理效果有关（p < 0.05）。此外，工作人员的幸福感和工作满意度因认为痴呆症患者的不当行为而受到负面影响（p < 0.05）。
参与 FIC 干预提高了家庭照顾者的知识。家庭和工作人员照顾者之间合作所需的资源和领导力的缺乏是伙伴关系干预在实现对家庭和工作人员长期心理社会影响的成功的主要障碍，主要是由于环境和结构变化所致。本研究有助于我们理解在促进家庭参与痴呆症护理方面伙伴关系的重要性。
