Dementia and Cognitive Impairment in the Farming Community. A Preliminary Qualitative Study of Carers' Perceptions of Risks and Barriers to Care

IF 2.4 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2026-07-14 DOI:10.1111/ajr.70231

Patrick Golemo, Kerri-Lynn Peachey, Tony Lower, Carlos Mesa-Castrillon

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引用次数: 0

Abstract

Objective

To explore the risks and barriers to care of informal carers of farmers living on-farm with dementia and cognitive impairment.

Methods

Seven individual semi-structured telephone interviews were conducted between June and July 2025. Purposive sampling included carers to discuss their perceptions of caring for people with dementia living on farms.

Design

Qualitative study, grounded theory with iterative thematic analysis.

Setting

Rural Australia.

Participants

Informal carers.

Main Outcomes

Risks and barriers to care.

Results

Six themes were noted in the interviews: (1) Geographic isolation; (2) Physical hazards and farm responsibilities; (3) Interpersonal relationship conflict; (4) Inadequate government support; (5) Lack of local healthcare resourcing; and (6) Positive aspects of the farm environment. Participants discussed strategies for care, such as enlisting additional familial support. Some of these themes were unique to the farm context.

Conclusion

Carers of farmers with dementia highlighted a combination of risks and barriers to care that often interact synergistically with each other, leading to unmet needs for care. Carers highlighted a need for tailored solutions to care in the unique farm context. Integrating the farm environment with accessible assistance off farm appeared to be a strong desire among carers.

查看原文本刊更多论文

农业社区的痴呆和认知障碍。照护者对照护风险及障碍认知之初步质性研究。

目的：探讨农家痴呆和认知功能障碍农民非正式护理员的护理风险和障碍。方法：于2025年6月至7月对7名个体进行半结构化电话访谈。有目的的抽样包括护理人员，讨论他们对照顾生活在农场的痴呆症患者的看法。设计：定性研究，扎根理论与迭代主题分析。背景：澳大利亚乡村。参与者：非正式护工。主要结果：护理的风险和障碍。结果：访谈主要涉及六个主题：(1)地理隔离；(2)物理危害和农场责任；(3)人际关系冲突；(4)政府支持不足；(5)缺乏地方医疗资源；(6)农场环境的积极方面。与会者讨论了护理策略，例如争取额外的家庭支持。其中一些主题对农场环境来说是独一无二的。结论：痴呆症农民的护理人员强调了护理风险和障碍的组合，这些风险和障碍往往相互协同作用，导致护理需求未得到满足。护理人员强调需要在独特的农场环境中提供量身定制的护理解决方案。将农场环境与农场外可获得的援助相结合似乎是护理人员的强烈愿望。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.