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痴呆或认知障碍患者住院对家庭照顾者的影响。

Impact of Hospitalization of People With Dementia or Cognitive Impairment on Family Caregivers.

出版信息

Res Gerontol Nurs. 2023 Nov-Dec;16(6):283-290. doi: 10.3928/19404921-20230817-01. Epub 2023 Aug 25.

Abstract

People with dementia (PWD) have a higher risk of hospitalization than people without dementia. Hospitalizations are stressful events for PWD and their caregivers, representing a considerable change to their routines. The current descriptive longitudinal study aimed to identify the positive and negative reactions, experiences related to health and social integrated care, resource use, and work status of family caregivers of PWD or cognitive impairment admitted to the hospital with a proximal femur fracture undergoing surgery. Findings indicated that family caregivers ( = 174) are fully committed to providing assistance in activities of daily living and supervision, showing positive attitudes on self-esteem and negative attitudes toward lack of family support and impact on finances, schedule, and health. Overall caregiver experiences with integrated health and social care improved after hospitalization but decreased after discharge. One month after hospitalization, family caregivers maintained the same work hours but used fewer health care resources. Hospitalization represents a good opportunity to approach family caregivers and determine their needs to provide them with interventions to minimize their burden and improve their well-being. [(6), 283-290.].

摘要

痴呆症患者(PWD)的住院风险高于没有痴呆症的患者。住院对 PWD 及其护理人员来说是压力事件,代表着日常生活的重大变化。本描述性纵向研究旨在确定接受近端股骨骨折手术的住院 PWD 或认知障碍患者的家庭护理者的积极和消极反应、与健康和社会综合护理相关的经验、资源使用和工作状况。研究结果表明,家庭护理者(=174)完全致力于提供日常生活活动和监督方面的帮助,对自尊持积极态度,对缺乏家庭支持和对财务、日程安排和健康的影响持消极态度。总体而言,家庭护理者在接受综合健康和社会护理后的住院体验有所改善,但在出院后有所下降。住院一个月后,家庭护理者保持相同的工作时间,但使用的医疗保健资源减少。住院为接近家庭护理者并确定他们的需求提供了一个很好的机会,以便为他们提供干预措施,减轻他们的负担并改善他们的幸福感。[(6),283-290]。

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