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从沙特阿拉伯成年患者的角度评估非正式护理人员的角色和责任:一项横断面研究。

Assessing the Roles and Responsibilities of Informal Caregivers from the Perspective of Adult Patients in Saudi Arabia: A Cross-Sectional Study.

作者信息

Almazrou Saja H, Alaujan Shiekha S, AlSaad Nouf F

机构信息

Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh 11362, Saudi Arabia.

Royal Commission Hospital, Jubail 31961, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 May 1;13(9):1038. doi: 10.3390/healthcare13091038.

DOI:10.3390/healthcare13091038
PMID:40361815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071374/
Abstract

This study aim to determine the characteristics, roles, responsibilities, and challenges of informal caregivers for adult patients in Saudi Arabia. : Adult patients who have informal caregivers were invited to participate in a cross-sectional study. The inclusion criteria were patients who were 18 years old or older and permanent Saudi residents. A self-administered online questionnaire was used to identify patients' demographics, roles, responsibilities, and care challenges. Data collection lasted four months. Percentages, means, and standard deviations were reported in the analysis. The study included 276 participants, mostly female (68.8%), with a mean age of 55.21 years (SD = 20.3). Over half were married (56.2%) and not employed (81.9%). Common chronic diseases were diabetes and hypertension, with 55.8% using up to five medications. Caregivers were mainly sons or daughters (62%) living with the patient (84.1%). The top caregiver tasks were escorting patients to appointments (63.4%), scheduling doctor appointments (60.1%), and tracking medication refills (59.4%). Common challenges included caregivers lacking time (45.3%), inconsistent care (35.9%), financial constraints (27.5%), and caregivers missing doses (27.9%). The top not encountered challenges were inappropriate medication storage (78.3%), communication barriers (74.3%), improper disposal of injections (72.5%), medication management errors (71.4%), and lack of empathy (70.3%). This study highlights the vital role of informal caregivers in managing chronic illnesses in Saudi Arabia. Informal caregivers face challenges such as time constraints and financial limitations. The findings emphasize the need for better support systems, including training programs and improved access to healthcare resources, to enhance care quality for patients.

摘要

本研究旨在确定沙特阿拉伯成年患者非正式照料者的特征、角色、责任及挑战。邀请有非正式照料者的成年患者参与一项横断面研究。纳入标准为年龄18岁及以上的沙特永久居民。使用一份自行填写的在线问卷来确定患者的人口统计学信息、角色、责任及护理挑战。数据收集持续了四个月。分析中报告了百分比、均值和标准差。该研究纳入了276名参与者,大多数为女性(68.8%),平均年龄为55.21岁(标准差 = 20.3)。超过半数已婚(56.2%)且未就业(81.9%)。常见慢性病为糖尿病和高血压,55.8%的患者使用多达五种药物。照料者主要是与患者同住的儿子或女儿(62%)(84.1%)。最主要的照料任务是陪同患者就诊(63.4%)、安排医生预约(60.1%)以及跟踪药物续方(59.4%)。常见挑战包括照料者缺乏时间(45.3%)、护理不一致(35.9%)、经济限制(27.5%)以及照料者漏服药物(27.9%)。最未遇到的挑战是药物储存不当(78.3%)、沟通障碍(74.3%)、注射剂处置不当(72.5%)、药物管理错误(71.4%)以及缺乏同理心(70.3%)。本研究凸显了非正式照料者在沙特阿拉伯慢性病管理中的重要作用。非正式照料者面临时间限制和经济限制等挑战。研究结果强调需要更好的支持系统,包括培训项目和改善医疗资源获取途径,以提高患者的护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baba/12071374/7729cec99cb2/healthcare-13-01038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baba/12071374/7729cec99cb2/healthcare-13-01038-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baba/12071374/7729cec99cb2/healthcare-13-01038-g001.jpg

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本文引用的文献

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Barriers and facilitators to health technology adoption by older adults with chronic diseases: an integrative systematic review.慢性病老年患者采用健康技术的障碍和促进因素:综合系统评价。
BMC Public Health. 2024 Feb 16;24(1):506. doi: 10.1186/s12889-024-18036-5.
2
Roles and experiences of informal caregivers of older adults in community and healthcare system navigation: a scoping review.老年人在社区和医疗保健系统中导航时的非正式照顾者的角色和经验:范围综述。
BMJ Open. 2023 Dec 9;13(12):e077641. doi: 10.1136/bmjopen-2023-077641.
3
The experience of informal caregiving within Saudi society: expressed needs and expectations.
沙特社会中非正式照料的经历:表达出的需求与期望。
J Egypt Public Health Assoc. 2023 Feb 15;98(1):2. doi: 10.1186/s42506-023-00130-y.
4
Make Family Caregivers Visible, Valued, and Supported: An Interview with Patients' Caregivers' Advocate.关注、重视和支持家庭护理人员:与患者护理人员倡导者访谈。
Acta Haematol. 2023;146(1):47-51. doi: 10.1159/000527734. Epub 2022 Oct 28.
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Family Caregiver: The Forgotten Savior.家庭照顾者:被遗忘的救星。
Int J Community Based Nurs Midwifery. 2021 Oct;9(4):346-347. doi: 10.30476/IJCBNM.2021.90118.1673.
6
The burden perceived by informal caregivers of the elderly in Saudi Arabia.沙特阿拉伯老年非正规照料者所感受到的负担。
J Family Community Med. 2017 Sep-Dec;24(3):145-150. doi: 10.4103/jfcm.JFCM_117_16.
7
Understanding How to Support Family Caregivers of Seniors with Complex Needs.了解如何支持有复杂需求的老年人的家庭照顾者。
Can Geriatr J. 2017 Jun 30;20(2):75-84. doi: 10.5770/cgj.20.252. eCollection 2017 Jun.
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