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The Needs and Utilization of Long-Term Care Service Resources by Dementia Family Caregivers and the Affecting Factors

Author

Listed:
  • Chia-Hui Chang

    (Department of Nursing, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Both authors contributed equally to this work.)

  • Yung Ming

    (Central Office of Administration, Antai Medical Corporation Antai Tian-Sheng Memorial Hospital, Pingtung County 92842, Taiwan)

  • Tsung-Hung Chang

    (Central Office of Administration, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Both authors contributed equally to this work.)

  • Yea-Yin Yen

    (Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Shou-Jen Lan

    (Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan)

Abstract

This study was to evaluate the utilization of long-term care service resources by caregivers of patients with dementia (PWD) and to determine affecting factors. In this cross-sectional study, a total of 100 dyads were enrolled and caregivers responded to the questionnaires. We found 40% of caregivers not using any care resources. Between those caregivers using and not-using care resources, we found differences ( p < 0.05) in their health status and living conditions; the difference ( p < 0.05) was also found in patients’ behavior and psychological symptoms of dementia (BPSD). The frequency of BPSD (OR = 1.045, p = 0.016, 95% CI = 1.001–1.083) and the living conditions (OR = 3.519, p = 0.007, 95% CI = 1.414–8.759) were related to their use of care resources. Particular BPSDs, such as anxiety or restlessness, throwaway food, aggressive behavior, tearing of clothes, and sexual harassment of patients were related to the caregivers’ use of care resources ( p < 0.01). Health professionals have to evaluate the patients’ BPSD and identify the caregivers’ essential needs. Individualized medical care and BPSD-related care resources should be provided for patients and caregivers for taking off their care burden and improving patient care.

Suggested Citation

  • Chia-Hui Chang & Yung Ming & Tsung-Hung Chang & Yea-Yin Yen & Shou-Jen Lan, 2020. "The Needs and Utilization of Long-Term Care Service Resources by Dementia Family Caregivers and the Affecting Factors," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:6009-:d:400693
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    References listed on IDEAS

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    1. Susan Silverberg Koerner & Yumi Shirai & DenYelle Baete Kenyon, 2010. "Sociocontextual Circumstances in Daily Stress Reactivity Among Caregivers for Elder Relatives," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(5), pages 561-572.
    2. Chia-Yu Chang & Hui-Chuan Hsu, 2020. "Relationship Between Knowledge and Types of Attitudes Towards People Living with Dementia," IJERPH, MDPI, vol. 17(11), pages 1-13, May.
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    Cited by:

    1. Hajime Takechi & Naoko Hara & Kyoko Eguchi & Shoko Inomata & Yuki Okura & Miwa Shibuya & Hiroshi Yoshino & Noriyuki Ogawa & Morio Suzuki, 2023. "Dynamics of Interaction among Professionals, Informal Supporters, and Family Caregivers of People with Dementia along the Dementia Care Pathway: A Nationwide Survey in Japan," IJERPH, MDPI, vol. 20(6), pages 1-13, March.
    2. Shu-Fen Kuo & I-Hui Chen & Tsai-Wei Huang & Nae-Fang Miao & Kath Peters & Min-Huey Chung, 2021. "Self-Efficacy Mediates Acculturation and Respite Care Knowledge of Immigrant Caregivers," IJERPH, MDPI, vol. 18(20), pages 1-12, October.

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