School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden.
Aging Research Center, Karolinska Institutet & Stockholm University, 171 65 Solna, Sweden.
Int J Environ Res Public Health. 2024 Oct 11;21(10):1348. doi: 10.3390/ijerph21101348.
Informal caregivers play a crucial role in the care of individuals with dementia, and their caregiving may significantly impact their own health and well-being. This cross-sectional survey study focuses on the perceived importance of various types and characteristics of formal support in a convenience sample of caregivers aged 65 years or older (N = 175) caring for a spouse with dementia. Participants completed a questionnaire containing 17 items describing different types of support and 12 items describing different characteristics of support, rating their importance. The questionnaire also contained questions on various caregiving-related factors. Principle components analysis (PCA) was carried out on the importance ratings, separately, on the types of support items and the characteristics of support items. Each PCA produced three components. For types of support, they were Proficiency and Opportunity, Supportive Structures, Flexible Counselling. For characteristics of support, they included Respectful and Competent, Timely Support, and Accessible and Acceptable. The three characteristics of the support components all had higher mean importance ratings than the three types of support components. The content of some components indicated that while spouse caregivers rate support for their caregiving needs as important, they may not always differentiate their own needs from those of their partner with dementia. The negative impact of caregiving was the factor most strongly and consistently associated with the components' importance ratings. This study emphasizes the need for health and social care providers to address the unique needs of spouse caregivers while simultaneously ensuring the delivery of quality care for individuals with dementia.
非专业照料者在痴呆症患者的护理中起着至关重要的作用,他们的照料可能会对自己的健康和福祉产生重大影响。本横断面调查研究关注的是在一个方便抽样的 65 岁或以上的照料者样本(N=175)中,他们对各种类型和特征的正式支持的感知重要性,这些照料者照顾的是患有痴呆症的配偶。参与者完成了一份包含 17 项描述不同类型支持和 12 项描述不同支持特征的问卷,对其重要性进行了评分。该问卷还包含了与各种照护相关的因素问题。分别对支持项目的类型和支持项目的特征的重要性评分进行了主成分分析(PCA)。PCA 分别对支持项目的类型和支持项目的特征产生了三个组成部分。对于支持的类型,它们是专业能力和机会、支持性结构、灵活的咨询。对于支持的特征,它们包括尊重和能力、及时的支持、以及可及和可接受性。支持组成部分的三个特征的重要性评分均高于支持类型的三个组成部分。一些组成部分的内容表明,虽然配偶照料者认为支持他们的照护需求很重要,但他们可能并不总是将自己的需求与痴呆症伴侣的需求区分开来。照护的负面影响是与组成部分的重要性评分最强烈和最一致相关的因素。这项研究强调了医疗和社会保健提供者在满足配偶照料者独特需求的同时,为痴呆症患者提供优质护理的必要性。