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In-home respite care in dementia: An evolutionary concept analysis
Huiyue Zhang1,2, Min Yin1, Xue Nan1
1School of Nursing, Lanzhou University, Lanzhou, 730000, China.
International Journal of Nursing Sciences
|August 11, 2025
Summary
In-home respite care offers temporary relief for dementia caregivers, reducing stress and improving quality of life. This family-centered approach helps delay institutionalization for individuals with dementia.
Area of Science:
- Gerontology
- Dementia Care
- Family Caregiving Studies
Background:
- Dementia care presents significant challenges for family caregivers.
- In-home respite care is a crucial but evolving service.
- Understanding its concept and evolution is vital for providers and users.
Purpose of the Study:
- To clarify the concept of in-home respite care in dementia care.
- To identify changes in in-home respite care service content over time.
- To enhance understanding for providers and users of this sustainable service.
Main Methods:
- A comprehensive literature search was conducted across major Chinese and English databases.
- Articles published between January 1980 and December 2024 were included.
- Rogers' conceptual analysis of evolution guided the study's six-step process.
Main Results:
- Thirty-one articles were analyzed, revealing the evolution of in-home respite care.
- Key attributes, antecedents (dementia, caregiver, social factors), and consequences were identified.
- Consequences include delayed institutionalization, reduced risks for patients, and improved well-being for caregivers.
Conclusions:
- In-home respite care is family-centered, providing temporary relief to reduce caregiver burden.
- Future research should focus on service specialization and addressing dementia families' specific needs.
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