長照2.0 照顧服務資源對主要照顧者負荷之成效-以臺中市某長照機構為例

吳虹諭

doi:10.6834/csmu202100271

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長照2.0 照顧服務資源對主要照顧者負荷之成效-以臺中市某長照機構為例

Effectiveness of long-term care 2.0 home services on the loading of primary caregivers : retrospective cohort study of a community-based service center in Taichung

吳虹諭 , Masters　　Advisor：李淑杏　　

繁體中文 DOI： 10.6834/csmu202100271

長照2.0 ；居家照顧服務；喘息服務；主要照顧者；照顧負荷； Long-Term Care 2.0 policy ； home care service ； primary caregiver ； burden

Abstract │ Reference (112) │ Altmetrics

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Background：
Taiwan's population is rapidly aging, and the increasing demand for long-term care has created a caregiver burden. The government implemented the Long-Term Care 2.0 policy in June 2017 to provide related care service resources. Whether home care services and respite services reduce the loading of primary caregivers is worthy of investigation.
Objective：
This study aimed to explore the effectiveness of the care service resources provided by the Long-Term Care 2.0 policy, including home care services and respite services, on primary caregivers’ loading.
Methods：
This retrospective cohort study analyzed data from the care service management information platform of the Ministry of Health and Welfare for a long-term care institution in Taichung City. Data was retrieved on 211 cases meeting the long-term care service application objectives who had continuously used long-term care for at least 1 year between January 1, 2019 and December 31, 2020. Data was analyzed using descriptive statistics (numbers, percentages, and mean±standard deviation) and inferential statistics, including paired t-tests and generalized estimation equation (GEE) analysis. 
Results：
The average duration of care was 4.5 years. Primary caregivers were mostly female (66.35%); 49.76% had jobs; 75.83% reported their quality of life was not good. Initially, 91% of carers were unable to bear the care-giving pressure and 72.04%, the physical load; 46.45% had sleep disturbances; 36.97% were troubled by the patient’s behavior; and 29.38% needed to allocate time to care for other family members. Use of the long-term care service resources significantly reduced all of the above-mentioned loads (p<.001). GEE analysis found primary caregiver burden was associated with early-stage care, female carers, poor carer quality of life, and poor carer ADL and IADL, while long-term care resources significantly reduced these loads (p<.001).  
Conclusion：
Primary caregivers are often heavily burdened; the long-term home care service resources effectively reduced the caregivers’ burden. This study provides a preliminary understanding of the effectiveness of the Long-Term Care 2.0 policy.

Reference ( 112 ) 〈TOP〉

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