Comprehensive Assessment of Family Caregivers with Dementia in Adult Day Care and Wisdom of Family
Date Issued
2015
Date
2015
Author(s)
Chang, Yu-Chin
Abstract
Background：As global aging, more dementia patient are cared by family caregivers., family caregivingmay have great impact onboth physical and mental health of the caregiver and the dementia older adults they are caring for. Evaluating family cargivers'' experiences, which may included both positive and negative experiences, are important for future program and policy development. People with dementia and their family caregivers may use adult day care model or wisdom of family model in Taiwan. Objective：The purpose of this study was to explore and compare comprehensive assessment of family caregiver with dementia using adult day care and wisdom of family. Method：This study administer a comprehensive questionnaire in five adult day care centers and one wisdom of family. The comprehensive Questionnaire incldued three subscale. There were caregiving satisfaction, caregiving mastery and modified caregiver strain index. Participants of this study is the caregiver who attended the dementia patient, patient used the service already three months and is the mainly caregiver. The study used multiple regression to analyze and compare the differences in comprehensive assessment between families using adult day care and wisdom of family. Dementia cases and their family caregivers'' characteristics were controlled. Result：93 family caregiver were surveyed. There were no significant differences in comprehensive assessment scores between caregiver using adult day care and wisdom of family. For subscales, caregiver strain index, caregiving mastery and caregiving satisfaction, there were no significant differences found between family caregivers using adult day care and wisdom of family. As for the total score of comprehensive assessment scores, employment status change of caregiver was positively associated with caregiver comprehensive assessment scale and caregiver strain index, and negatively associated with caregiving satisfaction. The average care time of a day is positively associated with caregiver comprehensive assessment scale. Caregiver age was negatively associated with caregiving mastery. Disscussion：There were no significant differences in the scores for conprehensive assessment, caregiver strain index, caregiving satisfaction and caregiving mastery between family careivvers using adult day care and wisdom of family. This indicated both services are equally supported family caregivers with demented older adutls. Findings suggested both services can be recommended to family careivgvers with different service preference. In the future, we suggest service agency to give caregivers’ social support and skills of care to declined caregiving stress and increase caregiving satisfaction and mastery.
Subjects
adult day care
wisdom of family
family caregiver
comprehensive assessment of caregiver
SDGs
Type
thesis
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ntu-104-R02848011-1.pdf
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