The Study On Quality Of The Caregivers' Life Among Three Aged Living Patterns Among Cacs Patients

Objective:To survey the influence on the main caregivers quality of life between three aged living in hospital, in welfare and at home among the CACS patients.Methods187 caregivers of CACS patients living in Taian Traditional Chinese Medicine Hospital, Taian Invalides Hospital, two TaiShanQu elderly nursing and five TaiShanQu communities from July 2008 to December 2009, were selected. There are three endowment ways for CACS patients, and the caregivers of CACS were divided into three groups: caregivers in medical agency, caregivers in welfare hospital and caregivers in household. By using the clinical control study method, to survey and analysis of these 3 kinds of endowment way the influence on the quality of the escort resorted to life through six questionnaires. The original data were put into database to be statistically analysed with EXCEL and the tool SPSS17.0. Three sets of data were compared with t-test and F-inspection to calculate respectively and compare the influence of physiology, psychology and social conditions of the three kinds of endowments for the caregivers.Results1.Comparison in the quality of the caregivers'life: No significant difference on PF, RP and BP were not found, but significant differences on GH, VT, SF, RE and MH were shown: The caregivers of hospital endowment way are superior to welfare endowment way and home endowment way in the five aspects, and welfare endowment way are superior to home endowment way. There were more obvious differences for caregivers in emotional functions, in mental health and in social functions. The influence of the psychological aspect is more significant than that of the physiological aspect.2.Comparison in the life satisfaction of the caregivers: There were marked differences among the three groups. Life satifaction of hospital group, welfare group and home group fell in turn, 24.15±2.56,22.3±3.14,17.7±2.63 respectively. The life satisfaction of hospital group is higher than welfare group(P<0.05), but the life satisfaction of home group is lower than hospital group(P<0.01) and welfare group(P<0.01).3.Comparison in the social support of three groups: There are not obvious difference between home group and welfare group(P=0.11);The caregivers of hospital group get more social support than home group(P<0.01);there is no obvious difference between welfare group and hospital group.4.Comparison in cope with setbacks among the three groups: When the caregivers encounters the setback in the life or frustrations, they can take the attitude or response. In a positive manner: Hospital group is more active than welfare group (p < 0.05); Welfare group is more active than home group (p < 0.05); hospital group is more active than home group (p < 0.01). In contrast, home group is easier than welfare group in a negative way (p<0.05); Compared with home group and hospital group(p < 0.01), the caregivers are more negtive than that of hospita; Compared with welfare group and hospital group(P=0.10), there is no difference between them.Conclusion1.There showed little difference in physiology between the three groups, but hospital group is superior, in psychology and in social function and with higher life satisfaction, to welfare group and home group. Moreover, hospital group can receive more social support and is tend to take more actively when meet setbacks and difficulties. Hospital endowment is an endowment that can have the caregivers get higher quality of life. The caregivers'life quality of the welfare pension way takes second place. But medical institutions have some limitations in endowment.2.Not only the caregivers in hospital and in welfare can get more supports and help from society and family, but also patients can get more training. So more social support and help should be given to the caregivers, and more function exercise should be entitled CACS patients.SignificanceThe research provides the clinical data on the influence of the life quality for the CACS'caregivers , and is will help to provide theory basis and evidence-based medical evidence for decide aged living Patterns for CACS Patients.