Strategies adopted by informal carers to enhance participation in daily activities for persons with dementia

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Gemma Burridge, Carmen Amato, Rosalind Bye, David Basic, Danielle Ní Chróinín, Susanna Hill, Kaitlin Howe, Karen P. Y. Liu
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Abstract

Objective

Carers for people with dementia commonly experience difficulty assisting the care-recipients with their daily activities and may adopt specific strategies to decrease the difficulties experienced. The objective of this qualitative study was to explore and understand the strategies used by carers to assist with daily activities for persons living with dementia.

Methods

Individual semi-structured interviews via face-to-face or telephone mode were conducted with 62 carers of persons living with dementia in Australia. Carers were asked about the strategies they have used previously, or are currently using, to assist with daily activity completion. Data were analysed via constant comparison and thematic analysis.

Results

All carers reported the need for strategies to accommodate the varying behaviour and functioning of the care-recipients. Participants reported a total of 207 strategies that fell into four main categories: (i) engage; (ii) adapt; (iii) orientate; and (iv) sense. The most used strategies were reported as those aimed at adapting the activity by using equipment to facilitate completion.

Conclusions

Carers help persons living with dementia complete their daily activities by developing their own strategies based on the care-recipients' needs and personal preferences through a trial-and-error process. Carers can benefit if more advice is provided to them by health/social care professionals regarding what strategies may be helpful. Further studies are needed to develop these strategies into an educational package so that carers can be guided to use these strategies appropriately.

Abstract Image

非正式照护者为促进痴呆症患者参与日常活动而采取的策略。
目的痴呆症患者的照护者在协助受照护者进行日常活动时通常会遇到困难,他们可能会采取特定的策略来减少所遇到的困难。本定性研究旨在探讨和了解照护者在协助痴呆症患者进行日常活动时所采用的策略:通过面对面或电话方式,对澳大利亚 62 名痴呆症患者的照护者进行了个人半结构化访谈。研究人员询问了照护者在完成日常活动时曾经或正在使用的辅助策略。数据通过恒定比较和主题分析进行了分析:结果:所有照护者都表示需要采取一些策略来适应被照护者的不同行为和功能。参与者共报告了 207 种策略,主要分为四类:(i) 参与;(ii) 适应;(iii) 定向;(iv) 感知。据报告,使用最多的策略是那些旨在通过使用设备来调整活动以方便完成的策略:结论:照护者通过试错过程,根据照护对象的需求和个人偏好制定自己的策略,帮助痴呆症患者完成日常活动。如果医疗/社会护理专业人员能向照护者提供更多关于哪些策略可能有帮助的建议,照护者就能从中受益。还需要进一步研究,将这些策略发展成一套教育方案,以便指导照护者适当使用这些策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australasian Journal on Ageing
Australasian Journal on Ageing 医学-老年医学
CiteScore
3.10
自引率
6.20%
发文量
114
审稿时长
>12 weeks
期刊介绍: Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.
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