College of Nursing and Health Sciences, University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747, United States.
Geriatr Nurs. 2021 Mar-Apr;42(2):570-581. doi: 10.1016/j.gerinurse.2020.10.013. Epub 2020 Nov 5.
Older adult caregivers experience health risks due to the demands of the role, higher prevalence of chronic illness, the aging process, and insufficient time for self-care. Using Whittermore and Knafl's methodology, an integrative review was conducted to explore the self-care needs and practices of older adult caregivers. The terms self-care, caregiver, informal caregiver, carer, family carer, and older adult were used to search the CINAHL, PsychINFO and SocIndex databases and obtain studies published in English between 2010 and 2020. Non-research articles, reviews, mean age of subjects < 50 years, studies focused on formal caregivers were excluded. Fifteen articles met inclusion criteria. Physical activity, stress management, social support, and support resources were identified as self-care needs. Self-care practices included self-advocacy, coping strategies, prioritizing of self, legacy building, and activism. Further exploration is required on how to best support older adult caregivers in fulfilling their caregiving role while promoting their own health.
老年照顾者由于角色的需求、慢性病患病率较高、衰老过程以及自我保健时间不足而面临健康风险。本研究采用 Whittermore 和 Knafl 的方法,对老年照顾者的自我保健需求和实践进行了综合回顾。使用“自我保健、照顾者、非正式照顾者、照料者、家庭照顾者和老年人”等术语,检索了 CINAHL、PsychINFO 和 SocIndex 数据库,并获取了 2010 年至 2020 年间以英文发表的研究。排除了非研究文章、综述、研究对象的平均年龄<50 岁、以正式照顾者为重点的研究。符合纳入标准的文章有 15 篇。确定了身体活动、压力管理、社会支持和支持资源作为自我保健需求。自我保健实践包括自我倡导、应对策略、自我优先、遗产建设和行动主义。需要进一步探讨如何最好地支持老年照顾者履行其照顾角色,同时促进他们的健康。