Caregiving for elderly population: A mixed-method study conducted in the urban population of Tamil Nadu

K. Premanandh, M. Rajalakshmi, Reena Mohan
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Abstract

Background: Caregiving for elderly individuals is an emerging health issue that affects the quality of life of caregivers. The objective of this study was to explore the difficulties faced by caregivers in providing care to the elderly population. Methodology: This study was conducted using an explanatory mixed-method study design, in which a quantitative component (cross-sectional study) was followed by a qualitative component (in-depth interview). A total of 101 caregivers of the elderly population (with moderate disability level and above) were screened for personal stress using a perceived stress scale. Following quantitative data collection, an in-depth interview was conducted among caregivers selected by purposive sampling using an interview guide to explore the issues faced by caregivers. Results: A total of 384 individuals aged 60 years and above were screened for the level of disability. A total of 101 caregivers who were providing supportive care to elderly people with moderate and severe levels of disability were screened for stress using a perceived stress scale. Around 54% of the caregivers reported high perceived stress and 28% of the caregivers reported moderate stress. In-depth interviews using purposive sampling identified the following themes for caregivers of elderly individuals: frustration about providing continuous care, dealing with personal health problems, feeling anger, and isolation and financial stress. Conclusions: The need for caregiving for the older population is increasing. A significant amount of stress has been reported among caregivers. Frustration about providing continuous care, dealing with personal health problems, and feeling isolation and financial stress were the common challenges reported by the caregivers.
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老年人口护理:在泰米尔纳德邦城市人口中进行的一项混合方法研究
背景:对老年人的照顾是一个新兴的健康问题,影响到照顾者的生活质量。本研究的目的是探讨照顾者在照顾长者时所面临的困难。研究方法:本研究采用解释性混合方法研究设计,其中定量成分(横断面研究)之后是定性成分(深度访谈)。采用感知压力量表对101名中度及以上残疾老年人护理人员进行个人压力筛查。在定量数据收集的基础上,采用有目的的抽样方法,采用访谈指南对护理人员进行深度访谈,探讨护理人员面临的问题。结果:对384名60岁及以上的老年人进行了残疾水平筛查。使用感知压力量表对101名为中度和重度残疾老年人提供支持性护理的护理人员进行压力筛查。大约54%的照顾者报告了高感知压力,28%的照顾者报告了中等压力。采用有目的抽样的深入访谈确定了老年人护理人员的以下主题:对提供持续护理感到沮丧,处理个人健康问题,感到愤怒,孤立和经济压力。结论:老年人口的护理需求正在增加。据报道,照顾者中存在大量压力。对提供持续护理、处理个人健康问题、感到孤立和经济压力感到沮丧是护理人员报告的常见挑战。
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