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照顾智障成年人对父母生活质量的影响。

The impact of caring for adults with intellectual disability on the quality of life of parents.

机构信息

Department of Occupational Therapy, Monash University, Frankston, Victoria, Australia.

出版信息

J Intellect Disabil Res. 2012 Jun;56(6):609-19. doi: 10.1111/j.1365-2788.2011.01501.x. Epub 2012 Jan 11.

Abstract

BACKGROUND

Because of an increase in life expectancy and de-institutionalisation, many adults with intellectual disability (ID) live with and are cared for by their parents throughout their adult lives. Because of caring demands, the quality of life (QOL) of parents may be affected. The study explored the impact of caring for an adult with ID on the QOL of parents.

METHODS

Participants were 12 parents who were the full-time carers of an adult with ID. Participants were interviewed about the effect of caring on their QOL. Interviews were analysed thematically.

RESULTS

Caring had a positive impact on QOL by enabling participants to develop relationships and receive support, participate in leisure activities, achieve a sense of personal satisfaction and enable a more positive appraisal of their lives. Caring had a negative impact on participants' QOL by restricting their relationships, leisure activities and employment opportunities. Caring was also associated with financial insecurity, frustrations at the service system and fear of what the future held for their offspring.

CONCLUSIONS

Caring for an adult with ID had both positive and negative effects on parents' QOL. Improving services and service delivery, including the provision of residential services and respite, would address many of the issues that were reported to have a negative impact on parents' QOL.

摘要

背景

由于预期寿命的延长和去机构化,许多智障成年人(ID)在成年后与父母一起生活并由父母照顾。由于照顾的需求,父母的生活质量(QOL)可能会受到影响。本研究探讨了照顾智障成年人对父母 QOL 的影响。

方法

参与者是 12 名全职照顾智障成年人的父母。参与者接受了关于照顾对其 QOL 影响的访谈。访谈采用主题分析方法进行分析。

结果

照顾对 QOL 产生了积极影响,使参与者能够发展关系并获得支持,参与休闲活动,获得个人满足感,并对生活有更积极的评价。照顾对参与者的 QOL 产生了负面影响,限制了他们的人际关系、休闲活动和就业机会。照顾还与经济不安全、对服务系统的不满以及对子女未来的担忧有关。

结论

照顾智障成年人对父母的 QOL 既有积极影响,也有消极影响。改善服务和服务提供,包括提供住宿服务和临时照顾,将解决许多对父母 QOL 产生负面影响的问题。

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