Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health System HSR&D, Durham, North Carolina, USA.
Sanford School of Public Policy, Duke University, Durham, North Carolina, USA.
J Am Geriatr Soc. 2022 Jun;70(6):1785-1791. doi: 10.1111/jgs.17714. Epub 2022 Feb 28.
The quality of life of care partners and care recipients may be improved by programs that address unmet needs. The aim of this qualitative study was to identify care partners' social and practical needs as they care for Veterans (65 yo+) with serious illness.
Semi-structured interviews with Veterans with serious illness and care partners of Veterans with serious illness. Interview question domains examined through care partner and Veteran perspectives included: types of support/services currently used, still needed, and anticipated as well as barriers to obtaining those supports/services. Qualitative analyses used an inductive descriptive content approach.
Seventeen care partners and 11 Veterans participated. Three main themes emerged from the data: (I) care partners' and Veterans' identified barriers to support (e.g., technology, rurality, awareness of services); (II) care partners' and Veterans' understanding of available supports and services (e.g., misunderstandings regarding VA role and services, heavy reliance on VA, identified sources of support); and (III) care partners' understanding of their caregiving roles (e.g., by tasks and self-identification).
Results indicate that care partners experience barriers to supporting seriously ill Veterans including awareness, information, and access obstacles that can be addressed to improve access and utilization of available services and supports.
通过满足未满足的需求的项目,可以提高护理伙伴和护理接受者的生活质量。本定性研究的目的是确定护理伙伴在照顾患有严重疾病的退伍军人(65 岁以上)时的社会和实际需求。
对患有严重疾病的退伍军人和患有严重疾病的退伍军人的护理伙伴进行半结构化访谈。通过护理伙伴和退伍军人的视角,访谈问题领域包括:目前使用的、仍需要的和预期的支持/服务类型,以及获得这些支持/服务的障碍。定性分析采用了归纳描述性内容方法。
17 名护理伙伴和 11 名退伍军人参与了研究。从数据中出现了三个主要主题:(I)护理伙伴和退伍军人确定的支持障碍(例如,技术、农村地区、对服务的认识);(II)护理伙伴和退伍军人对可用支持和服务的理解(例如,对 VA 角色和服务的误解、对 VA 的严重依赖、确定的支持来源);以及(III)护理伙伴对其护理角色的理解(例如,通过任务和自我认同)。
结果表明,护理伙伴在支持患有严重疾病的退伍军人时会遇到障碍,包括意识、信息和获取障碍,这些障碍可以通过改善对现有服务和支持的获取和利用来解决。