Analysis and strategy of family caregiving behavior in children with recurrent lower respiratory tract infection / 中国实用护理杂志

Objective To explore and analyze the influencing factors of family caregiving behavior and protective strategies in children with recurrent lower respiratory tract infection. Methods By reviewing the literature, a self-designed questionnaire for family caregiving behavior related to recurrent lower respiratory tract infection were adopted, including feeding behavior, hand hygiene, environmental factors, time of outdoor activities and family health-seeking behavior. Totally 206 cases with recurrent lower respiratory tract infection (the study group) and 206 cases with acute lower respiratory tract infection (the control group) were included and all cases were investigated by family caregiving behavior questionnaire. The influencing factors of family caregiving behavior of two groups were analyzed and compared. Results The feeding behavior in the study group was worse than that in the control group(χ2=5.14-14.76, P0.05). Conclusions We should guide parents to establish the right and reasonable family care behavior to effectively enhance children's physical fitness and disease resistance and to avoid exposure to infectious agents and harmful substances, reduce the occurrence of Recurrent Lower Respiratory Tract Infections.

Carga familiar objetiva y subjetiva de pacientes con trastornos mentales severos a partir del family burden interview schedule

Resumen:“The Family Burden Interview Schedule – Short Form" (FBIS-SF) de Tesseler yGamache, es una entrevista que permite valorar la carga objetiva y subjetiva, querepresenta para las familias, el cuidado de pacientes con trastornos mentales severos.El Objetivo propuesto fue analizar la carga familiar objetiva y subjetiva.Material y Método: La Entrevista es de formato Modular (11 Módulos) conpuntuaciones independientes. Las áreas abordadas son carga objetiva y subjetiva enayuda familiar en actividades de la vida cotidiana, contención de comportamientosalterados, motivo de preocupación por el paciente, gastos económicos, cambios en larutina diaria del cuidador, motivos de preocupación por el paciente, ayuda quedispone el informante, repercusiones en la salud del cuidador, beneficios ygratificaciones, estigma y repercusión global del informante y del entrevistador. Cadamódulo se valora mediante respuestas. Dicotómicas y Escalas de tipo Likert,compuesto por diferentes números de ítems.La muestra poblacional fue seleccionada en 93 cuidadores mayores de 18 añosque lleven conviviendo más de 30 días con familiares donde se recopiló la informaciónde datos, tales como: edad, sexo y vinculación familiar.En la presente investigación se efectuó un análisis de la fiabilidad y deconsistencia interna, así como una adaptación semántica. Con los registros obtenidosdel instrumento se generó una base de datos a fin de estructurar organizativamentelas variables involucradas en el estudio...

Abstract:“The Family Burden Interview Schedule - Short Form” (FBIS-SF) of Tesselerand Gamache, it is a subjective interview that allows to value the objective load andthat represents for the families the care of patients with severe mental upheavals. Theobjective in this one investigation, it was to analyze the objective and subjectivefamiliar load.Matherials and methods: The interview is Modular format (11 you modulate)with independent ratings. The areas addressed are objective and subjective burden onfamily assistance in activities of daily living, containment of altered behavior, concernfor the patient, economic costs, changes in daily routine caregiver concerns by thepatient, help has the informant, impact on the caregiver's health, benefits and perks,stigma and overall impact of the informant and the interviewer. Each modulates isassessed by Dichotomous responses and Likert scales composed of differentnumbers of items. The population sample was selected in 93 caregivers aged 18 withcoexisting to over 30 days with relatives where information was collected dates, suchace age, sex and family ties. In the present investigation an internal analysis of thereliability and consistency ace well cultural ace to adaptation was made. With recordobtained from the instrument generated to variable database to organizationallystructure the involved in the study...

Famílias cuidadoras de pessoas com dependência: um estudo bibliográfico / Familias cuidadoras de personas dependientes: un estudio bibliográfico / Family caregivers of chronically ill people: a bibliographic study

This is a qualitative bibliographic research study which aimed to identify in literature aspects related to family caregiving of chronically ill people and verify the change in their families' routine. Some criteria were used to select the material and one of them was to register, in the data basis of Latin American and Literature and Health Sciences, Nursing data bank, CAPES and Public Health Virtual Library dissertations data bank, the information obtained. Thirteen works were analyzed from April to June, 2005. Results showed that the caregiving familiy's role can be considered as easy and difficult, being classified in two thematic categories: 1- changes in family routine; 2- changes in family relationship. Assistance to caregiving family of careceiver or of chronically ill people should be understood as part of their rehabilitation process. Assisting the family and their needs, listening to them, acknowledging their strong points and providing support should be taken as health professionals' permanent activities.

Estudo bibliográfico de natureza qualitativa que teve por objetivo identificar na literatura os aspectos relacionados ao cuidado das famílias com pessoas dependentes de cuidado e verificar a mudança na rotina da família decorrente da presença de uma pessoa com dependência de cuidados. A seleção do material se deu a partir de alguns critérios, e um deles era constar na base de dados Literatura da Latino-Americana e do Caribe em Ciências da Saúde; Banco de Dados em Enfermagem; banco de teses da Capes e Biblioteca Virtual em Saúde Pública. Foram analisados treze trabalhos no decorrer dos meses de abril a junho de 2005. Os estudos relataram que as famílias apresentam facilidades e dificuldades para cuidar de seu familiar e foram encontradas duas categorias temáticas: 1 - mudanças na rotina familiar; 2 - mudanças nas relações familiares. Considera-se que a realização da assistência à família cuidadora de um portador de doenças e agravos não transmissíveis (DANT’s) precisa ser entendida como parte do processo de reabilitação do familiar dependente. Assistir a família e a suas necessidades, ouvi-la, reconhecer seus pontos fortes e oferecer apoio precisam ser atividades contínuas dos profissionais de saúde.

Estudio bibliográfico de la naturaleza cualitativa que tuvo por objetivos identificar en la literatura los aspectos relacionados al cuidado de las familias con personas dependientes de cuidado y; verificar el cambio en la rutina de la familia decurrente de la presencia de una persona con dependencia de cuidados. La selección del material empezó a partir de algunos criterios y uno de ellos era constar en las bases de dados Literatura Latino-Americana y del Caribe en Ciencias de la Salud; Banco de Dados en Enfermase; banco de teces de la CAPES y Biblioteca Virtual en Salud Publica. Fueran analizados 13 (trece) trabajos en los meses de abril a junio de 2005. Los estudios relataran que las familias presentan facilidades y dificultades para cuidar de su familiar e fueran encontradas dos categorías temáticas: 1- cambio en la rutina familiar, 2- cambios en las relaciones familiares. Considera-se que la realización de la asistencia a la familia cuidadora de un portador de dolencia crónica necesita ser entendida como parte del proceso de rehabilitación del familiar dependiente. Asistir a familia y sus necesidades, oírla, reconocer sus puntos fuertes y ofrecer apoyo necesitan ser actividades continuas de los profesionales de la salud.

Korean Family Caregivers' Perceptions of Care in Dementia Care Units / 간호학회지

With the demanding level of care needed for people with dementia, more Korean families are institutionalizing their relatives with dementia. This presents particular concerns for the Korean culture that values family responsibility for elder care. The purpose of this study was to describe Korean family members' perceptions of stress and satisfaction with care, the caregiving role, the family-staff relations. A purposive sample of 94 family members in 10 long-term care dementia care facilities in Korea participated in the study. Family Perceptions of Care Tool and Family Perceptions of Caregiving Role developed by Maas and Buckwalter (1990) were used to investigate Korean family caregivers' perceptions of care. Findings from the study can be summarized as follows: a) family caregivers showed the lowest satisfaction level for staff management effectiveness, especially for facility's resources available for care, and (b) family caregivers showed the highest stress from staff members' control on caregiving, feeling the same responsibilities after placement, and guilt over their placement. The results contribute to the understanding of Korean family caregivers' perceptions of caregiving and the care relationship after institutionalizing their elderly persons with dementia.

A Review of the Effects of Respite Care for Patients with Dementia and Caregivers / 간호학회지

PURPOSE: The purpose of this study was to analyze the effects of respite care. The analysis was conducted by reviewing published intervention studies on the effects of formal respite care for caregivers of dementia patients, patients with dementia, and the prevented or delayed rate of institutionalization of the patients. METHOD: Two computerized databases (MEDLINE, CINAHL) were searched to find respite care-related articles published from the year of 1981 to 2000. A total of 49 published articles were identified. Of them, nine studies, which met for the inclusion criteria of this study, were included. RESULTS: Results revealed that there was little evidence of the effect of respite care on, not only caregivers' burden, stress, depression and well-being, but also the rate of institutionalization of the patients. It was noteworthy that dementia patients reported fewer problems in behavior, although cognitive functioning and activity of daily living abilities continued to decline. However, these findings should be carefully interpreted because of methodological problems, such as non-random sampling, non random group assignment, a small sample size, uncontrolled confounding variables, limited period of services, and no specific types of services. CONCLUSION: It is recommended to conduct intervention studies of respite care being conducted in Korea with the corrections of methodological problems suggested from this study.

Health Status of Women Caregivers and Negative and Positive Impacts of Family Caregiving / 간호학회지

The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.

Health Status of Women Caregivers and Negative and Positive Impacts of Family Caregiving / 간호학회지

The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.