National Cancer Institute, Division of Cancer Control and Population Sciences, Healthcare Delivery Research Program, USA.
National Cancer Institute, Division of Cancer Control and Population Sciences, Healthcare Delivery Research Program, USA.
Patient Educ Couns. 2020 Mar;103(3):626-634. doi: 10.1016/j.pec.2019.10.015. Epub 2019 Oct 24.
To describe the type of care provided by a nationally-representative sample of informal caregivers, the frequency of unmet supportive care needs, and examine characteristics associated with unmet needs.
Using data from the Health Information National Trends Survey, we identified caregivers of an adult care recipient. Descriptive statistics examined support provided by caregivers for activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and caregiver perceptions of their needs in five areas: medical/nursing tasks, accessing services, respite care, support groups, and counseling for caregivers. Bivariate statistics examined sociodemographic and caregiver characteristics associated with each need.
Among 316 caregivers, 30.9% reported at least one unmet supportive care need. Caregivers most often provided support for 0-2 ADLs and 5-7 IADLs. Younger age and longer duration of time caregiving were associated with unmet supportive care needs for medical/nursing training (p = 0.02 and 0.04, respectively). Caregivers providing assistance with more ADLs reported needs for respite care support (p=0.03).
Subgroups of caregivers that may be most vulnerable with greater unmet supportive care needs are those that are younger, have provided care for longer, and those assisting with more ADLs. Future research should explore these factors to inform intervention development.
描述具有全国代表性的非正式照护者所提供的照护类型、未满足的支持性照护需求的频率,并探讨与未满足需求相关的特征。
我们利用来自健康信息国家趋势调查的数据,确定了成年照护接受者的照护者。描述性统计分析了照护者在日常生活活动(ADL)和工具性日常生活活动(IADL)方面提供的支持,以及照护者在五个领域对其需求的认知:医疗/护理任务、获取服务、暂息照护、支持小组和照护者咨询。双变量统计分析了与每个需求相关的社会人口学和照护者特征。
在 316 名照护者中,30.9%报告至少有一项未满足的支持性照护需求。照护者最常提供 0-2 项 ADL 和 5-7 项 IADL 的支持。年龄较小和照护时间较长与未满足的医疗/护理培训支持需求相关(p=0.02 和 0.04)。提供更多 ADL 协助的照护者报告需要暂息照护支持(p=0.03)。
可能最容易出现未满足支持性照护需求的脆弱照护者亚组是那些年龄较小、照护时间较长、以及协助更多 ADL 的照护者。未来的研究应探讨这些因素,以为干预措施的制定提供信息。