1
|
Yang L, Wei W, Wu Y, Zhu S, Zeng X, Wang R, Zhang M, Lin X, Zhou C. The experiences of caring for disabled older adults in long-term: A qualitative study from the perspective of spousal caregivers. Chronic Illn 2023; 19:848-861. [PMID: 36594348 DOI: 10.1177/17423953221148972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To explore the care experiences of spouses as long-term and primary caregivers for disabled older adults in China. METHODS A descriptive phenomenological method was used in this study, as well as purposive and convenient sampling. Semi-structured interviews were conducted with 15 spousal caregivers in Guangdong, China, from March to December 2021. Interview audio-recordings were transcribed verbatim and data were analyzed using Colaizzi's phenomenological analysis method. RESULTS We identified four themes from the data: spousal care motivation; sacrifices in caregiving; obstacles in caregiving; spousal caregivers' positive experiences. CONCLUSIONS Spouses took responsibility for providing care for their disabled partners regardless of their willingness. They had positive experiences while providing care, but negative experiences were dominant, especially for spouses of severely disabled older adults. Spouses are always perfect in caregiving roles, although they may also need medical assistance. To prevent a decline in spousal caregivers' quality of life and relieve their care burdens, health care providers should support them as soon as possible or offer formal care for disabled older adults. It is necessary to intervene considering disabled older adults and their spousal caregivers as a unit to empower their confidence in coping with life together.
Collapse
Affiliation(s)
- Lingli Yang
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
- School of Nursing, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Wei Wei
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Yanni Wu
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Shunfang Zhu
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Xiaoli Zeng
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Run Wang
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
- School of Nursing, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Mi Zhang
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
- School of Nursing, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Xiaolu Lin
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
- School of Nursing, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Chunlan Zhou
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| |
Collapse
|
2
|
Barbosa F, Simões Dias S, Voss G, Delerue Matos A. The Longitudinal Association between Co-Residential Care Provision and Healthcare Use among the Portuguese Population Aged 50 and Over: A SHARE Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3975. [PMID: 36900986 PMCID: PMC10001838 DOI: 10.3390/ijerph20053975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 02/01/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Co-residential care is associated with poor caregiver health and a high burden. Although Portugal relies heavily on co-residential care by individuals aged 50 and over, studies on the impact of co-residential care provision on Portuguese caregivers' healthcare use are lacking. This study aims to analyze the impact of co-residential care (spousal and non-spousal care) on healthcare use of the Portuguese population aged 50 plus. Data from waves 4 (n = 1697) and 6 (n = 1460) of the Survey of Health, Ageing and Retirement in Europe (SHARE) were used. Negative Binomial Generalized Linear Mixed Models with random (individual level) and fixed (covariates) effects were performed. The results show that the number of visits to the doctor decrease significantly over time for the co-residential spousal caregivers as compared to the non-co-residential caregivers. This result highlights the fact that the Portuguese co-residential spousal caregiver group is at a higher risk of not using healthcare, thus jeopardizing their own health and continuity of care. Promoting more accessible healthcare services and implementing public policies adjusted to the needs of informal caregivers are important to improve the health and healthcare use of Portuguese spousal co-residential caregivers.
Collapse
Affiliation(s)
- Fátima Barbosa
- Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal
| | - Sara Simões Dias
- Center for Innovative Care and Health Technology (CiTechCare), School of Health Sciences, Polytechnic of Leiria, 2410-541 Leiria, Portugal
| | - Gina Voss
- Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal
| | - Alice Delerue Matos
- Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal
- Department of Sociology, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal
| |
Collapse
|
3
|
Zang Z. The care types choice in filial culture: A cross-sectional study of disabled elderly in China. Front Public Health 2022; 10:954035. [PMID: 36148366 PMCID: PMC9485573 DOI: 10.3389/fpubh.2022.954035] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 08/02/2022] [Indexed: 01/24/2023] Open
Abstract
For the past few decades, studies of care types choice have been restricted to the scope of individual characteristics and health status. Meanwhile, the historiography of the research largely ignores the role of filial culture within China. This study sets out to examine the influence of the factors in the cultural context of filial piety on the choice of care types for older people with disability in China. According to the characteristics of filial culture, the factors influencing the choice of care type for the older people in China are summarized as family endowment and support. The study concludes that gender, residence, living alone or not, family income, real estate, pension and community service have momentous effects on the choice of care type of older people with disability; informal care has a substitutive effect on formal care. The research was based on cross-sectional data of CLHLS 2018 and utilized binary logistic regression analysis to compare the factors influencing the choice of old disabled people between formal and informal care. The study implies that in the context of filial culture, the older people's choice of care types is affected by family endowment and community service supply for the older people in China. In the background of filial culture, the government should give informal care official support such as cash and services, so as to change its attribute of private domain of it and enhance the quality of long-term care.
Collapse
Affiliation(s)
- Zheng Zang
- School of Marxism, Soochow University, Suzhou, China,Soochow University Base, Jiangsu Research Centre for Socialist Theory System With Chinese Characteristics, Suzhou, China,*Correspondence: Zheng Zang
| |
Collapse
|