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痴呆症患者家庭照顾者的照顾经历:一项比较有移民背景和本地背景照顾者的全国性调查研究

Care Experiences of Family Caregivers of People with Dementia: A Nationwide Survey Study Comparing Caregivers with Migrant and Native Backgrounds.

作者信息

de Graaff Michiel L A, Bijnsdorp Femmy M, Rademakers Jany J D J M, Francke Anneke L, van Valkengoed Irene G M, van den Buuse Susanne, van der Heide Iris

机构信息

Nivel. Netherlands Institute for Health Services Research, Utrecht, Netherlands.

Department of Family Medicine, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, Netherlands.

出版信息

Dementia (London). 2025 Sep 3:14713012251375251. doi: 10.1177/14713012251375251.

Abstract

Having a migration background might be associated with the care experiences of family caregivers of people with dementia. For example, caregivers with a migration background often face additional challenges in accessing professional care. The aim of this study was to provide insight into differences in care experiences between family caregivers with a native Dutch and a European or a non-European migration background. Data were used from a large-scale Dutch survey among family caregivers of relatives with dementia. The sample consisted of 170 caregivers with a European migration background, 199 caregivers with a non-European migration background and 4,158 caregivers with a native Dutch background. Linear and multinomial logistic regression analyses were used to analyse the survey data. The results were adjusted for background characteristics such as sex and age. No differences were found between the two migrant groups and the native Dutch group in the perceived care burden and the caregiving intensity. Family caregivers with a European migration background were less likely to feel prepared for future changes in the dementia trajectory of their relative with dementia than caregivers with a native Dutch background. In addition, caregivers with a European migration background gave a lower score for their appreciation of the overall supply of care and support. Caregivers with a migration background, but not caregivers with a migration background, were less likely to feel prepared for future changes than caregivers with a native Dutch background. In addition, they had lower appreciation for the overall supply of care and support. Offering a good supply of professional care and support, tailored to the individual situation and support needs, is important for caregivers in general, and those with a European migration background in particular.

摘要

有移民背景可能与痴呆症患者家庭照顾者的护理经历有关。例如,有移民背景的照顾者在获得专业护理方面往往面临额外的挑战。本研究的目的是深入了解具有荷兰本土、欧洲或非欧洲移民背景的家庭照顾者在护理经历上的差异。数据来自荷兰对痴呆症亲属家庭照顾者的一项大规模调查。样本包括170名具有欧洲移民背景的照顾者、199名具有非欧洲移民背景的照顾者和4158名具有荷兰本土背景的照顾者。采用线性和多项逻辑回归分析来分析调查数据。结果针对性别和年龄等背景特征进行了调整。在感知到的护理负担和护理强度方面,两个移民群体与荷兰本土群体之间未发现差异。与具有荷兰本土背景的照顾者相比,具有欧洲移民背景的痴呆症患者家庭照顾者对其亲属痴呆症病程未来变化的准备感较低。此外,具有欧洲移民背景的照顾者对整体护理和支持供应的满意度得分较低。有移民背景的照顾者(但不是有[此处原文缺失相关内容]移民背景的照顾者)比具有荷兰本土背景的照顾者对未来变化的准备感更低。此外,他们对整体护理和支持供应的满意度也较低。总体而言,为照顾者,尤其是具有欧洲移民背景的照顾者提供符合个人情况和支持需求的充足专业护理和支持非常重要。

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