Caregiving Experiences of Family Caregivers of Elderly Persons with Dementia in Northern Taiwan

本研究是以先前在北部（城市及鄉村各一處）社區流行病學調查所篩檢的個案為基礎，對29位居家老年期痴呆症主要照顧者作調查，以了他們的照顧經驗。研究方法是以一次家訪中與照顧者面談，採取開放式問題，就回答內容逐字記錄下來後再由研究員按重要主題來分析，以取得質性資料。照顧者報告中最常見的困難任務是協助日常活動能力、處理失禁、處理病人健康問題。病人的記憶及行為問題中讓照顧較困難的項目包括懷疑／責備，遺忘及遊走。照顧者用來處理特定困難任務的方法，最常使用的是環境處理及代為處置；處理記憶及行為問題的方法是說服患者及單純陪伴在旁。在整體的照顧方法上，照顧者最常使用的是照顧安排。本研究的發現使醫護人員體會到痴呆症照顧者所面對不同而又廣泛的困難與問題，他們如何用不同的方法來處理問題。從而我們身為醫護人員應該如何教導他門採用更有效的方法去處理問題及協助他們照顧上的困難。

關鍵字

無資料

並列摘要

This is part of the follow-up to of a large epidemiological study on the prevalence of dementia. Twenty-nine caregivers of demented elderly persons identified from previous study were further studied in the second phase in order to understand the caregiving experiences. In home, one-time, face-to-face interviews were used to collect data. Qualitative data derived from open-ended questions were transcribed verbatim and the content analyzed by the researchers for major themes. Difficult tasks most frequently reported by caregivers were difficulties in helping with activities of daily living, managing incontinence, and handling patient's health problems. Patient's memory and behavioral problems most frequently causing difficulties in care were suspicion/accusation, forgetfulness, and wandering. Strategies which were most often used by caregivers to handle specific difficult tasks were environmental management and doing/fixing for the elderly subject; to handle patient's memory/behavioral problems were convincing them and going along with them. In overall caregiving strategies, care arrangement was most often used by caregivers. The findings of this study can sensitize the health providers to a wide variety of difficulties and problems caregivers of patients with dementia encounter. Health providers might be also more aware of the different strategies caregivers use in handling these difficulties and problems. Efforts can be put into helping families use more effective strategies when handling the behavioral problems and caregiving difficulties.

並列關鍵字

caregiving ； dementia ； coping strategy

國際替代計量

Caregiving Experiences of Family Caregivers of Elderly Persons with Dementia in Northern Taiwan

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