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痴呆症护理中居家喘息护理服务的利用不足与认知不足:限制了对缓解的需求。

Underuse and Unawareness of Residential Respite Care Services in Dementia Caregiving: Constraining the Need for Relief.

作者信息

Brandão Daniela, Ribeiro Oscar, Martín Ignacio

机构信息

Research and Education Unit on Ageing (UNIFAI/ICBAS-UP), Institute of Biomedical Sciences Abel Salazar, Department of Behavioral Sciences, University of Porto, Porto.

University of Aveiro, Center for Health Technology and Services Research (CINTESIS),University of Porto, Porto.

出版信息

Health Soc Work. 2016 Nov 20;41(4):254-262. doi: 10.1093/hsw/hlw041.

DOI:10.1093/hsw/hlw041
PMID:29206977
Abstract

This article describes an analysis of the use of residential respite care services and the factors that influence the use of such services among informal caregivers of people with dementia. The authors studied a sample of 223 caregivers participating in a community-based intervention project in northern Portugal. Participants provided information on their overall caregiving situation and on their use or willingness to use respite care services. Results showed that fewer than 6 percent of caregivers accessed the services and that although most caregivers were not familiar with these services, they recognized their importance and strongly considered the possibility of using them. Part-time care, lower levels of gratification, higher burden, and the care receiver's attendance of day center supported the willingness to use residential respite services. The limited offer, not knowing about the services, and cultural issues related to the family duties within the caregiving role can explain the low use of these services. Social work professionals have an important role in promoting residential respite care services, and thereby helping to reduce caregiving overload.

摘要

本文描述了对居家喘息服务的使用情况分析,以及影响痴呆症患者非正式照料者使用此类服务的因素。作者研究了223名参与葡萄牙北部一个社区干预项目的照料者样本。参与者提供了有关其总体照料情况以及使用或愿意使用喘息服务的信息。结果显示,不到6%的照料者使用了这些服务,并且尽管大多数照料者不熟悉这些服务,但他们认识到其重要性,并强烈考虑使用它们的可能性。兼职照料、较低的满意度、较高的负担以及受照料者参加日间照料中心,这些因素促使人们愿意使用居家喘息服务。服务提供有限、不了解这些服务以及与照料角色中的家庭职责相关的文化问题,可以解释这些服务使用率较低的原因。社会工作专业人员在推广居家喘息服务方面发挥着重要作用,从而有助于减轻照料负担过重的问题。

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