Centre for General and Geriatric Medicine, University Medical Centre Mainz, Am Pulverturm 13, 55131, Mainz, Germany.
BMC Fam Pract. 2021 Mar 3;22(1):47. doi: 10.1186/s12875-021-01381-4.
Family caregivers are often the first line of support for people requiring care; although they may personally stand to benefit, these activities substantially increase the risk of physical and emotional stress. General practitioners (GPs) may provide important support and stabilisation, but need to adjust to the needs and expectations of this group in order to do so. The aim of the study was to compare the needs of family caregivers from GPs to the support they actually experience. Additional aims included determining the main factors affecting satisfaction amongst family caregivers with support from GPs. The results were used to develop possible approaches towards optimisation within the purview of general medical practice.
Between January and July 2020, 612 people supporting or caring for a family member responded to an online survey posted in seventeen internet forums focused on family caregivers. In addition to the descriptive analysis, a t-test with independent samples was used to identify significant differences between two groups. We also used binary logistic regression analysis to identify indications of potentially influential factors regarding the experienced support from GPs.
Around three out of every four respondents (72%) consulted GPs in care matters. The respondents gave positive responses on their GP's knowledge of the care situation (71%), approachability in various issues connecting with care and service towards the caregiver (82%). GPs' efforts in meeting the needs and requirements of the care recipient were also rated positively (82%). Weaknesses in support from GPs mainly involved the lack of information on advice and assistance services (55%) as well as frequently not identifying or involving caregivers as such soon enough (42%). Results from regression analysis show that the last two aspects play a major role in subjective satisfaction amongst family caregivers with support from GPs.
We recommend that GPs undergo further training to reinforce awareness that the care triad of needs, requirements and stresses amongst family caregivers also plays a vital role in care outcomes. With this in mind, general practice staff should adopt a pre-emptive strategy towards approaching family members about potential issues and informing them about existing assistance and support services.
家庭护理人员通常是需要护理人员的第一线支持;尽管他们个人可能会受益,但这些活动会大大增加身体和情绪压力的风险。全科医生(GP)可以提供重要的支持和稳定,但需要调整以适应这一群体的需求和期望。本研究的目的是比较家庭护理人员对 GP 的需求与他们实际获得的支持。此外,还确定了影响家庭护理人员对 GP 支持满意度的主要因素。研究结果用于制定一般医疗实践范围内的优化方法。
2020 年 1 月至 7 月期间,17 个专注于家庭护理人员的互联网论坛上发布了在线调查,共有 612 名支持或照顾家庭成员的人做出了回应。除了描述性分析外,还使用独立样本 t 检验来确定两组之间的显著差异。我们还使用二元逻辑回归分析来确定与 GP 支持相关的潜在影响因素的指示。
大约每四个受访者(72%)中有三个在护理事务中咨询过 GP。受访者对 GP 了解护理情况(71%)、在与护理相关的各种问题上的可接近性以及对护理人员的服务态度(82%)给予了积极评价。GP 满足护理对象的需求和要求的努力也得到了积极评价(82%)。GP 支持的弱点主要涉及缺乏关于咨询和援助服务的信息(55%)以及经常不能及早识别或涉及护理人员(42%)。回归分析结果表明,后两个方面在家庭护理人员对 GP 支持的主观满意度方面起着重要作用。
我们建议 GP 接受进一步培训,以增强对护理三方的需求、要求和压力对护理结果也起着至关重要的作用的认识。有鉴于此,全科医生应该采取先发制人的策略,主动与家庭成员讨论潜在问题,并告知他们现有的援助和支持服务。