关键词: Caregiving safety Elderly Functional dependence Home-based care Influencing factors Informal caregivers Qualitative study Risk perception

来  源:   DOI:10.1186/s12912-024-02211-5   PDF(Pubmed)

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.
CONCLUSIONS: 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:这项研究探讨了家庭功能依赖老年人非正式照顾者的风险感知特征和影响因素,旨在提高护理人员对护理风险的感知和应对能力,并最终提高这些人的生活质量。
方法:我们采用目的抽样的方法从郑州市某社区抽取了22名非正式照顾者,河南省,中国,在2023年3月至9月期间,进行了面对面的半结构化深度访谈。数据采用Colaizzi的七步分析法进行分析。
结果:我们提取了两个主题,护理风险感知特征和护理风险感知相关因素,和八个子主题,感知的风险可能性,感知的风险预期,感知后果的严重性,过去的护理经验,健康素养,心理状态,照顾负担,家庭社会支持。
结论:非正式看护者如何感知与在家照顾功能依赖老年人相关的风险存在差异,各种因素可能会影响。至关重要的是提供涵盖护理所需知识和技能的培训,提高护理人员的安全风险意识,并建立对护理风险的正确认识。政府必须建立和完善护理人员临时服务的全面框架。同时,医疗保健专业人员应积极开展健康教育工作,以增强非正式护理人员对护理安全风险的认识,从而培养对护理风险感知的准确意识。
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