Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.
Nursing Department, Madrid Health Service, Madrid, Spain.
Appl Nurs Res. 2021 Dec;62:151505. doi: 10.1016/j.apnr.2021.151505. Epub 2021 Sep 25.
Family caregivers of persons with dementia often experience a negative impact on their health. More studies based on nursing theories are needed to improve the provision of care.
To describe the care provided by family caregivers of persons with dementia and the impact on their health, as well as to analyse how personal variables of caregivers are related to care tasks and their health impact.
Multi-centric cross-sectional prospective study conducted on a sample of 423 primary family caregivers of persons with dementia from Spain. Data were collected through ICUB97-R questionnaire (January-April 2019), based on the fourteen needs of Virginia Henderson's Nursing Model. Data was analysed through one-way analysis of variance and Student's t-test.
The caregiver profile was a middle-aged married woman without higher education living with the cared person, predominantly her mother. The most frequently provided care corresponded to "nutrition" and "movement" needs. Lack of free time, modifications on leisure activities, reduced sleep or rest and disruption of family life emerged as the greatest repercussions on the caregiver's health. The age of the caregiver and time caring showed differences on impact of care and care tasks, respectively.
The identification of the types of care provided, the health impact of caring and the variables affecting the family caregiver's vulnerability is essential to develop effective individualised nursing care plans, including health education interventions to improve the quality of life of both caregivers and persons cared for.
痴呆症患者的家庭照顾者经常会对他们的健康产生负面影响。需要更多基于护理理论的研究来改善护理服务。
描述痴呆症患者家庭照顾者提供的照顾及其对健康的影响,并分析照顾者的个人变量如何与照顾任务及其对健康的影响相关。
这是一项多中心、前瞻性的横断研究,对象为来自西班牙的 423 名痴呆症患者的主要家庭照顾者。数据通过基于弗吉尼亚·亨德森护理模式 14 项需求的 ICUB97-R 问卷(2019 年 1 月至 4 月)收集。数据通过单因素方差分析和学生 t 检验进行分析。
照顾者的特征为年龄在中年、已婚、没有高等教育、与被照顾者同住的女性,且主要是其母亲。最常提供的照顾与“营养”和“运动”需求相对应。缺乏自由时间、休闲活动的改变、睡眠或休息减少以及家庭生活中断是对照顾者健康影响最大的因素。照顾者的年龄和照顾时间在照顾的影响和照顾任务方面存在差异。
确定提供的照顾类型、照顾对健康的影响以及影响家庭照顾者脆弱性的变量,对于制定有效的个性化护理计划至关重要,包括健康教育干预措施,以提高照顾者和被照顾者的生活质量。