BSN, RN, Master Graduate Student, Department of Nursing, Shihezi University School of Medicine, Xinjiang, PRC.
MD, Professor and Chief Physician, The People's Hospital of Shihezi City, Xinjiang, PRC.
J Nurs Res. 2020 Dec;28(6):e122. doi: 10.1097/jnr.0000000000000405.
The lack of adequate medical care, healthcare, and older adult care in remote, low-income, rural Kazakh areas of China is a particular concern that should be prioritized for improvement.
This study was designed to explore the relationship between the variables of disability severity, social support, and caregiver competence and the quality of home-based care in a population of Kazakh older adults with disabilities and to analyze the path between severity of disability and quality of home-based care in this population.
A cross-sectional survey was conducted on 335 Kazakh older adults with disabilities living in Xinjiang, China, and their primary informal caregivers. Disability severity was assessed using the Activities of Daily Living Scale, caregiver competence was assessed using the Family Caregiver Task Inventory, social support was assessed using the Social Support Rating Scale, and home-based care quality was assessed using the Family Caregiving Consequences Inventory Scale. Path analysis was used to check the effects of other variables on the quality of home-based care.
Significant correlations were found among disability severity, caregiver competence, social support, and home-based care quality. Disability severity was shown to have a 29.28% direct effect on home-based care quality and a 70.72% indirect effect through social support and caregiver competence.
The results of this study confirm that better social support and caregiver competence improves the quality of home-based care available to older adults with disabilities. Policymakers should give priority to improving the quality of care provided to community-dwelling older adults with severe disabilities. Furthermore, health management departments should provide informal caregiver training that teaches care and rehabilitation knowledge and skills to improve the competencies of caregivers.
在中国偏远、低收入、农村哈萨克地区，医疗保健和老年人护理的不足是一个特别需要关注的问题，应该优先加以改善。
本研究旨在探讨残疾严重程度、社会支持和照顾者能力等变量与有残疾的哈萨克族老年人家中护理质量之间的关系，并分析该人群中残疾严重程度与家内护理质量之间的关系。
对居住在中国新疆的 335 名有残疾的哈萨克族老年人及其主要非正规照顾者进行了横断面调查。使用日常生活活动量表评估残疾严重程度，使用家庭照顾者任务清单评估照顾者能力，使用社会支持评定量表评估社会支持，使用家庭照顾者后果量表评估家内护理质量。采用路径分析检查其他变量对家内护理质量的影响。
残疾严重程度、照顾者能力、社会支持和家内护理质量之间存在显著相关性。残疾严重程度对家内护理质量有 29.28%的直接影响，通过社会支持和照顾者能力有 70.72%的间接影响。
本研究结果证实，更好的社会支持和照顾者能力可以提高残疾老年人的家内护理质量。政策制定者应优先考虑改善为严重残疾的社区居住老年人提供的护理质量。此外，卫生管理部门应提供非正规照顾者培训，教授照顾和康复知识与技能，以提高照顾者的能力。
