Chan W C, Ng C, Mok C C M, Wong F L F, Pang S L, Chiu H F K
Department of Old Age Psychiatry, Castle Peak Hospital, Hong Kong SAR, China.
East Asian Arch Psychiatry. 2010 Dec;20(4):163-8.
To report the lived experience of caregivers of persons with dementia in Hong Kong, and to explore their service needs.
This was a qualitative study of caregivers of persons with dementia. Four focus group interviews, each group comprising 6 to 7 informal caregivers, were conducted. A total of 27 participants were recruited. With the participants' consent, interviews were audiotaped and transcribed verbatim. Colaizzi's methods for phenomenological analysis were used.
Caregiving in dementia in Hong Kong is as demanding and challenging as reported in other developed communities. 'Confusion regarding diagnosis', 'Emotional impact', 'Difficulty in coping with the care recipient behaviours', 'Provision of care recipient's daily care needs is demanding', and 'Conflicts among social roles' were themes pervasive across every focus group. In addition, the needs of carers changed as the disease of their care recipients progressed.
As the local population continues to age, family caregivers are faced with increasing demands. Understanding their experience is pivotal in the design of effective carer support services. Our findings highlight the sources of strain and unmet needs of Hong Kong Chinese caregivers, which may serve as a guide for future service development.
报告香港痴呆症患者照顾者的生活经历,并探讨他们的服务需求。
这是一项针对痴呆症患者照顾者的定性研究。进行了四次焦点小组访谈,每组由6至7名非正式照顾者组成。共招募了27名参与者。在参与者同意的情况下,访谈进行了录音并逐字转录。采用了科莱齐的现象学分析方法。
香港痴呆症患者的照顾工作与其他发达社区所报告的一样要求苛刻且具有挑战性。“对诊断的困惑”、“情感影响”、“应对受照顾者行为的困难”、“满足受照顾者日常护理需求的要求很高”以及“社会角色之间的冲突”是每个焦点小组中普遍存在的主题。此外,照顾者的需求随着其受照顾者疾病的进展而变化。
随着当地人口持续老龄化,家庭照顾者面临的需求日益增加。了解他们的经历对于设计有效的照顾者支持服务至关重要。我们的研究结果突出了香港华裔照顾者的压力来源和未得到满足的需求,这可为未来的服务发展提供指导。