Family caregivers’ role implementation at different stages of dementia

Huei-Ling Huang,1 Yea-Ing L Shyu,2,3 Min-Chi Chen,4 Chin-Chang Huang,5,6 Hung-Chou Kuo,5,6 Sien-Tsong Chen,5,6 Wen-Chuin Hsu6,71Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2School of Nursing, College of Medicine, Chang Gung Univ...

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Autores principales: Huang HL, Shyu YIL, Chen MC, Huang CC, Kuo HC, Chen ST, Hsu WC
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/2c99eb2fa06948939692da09cb6a84f1
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spelling oai:doaj.org-article:2c99eb2fa06948939692da09cb6a84f12021-12-02T03:00:18ZFamily caregivers’ role implementation at different stages of dementia1178-1998https://doaj.org/article/2c99eb2fa06948939692da09cb6a84f12015-01-01T00:00:00Zhttps://www.dovepress.com/family-caregiversrsquo-role-implementation-at-different-stages-of-deme-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Huei-Ling Huang,1 Yea-Ing L Shyu,2,3 Min-Chi Chen,4 Chin-Chang Huang,5,6 Hung-Chou Kuo,5,6 Sien-Tsong Chen,5,6 Wen-Chuin Hsu6,71Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; 4Department of Public Health and Biostatistics Consulting Center, Chang Gung University, Taoyuan, Taiwan; 5Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 6School of Medicine, Chang Gung University, Taoyuan, Taiwan; 7Chang Gung Dementia Center, Taoyuan, TaiwanPurpose: The purpose of this study was to explore family caregivers’ role-implementation experiences at different stages of dementia.Patients and methods: For this cross-sectional, exploratory study, 176 dyads of family caregivers and their community-dwelling elderly relatives with dementia were recruited from the neurological clinics of a medical center in Taiwan. The Family Caregiving Inventory was used to assess family caregivers for caregiving activities, role strain, role preparation, and help from others at different stages of care receivers’ dementia.Results: Family caregivers’ caregiving activities were related to patients’ stages of dementia. For patients with mild dementia, caregivers provided more assistance in transportation and housekeeping. In addition to these two activities, family caregivers of patients with moderate dementia provided more assistance with mobility and protection. For patients with severe dementia, family caregivers provided more assistance with personal care, mobility and protection, transportation, and housekeeping. Overall, family caregivers reported having some preparation to provide care; the most difficult caregiving activity was identified as managing behavioral problems.Conclusion: This study’s results provide a knowledge base for designing dementia stage-specific interventions in clinical practice and developing community-based, long-term care systems for families of patients with dementia.Keywords: behavioral problem, illness trajectory, role strain, caregiving activity, prepar­ednessHuang HLShyu YILChen MCHuang CCKuo HCChen STHsu WCDove Medical Pressarticlerole implementationdementiacaregiverbehavioral problemGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 135-146 (2015)
institution DOAJ
collection DOAJ
language EN
topic role implementation
dementia
caregiver
behavioral problem
Geriatrics
RC952-954.6
spellingShingle role implementation
dementia
caregiver
behavioral problem
Geriatrics
RC952-954.6
Huang HL
Shyu YIL
Chen MC
Huang CC
Kuo HC
Chen ST
Hsu WC
Family caregivers’ role implementation at different stages of dementia
description Huei-Ling Huang,1 Yea-Ing L Shyu,2,3 Min-Chi Chen,4 Chin-Chang Huang,5,6 Hung-Chou Kuo,5,6 Sien-Tsong Chen,5,6 Wen-Chuin Hsu6,71Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; 2School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; 4Department of Public Health and Biostatistics Consulting Center, Chang Gung University, Taoyuan, Taiwan; 5Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 6School of Medicine, Chang Gung University, Taoyuan, Taiwan; 7Chang Gung Dementia Center, Taoyuan, TaiwanPurpose: The purpose of this study was to explore family caregivers’ role-implementation experiences at different stages of dementia.Patients and methods: For this cross-sectional, exploratory study, 176 dyads of family caregivers and their community-dwelling elderly relatives with dementia were recruited from the neurological clinics of a medical center in Taiwan. The Family Caregiving Inventory was used to assess family caregivers for caregiving activities, role strain, role preparation, and help from others at different stages of care receivers’ dementia.Results: Family caregivers’ caregiving activities were related to patients’ stages of dementia. For patients with mild dementia, caregivers provided more assistance in transportation and housekeeping. In addition to these two activities, family caregivers of patients with moderate dementia provided more assistance with mobility and protection. For patients with severe dementia, family caregivers provided more assistance with personal care, mobility and protection, transportation, and housekeeping. Overall, family caregivers reported having some preparation to provide care; the most difficult caregiving activity was identified as managing behavioral problems.Conclusion: This study’s results provide a knowledge base for designing dementia stage-specific interventions in clinical practice and developing community-based, long-term care systems for families of patients with dementia.Keywords: behavioral problem, illness trajectory, role strain, caregiving activity, prepar­edness
format article
author Huang HL
Shyu YIL
Chen MC
Huang CC
Kuo HC
Chen ST
Hsu WC
author_facet Huang HL
Shyu YIL
Chen MC
Huang CC
Kuo HC
Chen ST
Hsu WC
author_sort Huang HL
title Family caregivers’ role implementation at different stages of dementia
title_short Family caregivers’ role implementation at different stages of dementia
title_full Family caregivers’ role implementation at different stages of dementia
title_fullStr Family caregivers’ role implementation at different stages of dementia
title_full_unstemmed Family caregivers’ role implementation at different stages of dementia
title_sort family caregivers’ role implementation at different stages of dementia
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/2c99eb2fa06948939692da09cb6a84f1
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AT huangcc familycaregiversrsquoroleimplementationatdifferentstagesofdementia
AT kuohc familycaregiversrsquoroleimplementationatdifferentstagesofdementia
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