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老年人非正式照料者的感知培训需求:一项横断面研究。

Perceived Training Needs of the Informal Caregivers of Older Adults: A Cross-Sectional Study.

作者信息

Chen Qianqian, Zhang Huimin, Yuan Suwei, Liu Wenwei, Lyu Tongzhou

机构信息

School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China.

School of Government, Central University of Finance and Economics, Beijing 100081, China.

出版信息

Healthcare (Basel). 2024 Nov 26;12(23):2369. doi: 10.3390/healthcare12232369.

DOI:10.3390/healthcare12232369
PMID:39684990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641250/
Abstract

BACKGROUND

Due to the enormous caregiving burden faced by informal caregivers, providing appropriate skills training has become an important supporting strategy in many countries/regions. Understanding caregivers' training needs is instrumental in designing effective training intervention programs, which are expected to reduce the caregiving burden of informal caregivers and avoid the health deterioration associated with caregiving. This paper aims to explore the potential training needs of informal caregivers in Shanghai, and to identify the factors associated with these perceived training needs.

METHODS

A total of 196 eligible informal caregivers participated in this survey. A multivariate analysis was conducted to explore the factors associated with informal caregivers' perceived training needs.

RESULTS

86.7% ( = 170) of the caregivers reported at least one need for targeted training activity, and 62.7% ( = 123) of them identified two or more training needs. The top three activities requiring training included the following: self-care skills; safety supervision; and functional rehabilitation. The factors associated with various training needs included the health status of the care recipient, complementary caregiving support, caregiving stress, and the personal attributes of the informal caregiver. The technical skills training needs were more related to the care recipients' health status (e.g., dependency level, disease progression) and formal care support resources. Conversely, the intangible skills training needs were more sensitive to caregiver attributes (e.g., gender, age, and education level).

CONCLUSIONS

A personalized training strategy and early-stage intervention program are critical to providing effective support to informal caregivers. The potential implications are to raise awareness of the importance of skills training for informal caregivers, and to inform the implementation of effective training strategies for improving the quality of informal care and the well-being of informal caregivers in China.

摘要

背景

由于非正式照料者面临巨大的照料负担,提供适当的技能培训已成为许多国家/地区的一项重要支持策略。了解照料者的培训需求有助于设计有效的培训干预项目,有望减轻非正式照料者的照料负担,并避免与照料相关的健康恶化。本文旨在探讨上海非正式照料者潜在的培训需求,并确定与这些感知到的培训需求相关的因素。

方法

共有196名符合条件的非正式照料者参与了本次调查。进行多变量分析以探讨与非正式照料者感知到的培训需求相关的因素。

结果

86.7%(n = 170)的照料者报告至少有一项针对性培训活动的需求,其中62.7%(n = 123)的人确定有两项或更多培训需求。需要培训的前三项活动如下:自我护理技能;安全监督;以及功能康复。与各种培训需求相关的因素包括受照料者的健康状况、补充照料支持、照料压力以及非正式照料者的个人属性。技术技能培训需求与受照料者的健康状况(如依赖程度、疾病进展)和正式照料支持资源更相关。相反,无形技能培训需求对照料者属性(如性别、年龄和教育水平)更敏感。

结论

个性化培训策略和早期干预项目对于为非正式照料者提供有效支持至关重要。潜在影响是提高对非正式照料者技能培训重要性的认识,并为在中国实施有效培训策略提供参考,以提高非正式照料的质量和非正式照料者的福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3f/11641250/34b8f4235744/healthcare-12-02369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3f/11641250/8492259b788d/healthcare-12-02369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3f/11641250/34b8f4235744/healthcare-12-02369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3f/11641250/8492259b788d/healthcare-12-02369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3f/11641250/34b8f4235744/healthcare-12-02369-g002.jpg

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本文引用的文献

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Cultural and societal motivations for being informal caregivers: a qualitative systematic review and meta-synthesis.文化和社会因素对非正式照护者的影响:定性系统评价与元分析。
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Communication training programmes for informal caregivers of people living with dementia: A systematic review.
沟通培训计划为非专业照护者的人生活与痴呆症:一个系统的回顾。
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