"诊断和再见":关于痴呆症家庭护理人员正式服务使用的多视角见解
Francesca Falzarano1,2, Annabelle Greenfield1,2, Francesco Osso2,3
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
The Gerontologist
|February 21, 2025
概括
许多痴呆症护理人员需要家庭和社区服务 (HCBS),但面临着进入这些服务的障碍. 了解这些挑战是改善对家庭护理人员的支持和提高他们的准备能力的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 痴呆症家庭的护理要求很高,并且随着时间的推移而加剧.
- 家庭和社区服务 (HCBS) 可以提高护理人员的准备能力,但采用率很低.
- 护理人员对HCBS的需求和使用之间存在差距.
研究的目的:
- 探索护理人员对HCBS的需求和利用之间的断开.
- 识别阻碍HCBS访问和使用的障碍.
- 为加强护理人员支持的干预措施提供信息.
主要方法:
- 五个焦点小组与痴呆症家庭护理人员 (n=13) 和专家 (n=17) 进行了讨论.
- 使用演-诱导主题方法分析数据.
- 珍珠和其他人. 1990年的压力过程模型提供了理论框架.
主要成果:
- 三个概念出现了:"准备的途径"",多层次障碍"和"弥合差距".
- 护理人员需要在痴呆教育,心理健康,金融/法律导航和应急准备等方面得到支持.
- 在个人,提供者和系统层面存在障碍,阻碍HCBS访问.
结论:
- 美国HCBS系统复杂,具有影响护理人员访问的多维障碍.
- 个性化导航和技术可以弥合需求和服务之间的差距.
- 结果可以指导基于网络的干预措施,以提高护理人员的知识和HCBS利用率.
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