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首页> 外文期刊>The East African medical journal >Informal carers of mentally infirm elderly in Lancashire.
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Informal carers of mentally infirm elderly in Lancashire.

机译：兰开夏郡弱智老人的非正式照料者。

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OBJECTIVES: To investigate the determinants of satisfaction in caregiving and to compare satisfaction in care-giving amongst carers of demented and non-demented mentally infirm elders; and, assess carer attitudes and concerns, and their implications on care in the community. DESIGN: Cross-sectional study of informal carers of the elderly referred to a psychogeriatric service, using a questionnaire investigating carer satisfaction (CASI), care-recipient dependency needs, carer burden (CADI), carer concerns and attitudes in relation to caregiving, and the 28-item GHQ. SETTING: Lancashire communities of Fleetwood, Thornton-Cleveleys, Poulton-Le-Fylde, and Over-Wyre. RESULTS: Carers achieved significant degrees of satisfaction in their role as care-givers; there was no significant difference in the degree of satisfaction gained by carers of the demented and non-demented. The mean CASI score, for carers of the demented and non-demented was 23(5.5) and 24.4 (5.7) respectively (mean difference -2.9; CI -4.6, 0.1; p = 0.058). Dissatisfaction in care giving was determined by total burden (CADI) scores, and younger carer age. Emotional distress in carers was weakly inversely correlated with CASI scores (r = -0.21, p = 0.042). Concerns expressed by carers, included desire for information on care recipient disability (39.5%) and fear of nursing/residential home placements (43%). Most carers had a generally positive attitude to care giving, inspite of significant degrees of burden to which they were subjected. CONCLUSIONS: Carer-related factors, particularly younger age, rather than dependency factors, were determinant of care giving satisfaction. Greater involvement of older persons in care giving should be encouraged, with younger persons assisting if care giving becomes overbearing. Carers require education on care-recipient disabilities and the benefits of care in formal care institutions.
机译：目的：研究精神病弱者和非精神病患者的照顾者对护理的满意度决定因素，并比较护理的满意度;评估照顾者的态度和担忧，及其对社区护理的影响。设计：使用问卷调查看护者的满意度（CASI），看护者的依赖性需求，看护者的负担（CADI），看护者的关注和与看护有关的态度，以及对涉及老年病服务的老年人的横断面研究。 GHQ的28个项目。地点：兰开夏郡的弗利特伍德，桑顿·克利夫斯，普尔顿·勒·菲尔德和Over-Wyre社区。结果：护理人员在照顾者方面的作用获得了很大程度的满足;痴呆者和非痴呆者的照顾者所获得的满意程度没有显着差异。痴呆症患者和非痴呆症患者的护理人员的平均CASI得分分别为23（5.5）和24.4（5.7）（平均差异-2.9; CI -4.6，0.1; p = 0.058）。对护理的不满意由总负担（CADI）评分和较年轻的护理人员年龄决定。照顾者的情绪困扰与CASI得分呈弱负相关（r = -0.21，p = 0.042）。护理人员表达的担忧包括：希望获得有关护理接受者残疾的信息（39.5％），以及对护理/住宅安置的恐惧（43％）。尽管照顾者承受着很大程度的负担，但大多数护理者对护理给予总体上积极的态度。结论：与护老者相关的因素，尤其是较年轻的年龄，而不是依赖因素，是能否给予满意护理的决定因素。应鼓励老年人更多地参与照料，如果照料过度，则由年轻人提供帮助。照料者需要接受照料者残疾教育以及正规照料机构中照料的好处的教育。

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