长者社会照顾服务使用者及其照顾者的健康相关问题:日间护理中心的横断面研究。

Current health sciences journal Pub Date : 2024-01-01 Epub Date: 2024-03-31 DOI:10.12865/CHSJ.50.01.15
Styliani Kazaki, Antonios Christodoulakis, Ioanna Tsiligianni, Manolis Linardakis, Aikaterini E Mantadaki, Theodosios Kaffesakis, Emmanouil K Symvoulakis
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引用次数: 0

摘要

目的:本研究旨在探讨两个假设:1)老年人日间护理中心(DCCE)的使用者健康状况较弱,有多种与年龄相关的护理需求;2)护理人员因护理负担而产生一定程度的焦虑,其生活质量水平与使用者相似:本横断面研究于 2022 年 3 月至 4 月期间在希腊克里特岛伊拉克利翁地区的一家 DCCE 进行。研究样本包括 29 名 DCCE 社会护理服务使用者和 51 名护理人员。研究人员制作了一份简短的问卷,用于记录社会人口学特征和一般健康相关问题。此外,研究还采用了焦虑症状量表(焦虑简易筛查测试(SAST))和生活质量(SF-12)来测量参与者的焦虑和生活质量。为检测两组之间的差异,进行了对比分析:结果表明:使用社区保健服务者最常见的疾病是高血压(58.6%)、高胆固醇血症(55.2%)、类风湿性关节炎(24.1%)、糖尿病(24.1%)和心脏病(41.4%)。社会护理服务使用者的疫苗接种率明显更高(流感:100%;COVID-19:100%;带状疱疹:100%):100%、带状疱疹44.8%,肺炎球菌:86.2%)。约 75% 的用户(是:24%,有时:51.8%)和 45% 的护理人员(是:7.8%,有时:37.3%)至少有时感到孤独。所有参与者的 SAST 平均得分都较低(18.4,标准差:4.9),18.7% 的参与者处于严重症状的边缘。研究发现,社会护理服务使用者的生活质量(SF-12)平均水平较低,与心理健康分量表(39.6,标准差:9.3)相比,身体健康分量表(28.2,标准差:6.6)明显较低(P本研究强调了 DCCE 使用者的主要健康问题,以及他们的生活质量较低。此外,我们还发现,与使用者相比,照顾者也面临一些健康问题,他们的生活质量更高,SAST 水平更低。因此,社会和卫生政策提供者应考虑我们的研究结果,评估使用者和照顾者的需求,为他们提供全面的照顾,从而提高他们的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-Related Issues of Users of Social Care Services for Elderly and Their Caregivers: A Cross-Sectional Study in a Day Care Center.

Aim: The aim of this study was to examine two hypotheses: 1) Users of Day Care Center for Elderly (DCCE) would have frail health and multiple age-related care needs, and 2) caregivers would have to deal with some levels of anxiety due to the burden of care, and similar levels of quality of life to the users.

Materials and methods: The current cross-sectional study was carried out at a DCCE of the regional unit of Heraklion, Crete, Greece, between March-April 2022. The study sample comprised 29 DCCE social care services users and 51 caregivers. A short questionnaire sheet was created to record sociodemographic characteristics and general health-related issues. Additionally, the Anxiety Symptom Scale (Short Anxiety Screening Test (SAST)) and the Quality of Life (SF-12) were used to measure anxiety and quality of life of the participants. Comparison analysis was performed to detect differences between the two groups.

Results: The most common morbidities for users of DCCE were hypertension (58.6%), hypercholesterolemia (55.2%), rheumatoid arthritis (24.1%), diabetes (24.1%) and heart disease (41.4%). Users of social care services have significantly higher vaccination rates (influenza: 100%, COVID-19: 100%, herpes zoster: 44.8%, and pneumococcus: 86.2%) than their caregivers. About 75% (yes: 24% and sometimes: 51.8%) of the users and 45% of their caregivers (yes: 7.8%, and sometimes: 37.3%) felt lonely at least sometimes. All participants were found to have low mean levels of the SAST score (18.4, SD:4.9) and 18.7% were on the verge of severe symptoms. Users of social care services were found to have low average levels of quality of life (SF-12), with significantly lower physical health (28.2, SD: 6.6) compared to the Mental health subscale (39.6, SD: 9.3) (p <0.001).

Conclusions: This study highlighted the main health-issues of DCCE users, and that they have low quality of life. Additionally, we found that caregivers faced a few health-issues, and had higher quality of life and lower SAST levels than the users. Therefore, social and health policy providers should consider our findings and assess the users' and caregivers' needs to provide holistic care, thus improving their quality of life.

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