Family Care Partner's Preparedness in Caring for Hospitalized Persons With Dementia

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY International Journal of Geriatric Psychiatry Pub Date : 2024-11-10 DOI:10.1002/gps.70013

Anju Paudel, Azza Mubarak Al Harrasi, Ashley Kuzmik, Diane Berish, Ahmed-Rufai Yahaya, Marie Boltz

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Abstract

Objectives

To examine care partner preparedness in caring for recently hospitalized persons with dementia and care partner characteristics associated with preparedness at discharge, 2 months, and 6 months post discharge.

Methods

Stepwise regression in a sample of 461 care partners of hospitalized persons with dementia who participated in the Fam-FFC clinical trial.

Results

On average, care partners were 61.81 years old (SD = 14.19) and primarily female (n = 334, 72.5%). Care partners reported having some preparedness in general and it increased from discharge (23.75, SD = 6.78) to 2 months (24.5, SD = 6.49) and 6 months (26.35, SD = 6.73). Multiple care partner characteristics were associated with preparedness at discharge [age (b = −0.071; p < 0.001), burden (b = −0.283; p < 0.001), and depression (b = −0.284; p < 0.01)], 2 months [burden (b = −0.226; p < 0.001), strain (b = −0.144; p < 0.05), depression (b = −0.185; p < 0.05)] and 6 months [burden (b = −0.164; p < 0.01), strain (b = −0.183; p < 0.05), depression (b = −0.279; p < 0.01)] post discharge. While care partners' feelings of greater burden and depression were associated with lower preparedness at all time points, care partners' higher age was associated with lower preparedness at discharge only and care partners' feelings of higher strain was associated with lower preparedness at two and 6 months post discharge.

Conclusion

Findings suggest the need to address care partners' feelings of burden, strain, and depression with tailored interventions and programs to optimize their preparedness in meeting unique care needs of hospitalized persons with dementia. Resilience-based interventions and programs can be useful to manage feelings of burden, strain, and depression and optimize preparedness.

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家庭护理伙伴在护理住院痴呆症患者时的准备情况。

目的研究护理伙伴在护理刚住院的痴呆症患者时的准备情况，以及出院时、出院后2个月和6个月时与准备情况相关的护理伙伴特征：方法：对参加 Fam-FFC 临床试验的 461 名住院痴呆症患者的护理伙伴样本进行逐步回归：护理伙伴的平均年龄为 61.81 岁（SD = 14.19），以女性为主（n = 334，72.5%）。护理伙伴报告说，他们一般都有一定的准备，而且从出院（23.75，SD = 6.78）到 2 个月（24.5，SD = 6.49）和 6 个月（26.35，SD = 6.73），准备程度都有所提高。护理伙伴的多个特征与出院时的准备情况有关[年龄（b = -0.071; p 结论：护理伙伴的特征与出院时的准备情况有关]：研究结果表明，有必要通过量身定制的干预措施和计划来解决护理伙伴的负担感、压力感和抑郁感，以优化他们的准备状态，满足住院痴呆症患者的独特护理需求。以复原力为基础的干预措施和计划可以有效控制负担感、压力感和抑郁感，并优化准备状态。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.