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“情况不一样了”:新冠疫情期间参与居家老年护理项目的老年人非正式照料者的经历

"It Isn't the Same": Experiences of Informal Caregivers of Older Adults Enrolled in a Home-Based Senior Care Program During COVID-19.

作者信息

Humber Marika B, Yefimova Maria, Lessios Anna Sophia, Trivedi Ranak B, Sheffrin Meera, Martin Marina

出版信息

J Gerontol Nurs. 2023 Mar;49(3):19-26. doi: 10.3928/00989134-20230209-04. Epub 2023 Mar 1.

DOI:10.3928/00989134-20230209-04
PMID:36852991
Abstract

The coronavirus disease 2019 (COVID-19) pandemic placed new strains on informal caregivers, who are already vulnerable to negative psychosocial effects due to demands of the caregiving role. The current study aimed to explore the early impact of COVID-19 on caregivers living with and apart from care recipients. Semi-structured qualitative interviews with seven cohabitating and 10 distanced caregivers of patients in a home-based primary care program were conducted from April to November 2020. A framework matrix was used to identify patterns in caregiver experiences. Cohabitating and distanced caregivers reported shared concerns about COVID-19 and unique concerns dependent on cohabitation status. Cohabitating caregivers reported financial worries, care recipients with dementia being unable to understand restrictions, and concerns about community business changes. Distanced caregivers reported communication challenges with cognitively impaired care recipients and challenges with visitation policies. During pandemics, caregivers' clinical and policy support needs may differ depending on their place of residence relative to care recipients. [(3), 19-26.].

摘要

2019年冠状病毒病(COVID-19)大流行给非正式照料者带来了新的压力,这些照料者由于照料角色的要求,本就容易受到负面心理社会影响。本研究旨在探讨COVID-19对与受照料者同住和不住在一起的照料者的早期影响。2020年4月至11月,对一个居家初级保健项目中的7名同居照料者和10名非同居照料者进行了半结构化定性访谈。使用框架矩阵来识别照料者经历中的模式。同居照料者和非同居照料者都报告了对COVID-19的共同担忧,以及取决于同居状况的独特担忧。同居照料者报告了经济担忧、患有痴呆症的受照料者无法理解限制措施,以及对社区商业变化的担忧。非同居照料者报告了与认知障碍受照料者沟通的挑战以及探访政策方面的挑战。在大流行期间,照料者的临床和政策支持需求可能因其相对于受照料者的居住地点而异。[(3), 19 - 26.]

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