Brotman S L, Yaffe M J
McGill University School of Social Work Consortium for Ethnicity and Stategic Social Planning.
Can Fam Physician. 1994 Apr;40:679-85.
To explore expressed needs, both formal and informal, of family caregivers of frail elderly. To evaluate roles of physicians.
Questionnaire survey of members of the Montreal Jewish community providing care for frail elderly family members.
Jewish community of Montreal.
Volunteer caregivers who were caring for a family member or friend 60 years or older, who had greatest responsibility for providing physical or emotional support to an elderly person, who saw themselves as caregivers, and who could speak English or French were studied. Of 118 volunteers, 32 were excluded because they withdrew for personal reasons or because they did not meet study criteria.
Demographic variables, functional status of the care receiver, use of home care services, and needs assessment to identify additional services.
An average of 75.4% respondents did not use formal support services. Just under half of caregivers were dissatisfied with the attention they received from the health care system, and more than one third expressed feelings of stress, depression, guilt, and isolation.
Hypotheses for this discontent are presented. Physicians may be uninterested in helping caregivers; even if they were receptive to counseling caregivers, they could be poorly remunerated for the types of counseling sessions that are usual for caregivers; and being a professional caregiver to family caregivers is demanding in itself.
探讨体弱老年人家庭照顾者的正式和非正式表达需求。评估医生的作用。
对蒙特利尔犹太社区中照顾体弱老年家庭成员的成员进行问卷调查。
蒙特利尔犹太社区。
研究对象为志愿照顾者，他们照顾60岁及以上的家庭成员或朋友，对为老年人提供身体或情感支持负有最大责任，将自己视为照顾者，且能说英语或法语。118名志愿者中，32人因个人原因退出或不符合研究标准而被排除。
人口统计学变量、受照顾者的功能状态、家庭护理服务的使用情况以及识别额外服务的需求评估。
平均75.4%的受访者未使用正式支持服务。近一半的照顾者对他们从医疗保健系统获得的关注不满意，超过三分之一的人表示有压力、抑郁、内疚和孤独感。
提出了这种不满情绪的假设。医生可能对帮助照顾者不感兴趣；即使他们愿意为照顾者提供咨询，对于照顾者常见的咨询类型，他们可能报酬微薄；而且成为家庭照顾者的专业照顾者本身就要求很高。
