外籍家庭佣工支持社区老年人基本医疗需求的初步横断面研究。
Pilot cross-sectional study of foreign domestic workers supporting the basic healthcare needs of older persons in the community.
机构信息
SingHealth Polyclinics, Singapore
SingHealth-Duke NUS Family Academic Clinical Programme, Singapore.
出版信息
BMJ Open. 2022 Mar 28;12(3):e051877. doi: 10.1136/bmjopen-2021-051877.
OBJECTIVE
This pilot study aimed to determine the proportions, level of knowledge, anxiety and confidence of foreign domestic workers (FDWs) who were involved in supporting the healthcare needs of older persons with long-term non-communicable diseases.
DESIGN
The pilot study used a cross-sectional and descriptive design.FDWs who accompanied the older adults attending a primary healthcare setting in Singapore. 100 eligible FDWs' demographic data, knowledge and confidence level of caregiving in food preparation, medication supervision, exercise, blood pressure (BP), blood glucose (BG) monitoring and anxiety level assessed by the Generalised Anxiety Disorder-7 scale were recorded. Descriptive statistics were performed and presented. Items on confidence were regrouped into two groups of 'very' versus 'no/a little/moderate'. Knowledge scores and caregiving tasks were assessed with items on confidence using Mann-Whitney U test and χ test, respectively.
RESULTS
The FDWs were from Indonesia (60%), Philippines (23%) and Myanmar (14%). Their mean age was 33 years with an average of 5.8 years working experience; 62% self-reported previous caregiver training for elderly. The mean age of care-recipients was 81 years. Knowledge of FDWs on BP and BG monitoring was low (<50% answered correctly). Among the 55 FDWs who were required to perform BP monitoring, 45.5% lack confidence. Similarly, 40% of the 30 FDWs were not confident in performing BG monitoring. Those with very high confidence levels had higher knowledge on BP and BG monitoring. Of those who were involved in medication supervision (n=86), 36% lacked confidence. The majority of the FDWs (96%) were not affected by anxiety in managing these healthcare tasks for older persons.
CONCLUSION
More than half of the FDWs supported healthcare needs of older persons but they had inadequate knowledge and lacked confidence in performing the healthcare-related tasks.
目的
本初步研究旨在确定参与支持患有慢性非传染性疾病的老年人医疗需求的菲佣（FDW）的比例、知识水平、焦虑和信心。
设计
初步研究采用横断面描述性设计。FDW 陪同在新加坡的初级保健环境中就诊的老年人。记录了 100 名符合条件的 FDW 的人口统计学数据、在准备食物、监督药物、运动、血压（BP）、血糖（BG）监测方面的护理知识和信心水平以及焦虑程度，采用广泛性焦虑障碍 7 量表进行评估。进行了描述性统计并进行了呈现。关于信心的项目被分为“非常”和“没有/有点/中度”两组。使用 Mann-Whitney U 检验和 χ2 检验分别评估知识得分和护理任务与信心项目。
结果
FDW 来自印度尼西亚（60%）、菲律宾（23%）和缅甸（14%）。他们的平均年龄为 33 岁，平均工作经验为 5.8 年；62%自我报告之前接受过老年人护理培训。护理对象的平均年龄为 81 岁。FDW 对 BP 和 BG 监测的知识水平较低（<50%答对）。在 55 名需要进行 BP 监测的 FDW 中，45.5%缺乏信心。同样，30 名进行 BG 监测的 FDW 中，有 40%缺乏信心。信心非常高的人在 BP 和 BG 监测方面的知识更高。在参与药物监督的人中（n=86），有 36%缺乏信心。大多数 FDW（96%）在管理老年人这些医疗保健任务时不受焦虑影响。
结论
超过一半的 FDW 支持老年人的医疗需求，但他们的知识不足，在执行与医疗相关的任务时缺乏信心。
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