Harrison Fleur, Low Lee-Fay, Barnett Anna, Gresham Meredith, Brodaty Henry
Dementia Collaborative Research Centre - Assessment and Better Care, School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Australas J Ageing. 2014 Sep;33(3):206-13. doi: 10.1111/ajag.12118. Epub 2013 Dec 26.
To investigate the relationship between objectively assessed care needs and expectations for care of older people and their carers, before commencement of community care services.
Cross-sectional research on 55 community-dwelling older adults and carers, recruited after receiving approval for government-subsidised community care services. Care needs and expectations of care were assessed at interview.
Participants' and carers' expectations for their pending community care package did not correspond with unmet participant needs. Instead, expectations corresponded with met needs, that is those for which they already received help, with the exception of expectations of domestic support and personal care. Participants' unmet needs were predominantly in social and recreational activities, eating, and physical and mental health.
As community care in Australia becomes consumer-directed by 2015, care services will need to empower clients and carers through education about their needs and available services, as part of the assessment and service negotiation process.
在社区护理服务开始前，调查客观评估的护理需求与老年人及其护理人员对护理的期望之间的关系。
对55名社区居住的老年人及其护理人员进行横断面研究，这些人在获得政府补贴的社区护理服务批准后被招募。在访谈中评估护理需求和护理期望。
参与者及其护理人员对即将到来的社区护理套餐的期望与未满足的参与者需求不相符。相反，期望与已满足的需求相符，即他们已经获得帮助的需求，但家庭支持和个人护理的期望除外。参与者未满足的需求主要集中在社交和娱乐活动、饮食以及身心健康方面。
随着澳大利亚的社区护理到2015年由消费者主导，护理服务将需要通过在评估和服务谈判过程中，对客户及其护理人员进行有关其需求和可用服务的教育，来增强他们的能力。
