| Objective:(1) To study and explore the quality of life for family caregivers of Alzheimer patients from physical, psychological, social relations, environment, as well as how social support would affect individual behavior; understanding of community care service utilization and demand; (2) To explore how much is the feasibility of improve the recovery status of patients within the community by offering more social support to family caregivers from effective community care services and intervening from professional nursing.Methods:The purpose of this study has established the health of residents in Wuhan file 10 neighborhood as an experimental community, the survey of Wuhan City Patients with Alzheimer's Family Caregivers; survey include:the survey of the general situation (demographic characteristics, health status, care history), and the quality of life measured by the World Health Organization (WHOQOL-BREF) Chinese version of the quality of life of their caregivers evaluation in order to understand their physical, psychological, social relations, environment, four major areas of the basic conditions and demand conditions. To follow the principle of convenience sampling, from the intervention area and control area, respectively, of family caregivers an object of investigation to carry out the physical, psychological, social relations, environment and community care services in four major fields of and demand for the use of questionnaires. Concrete way by the investigating officers will be issuing questionnaires over the door, and through the neighborhood of two forms of payment payable to the survey, the questionnaire completed by the survey itself. Apply the results of statistical description and analysis, Logistic regression analysis, the method of combining, for family caregivers in the process of everyday life, medical, nursing, and social service needs have paid and their influencing factors were analyzed. According to the survey, formulate corresponding community care intervention programs, the intervention group to intervene every two weeks, once 30-40 minutes, and the implementation of 6 consecutive months of care and intervention, to investigate about their quality of life improvements, evaluate intervention effect. Used in all the information available to quantify the specific database and analyzed using mean and standard deviation (x±s) indicated. Intervention group and control group was used to compare each index t test.Results:This survey was completed a total of 149 copies of the questionnaire response rate was 99.3%, removal of incomplete or failed to answer the questionnaire, a total of 132 valid questionnaires were received, of which 71 cases of male, female 61 cases, age range of 34-78 years. Analysis showed that:1. 94.2% of elderly caregivers of dementia there are different degrees of quality of life issues. (1) Those physical pressure of the caregivers:to take care of AD is an onerous task trivial, their patients often living day and night reversed, abnormal behavior, and sometimes suspicion, attack family members, caregivers are often tired day after day, dragging the footer, long-term physical exertion, affect the health of caregivers. (2) Those psychological pressure of the caregivers:As the AD patients with the demeanor of the great changes have taken place, than in the past, communication skills, intelligence and self-care ability of the larger obstacles have emerged, which will take care of those enormous pressure. Because it is informal caregivers, the disease etiology, the development process, the knowledge of the outcome of lack of understanding of the care of a long and arduous, of ten occur helplessness, frustration, loss of confidence in the other negative emotions, thereby affecting the quality of care. (3) The caregivers basically did not own their social life: Because of the particularity of the Alzheimer's disease that the caregivers' personal time was reduced, and making friends the opportunity to reduce the lack of recreational activities, this time will not be able to meet the personal or interpersonal needs or develop interests and hobbies.2. Endowment institution dementia family caregivers mostly has good economic base, its social relation area score significantly better than family endowment caregivers, has certain advantages of endowment institution, can yet be regarded as a viable way, to improve the endowment of quality of life, and to promote their social functions. But the existing facilities are mostly in aged under the condition of urban planning, and gradually build up by Chinese traditional ethical culture, most families have no choice in endowment.3. The caregivers have a high need for community care, in addition to the needs of the individual entries of 50% or less, the majority of entries were more than 50%.4. The quality of life and care needs was negatively relevance, the poorer quality of life, the faster the community care needs increased.Conclusions:At present, our city endowment facilities are far away from our demand, poor living condition and overcharging, most families choose caring for patients with senile dementia in the community and in their own homes. Senile patients with dementia in many respects to the family caregiver burden caused by a lot of pressure, resulting in a decline in quality of life of caregivers, thereby affecting their quality of care in patients with senile dementia. Therefore, Accelerate development and perfect our country's dementia patient care service system, establishing and perfecting the community elderly service network, we should change the traditional model of medical care, improve the health care system, for family caregivers, to give appropriate assistance and to strengthen its guidance and teachings in order to alleviate the pressure of their care, thus improving their quality of life, and ultimately improve their quality of care.
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