Minerva Center for Interdisciplinary Study of End of Life,Tel-Aviv University,Tel Aviv,Israel.
Department of Public Health,Faculty of Health Sciences,Ben Gurion University of the Negev,Beer Sheva,Israel.
Int Psychogeriatr. 2018 Sep;30(9):1259-1267. doi: 10.1017/S1041610217002228. Epub 2017 Nov 2.
ABSTRACTBackground:As more older persons opt to age in place, there is a growing trend to hire migrant workers as live-in caregivers to care for them. This raises the need to examine the quality of care they receive within this unique care setting. The objective of this pilot study was to establish the components of quality of care as provided by migrant live-in caregivers.
We interviewed a convenience sample of older persons cared for by migrant live-in caregivers and their relatives. When relatives reported that older persons could not be interviewed due to advanced dementia, only relatives were interviewed. Overall, 72 older persons and 117 relatives were interviewed. We used the Quality of Care Questionnaire (QuCQ) developed for this study to examine the main components of quality of care in this population.
Factor analysis using older persons' data revealed two factors. In the first factor, "caretaking," items concerning provision of prompt care exhibited the highest loadings. Items measuring interpersonal aspects of the care dynamic had the highest loadings in the second factor, thus labeled "relationship." The factor analysis based on relatives' data yielded similarities and differences with the one based on older persons' data. Yet, there were significant correlations between relative and older persons' responses when using the older persons' factor structure.
According to older persons and relatives, quality of care depends on the extent to which older persons' care-related needs, as well as social ones, are addressed. Appropriate evaluation of quality of care in the live-in setting is important for its improvement.
摘要背景：随着越来越多的老年人选择就地养老，越来越多的人倾向于雇佣移民工人作为住家护工来照顾他们。这就需要在这种独特的护理环境中检查他们所接受的护理质量。本研究的目的是确定移民住家护工提供的护理质量的组成部分。
我们采访了由移民住家护工照顾的老年患者及其亲属的方便样本。当亲属报告说由于老年患者患有晚期痴呆症无法接受采访时，仅对亲属进行了采访。共有 72 名老年患者和 117 名亲属接受了采访。我们使用为这项研究开发的护理质量问卷（QuCQ）来检查该人群中护理质量的主要组成部分。
使用老年患者数据进行的因子分析显示出两个因素。在第一个因素“照顾”中，有关及时提供护理的项目表现出最高的负荷。衡量护理动态人际方面的项目在第二个因素“关系”中具有最高的负荷。基于亲属数据的因子分析与基于老年患者数据的因子分析存在相似之处和差异。然而，当使用老年患者的因子结构时，亲属和老年患者的反应之间存在显著相关性。
根据老年患者和亲属的说法，护理质量取决于满足老年患者的护理相关需求以及社会需求的程度。对住家护理环境中的护理质量进行适当评估对于提高护理质量非常重要。
