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居家功能依赖老年人非正式照料者的照护风险认知特征及相关因素:一项定性研究

Caregiving risk perception characteristics and associated factors among informal caregivers of functionally dependent elderly individuals at home: a qualitative study.

作者信息

Zhang Hui-Qin, Zhang Qi-Han, Liu La-Mei, Xu Tong-Yao, Wang Xiao-Xuan, Qian Yu-Meng, Zhuansun Meng-Yao, Li Qiu-Fang

机构信息

Nursing and Health School of Zhengzhou University, Zhengzhou, 450001, China.

出版信息

BMC Nurs. 2024 Aug 7;23(1):536. doi: 10.1186/s12912-024-02211-5.

Abstract

BACKGROUND

This study explored risk perception characteristics and influencing factors among informal caregivers of functionally dependent elderly individuals at home, aiming to improve caregivers' caregiving risk perception and coping abilities and ultimately enhance the quality of life for these individuals.

METHODS

We used purposive sampling to select 22 informal caregivers from a community in Zhengzhou City, Henan Province, China, between March and September 2023 and conducted face-to-face semi-structured in-depth interviews. The data were analyzed using Colaizzi's seven-step analysis method.

RESULTS

We extracted two themes, caregiving risk perception characteristics and caregiving risk perception associated factors, and eight sub-themes, perceived risk possibility, perceived risk anticipation, perceived severity of consequences, past caregiving experiences, health literacy, psychological status, caregiving burden, and family social support.

CONCLUSION

There were differences in how informal caregivers perceived the risks associated with caring for functionally dependent elderly individuals at home, which various factors could influence. It was essential to provide training that covered the knowledge and skills needed for caregiving, improve caregivers' awareness of safety risks, and establish a correct perception of caregiving risks. The government must construct and refine a comprehensive framework for caregiver respite services. Simultaneously, healthcare professionals should proactively undertake health education endeavors to augment the recognition of care safety risks among informal caregivers, thereby cultivating an accurate awareness of care risk perception.

摘要

背景

本研究探讨居家功能依赖老年人非正式照料者的风险认知特征及影响因素,旨在提高照料者的照护风险认知和应对能力,最终提升这些老年人的生活质量。

方法

2023年3月至9月,我们采用立意抽样法从中国河南省郑州市某社区选取22名非正式照料者,进行面对面半结构化深入访谈。采用Colaizzi七步分析法对数据进行分析。

结果

提取出两个主题,即照护风险认知特征和照护风险认知相关因素,以及八个子主题,即感知风险可能性、感知风险预期、感知后果严重性、既往照护经历、健康素养、心理状态、照护负担和家庭社会支持。

结论

非正式照料者对居家照料功能依赖老年人相关风险的认知存在差异,多种因素可对其产生影响。提供涵盖照护所需知识和技能的培训、提高照料者对安全风险的认识并建立正确的照护风险认知至关重要。政府必须构建并完善照料者喘息服务综合框架。同时,医护人员应积极开展健康教育工作,增强非正式照料者对照护安全风险的认识,从而培养准确的照护风险认知意识。

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