Lim Jeongmi
Korea Institute for Health and Social Affairs, Sejong Special Self-Governing City 30147, Korea.
Healthcare (Basel). 2020 Jul 23;8(3):224. doi: 10.3390/healthcare8030224.
In long-term care facilities, elderly mistreatment occurs routinely and frequently. However, few studies have empirically explored the multifaceted risk factor of mistreatment. The purpose of this paper was to explore the factors affecting elderly mistreatment by care workers in Japanese long-term care facilities and to examine the relationship between these factors and mistreatment. This analysis was based on a sample of 1473 care workers from long-term care facilities and used multiple regression analyses. The results revealed that the nursing care level, work period, resilience, and attitude towards mistreatment among residents and staff were factors significantly associated with the degree of mistreatment. Facility size, an institutional environment that does not limit the behavior of residents, and family and community support for the elderly were among the institutional environment factors that had significant relationships with mistreatment. Staff gender, care-related qualifications, and workload were not associated with mistreatment. These findings suggest that strengthening the staff's attitude and coping skills to prevent mistreatment, as well as interventions for changes in the institutional environment, are needed to prevent and reduce the prevalence of mistreatment in Japan. In addition, raising staff resilience to stress situations and building a resident-centered facility care environment is an important measure to reduce mistreatment.
在长期护理机构中，虐待老年人的情况经常且频繁发生。然而，很少有研究实证探讨虐待行为的多方面风险因素。本文旨在探讨日本长期护理机构中护理人员虐待老年人的影响因素，并检验这些因素与虐待行为之间的关系。该分析基于来自长期护理机构的1473名护理人员的样本，并采用了多元回归分析。结果显示，护理水平、工作年限、心理韧性以及居民和工作人员对虐待行为的态度是与虐待程度显著相关的因素。机构规模、不限制居民行为的机构环境以及家庭和社区对老年人的支持是与虐待行为有显著关系的机构环境因素。员工性别、护理相关资质和工作量与虐待行为无关。这些研究结果表明，为了预防和减少日本虐待行为的发生率，需要加强员工预防虐待的态度和应对技能，以及针对机构环境变化的干预措施。此外，提高员工对压力情况的心理韧性和建立以居民为中心的机构护理环境是减少虐待行为的重要措施。
