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[全科医生诊所对家庭照顾者有怎样的预防潜力?——一项定性访谈研究的结果]

[What prevention potential does the general practitioner setting offer for family caregivers?-findings from a qualitative interview study].

作者信息

Wangler Julian, Jansky Michael

机构信息

Zentrum für Allgemeinmedizin und Geriatrie, Universitätsmedizin Mainz, Am Pulverturm 13, 55131, Mainz, Deutschland.

出版信息

Wien Med Wochenschr. 2024 Mar;174(3-4):35-43. doi: 10.1007/s10354-021-00880-4. Epub 2021 Sep 16.

Abstract

The support of people in need of care and assistance is often provided by caring relatives. General practitioners can play an important role in supporting this group, if they adapt to the problems and wishes of family caregivers.The aim of the exploratory study is to contrast care needs of family caregivers regarding the GP support with actually experienced care and, thereby, work out approaches for strengthening the GP's role.A total of 37 family caregivers were recruited via 13 internet forums focused on caregiving. Telephone interviews were conducted between September 2020 and March 2021.The majority of those interviewed consider the GP to be an important support body with a high level of competence and trust. The interviewees praise the GP's knowledge of the personal care situation, the responsiveness to a wide variety of problems and the focus on those in need of care. However, communication about the caring activity is often delayed significantly (late identification and addressing of family caregivers). GPs do not always address the needs of relatives to the same extent as they do to those in need of care. Only some of the doctors refer caregivers to offers of help and support.GPs can play a central role in supporting family caregivers. An crucial prerequisite for this is that family caregivers are recognized and involved at an early stage. In addition, it is important that GPs take into account the needs, desires and stresses of both caregivers and those being cared for. Consistent references to offers of help make it easier for family caregivers to organize care and to receive (psychosocial) support.

摘要

需要照顾和帮助的人的支持通常由关爱他们的亲属提供。如果全科医生能够适应家庭护理人员的问题和愿望,他们在支持这一群体方面可以发挥重要作用。这项探索性研究的目的是将家庭护理人员在全科医生支持方面的护理需求与实际获得的护理进行对比,从而找出加强全科医生作用的方法。通过13个专注于护理的互联网论坛招募了37名家庭护理人员。在2020年9月至2021年3月期间进行了电话访谈。大多数受访者认为全科医生是一个重要的支持机构,具有很高的能力水平和可信度。受访者称赞全科医生对个人护理情况的了解、对各种问题的响应能力以及对需要照顾者的关注。然而,关于护理活动的沟通往往会大幅延迟(对家庭护理人员的识别和关注较晚)。全科医生并不总是像对待需要照顾的人那样充分关注亲属的需求。只有一些医生会为护理人员提供帮助和支持的信息。全科医生在支持家庭护理人员方面可以发挥核心作用。关键的前提是家庭护理人员能够在早期得到认可并参与进来。此外,全科医生考虑到护理人员和被照顾者的需求、愿望和压力也很重要。持续提供帮助信息可以让家庭护理人员更容易安排护理并获得(心理社会)支持。

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