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照顾者对支持需求、对护理的反应以及抑郁评估。

Caregiver assessment of support need, reaction to care, and assessment of depression.

作者信息

Jorgensen Diane, Arksey Hilary, Parsons Matthew, Jacobs Stephen

机构信息

The University of Auckland, Auckland, New Zealand.

出版信息

Home Health Care Serv Q. 2009;28(4):130-50. doi: 10.1080/01621420903579768.

Abstract

The aims of this study were to: (a) identify New Zealand informal carers' support needs; (b) assess caregivers' depression; and (c) assess positive and negative aspects of caregiving. A sample of 287 carers from throughout New Zealand was recruited by advertisements in carer support organizations literature, in 2008. Data were collected using Centre for Epidemiologic Short Depression scale (CES-D10), Caregivers Reaction Assessment scale (CRA), and open-ended questions. Carer burden was significant (p ≤ .01) in the 60 to 69 age group. The relationship between CRA and CES-D10 in carers in the 50 to 59, 60 to 69 carer age groups; and 0 to 29, 60 to 69, 70 to 79, and 80 plus care recipient age groups were also significant. Mean burden was highest in the 50 to 59 age group (77/120) with depression mean highest in the 30 to 39 age group (14/30). Carers commonly discussed the adverse effects of caregiving on identity, lifestyle, health, and financial situation. Lack of information, poor respite care, and combining work with care were major frustrations. If the government wishes to successfully pursue initiatives allowing people to remain at home, more resources are needed to adequately support carers.

摘要

本研究的目的是

(a)确定新西兰非正式护理人员的支持需求;(b)评估护理人员的抑郁情况;(c)评估护理工作的积极和消极方面。2008年,通过在护理人员支持组织的宣传资料上刊登广告,从新西兰各地招募了287名护理人员作为样本。使用流行病学短抑郁量表(CES-D10)、护理人员反应评估量表(CRA)和开放式问题收集数据。60至69岁年龄组的护理负担显著(p≤0.01)。50至59岁、60至69岁护理人员年龄组;以及0至29岁、60至69岁、70至79岁和80岁及以上护理对象年龄组中,CRA与CES-D10之间的关系也很显著。50至59岁年龄组的平均负担最高(77/120),30至39岁年龄组的抑郁平均值最高(14/30)。护理人员普遍讨论了护理工作对身份认同、生活方式、健康和财务状况的不利影响。信息缺乏、临时护理服务差以及工作与护理兼顾是主要的困扰。如果政府希望成功推行让人们居家养老的举措,就需要更多资源来充分支持护理人员。

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