家庭护理环境中家庭照顾者如厕协助带来的身体、情感和经济负担,以及与每种负担相关的因素:一项横断面研究。

IF 1.7 4区 医学 Q2 NURSING
Miho Shogenji, Mikako Yoshida, Takahiro Kakuchi, Kohei Hirako
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引用次数: 0

摘要

目的:在家庭护理环境中,护理人员在提供如厕帮助时可能会承受巨大的身体、情感和经济负担。然而,很少有研究对护理人员这三个方面的负担进行评估。因此,本研究旨在明确如厕协助带来的身体、情感和经济负担,并研究与每种负担相关的因素:方法:2019 年,我们向日本接受家庭护理和失禁产品补贴的 405 位老年人的家庭护理者发放了一份自填式邮寄问卷。家庭护理人员回答了有关如厕协助、在家中提供如厕协助时感知到的身体、情感和经济负担以及老年人大小便症状的问题:在 242 位报告了各种负担的家庭照顾者中,213 位(88%)至少经历过一次身体、情感或经济负担。身体、情感和经济负担的发生率分别为 77.3%、78.1% 和 70.7%。约有 60% 的受访者表示同时经历了这三种负担。身体负担与配偶作为主要照顾者、夜尿、大便失禁以及协助如厕产生的尿液/粪便气味有关。情感负担与夜间协助、尿失禁吸收产品造成的尿液/粪便渗漏以及尿液/粪便的气味有关。经济负担与频繁协助、尿失禁吸收产品的处理费用以及如厕协助的程度有关:研究结果表明,家庭护理人员在协助如厕方面的三种负担的发生率很高,这表明有必要对这些负担进行评估。此外,他们还提出了为家庭成员提供指导的重要性,这可能有助于减轻这些负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical, emotional, and financial burdens of toileting assistance for family caregivers in home care settings and factors associated with each burden: A cross-sectional study

Aim

Caregivers in home care settings may experience significant physical, emotional, and financial burdens in providing toileting assistance. However, few studies have evaluated these three aspects of caregiver burden. Therefore, this study aimed to clarify the physical, emotional, and financial burdens of toileting assistance and examine the factors associated with each burden.

Methods

A self-administered postal questionnaire was distributed to 405 family caregivers of older adults receiving home care and subsidies for incontinence products in Japan in 2019. Family caregivers answered questions about toileting assistance, the perceived physical, emotional, and financial burdens of providing toileting assistance at home, and the urinary/fecal symptoms of older adults.

Results

Of the 242 family caregivers who reported each burden, 213 (88%) had experienced at least one physical, emotional, or financial burden. The prevalence of physical, emotional, and financial burdens was 77.3%, 78.1%, and 70.7%, respectively. Approximately 60% of respondents reported experiencing all three burdens. Physical burden was associated with spouses acting as primary caregivers, nocturia, fecal incontinence, and the odor of urine/feces from toileting assistance. Emotional burden was associated with nighttime assistance, urinary/fecal leakage from absorbent incontinence products, and the odor of urine/feces. Financial burden was associated with frequent assistance, disposal costs of absorbent incontinence products, and the degree of toileting assistance.

Conclusions

The results revealed a high prevalence of the three burdens of toileting assistance among family caregivers, suggesting the need to assess these burdens. Furthermore, they suggested the importance of providing guidance to family members, which may help reduce these burdens.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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