Home-Based Caregiving Appraisals by Informal Caregivers of the Elderly with High Care Needs in Japan

2.50
Hdl Handle:
http://hdl.handle.net/10755/304012
Category:
Abstract
Type:
Presentation
Title:
Home-Based Caregiving Appraisals by Informal Caregivers of the Elderly with High Care Needs in Japan
Author(s):
Junko, Imaiso
Lead Author STTI Affiliation:
Psi
Author Details:
Imaiso Junko, PhD, PHN, RN, junko@u-shizuoka-ken.ac.jp
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: This study was to determine factors associated with negative/positive home-based caregiving appraisals by informal caregivers of the elderly with high care needs in Japan to consider which family carers community health nurses should focus on.

Methods: Appraisal means how caregivers perceive their caregiving work.  This quantitative study examined 192 primary caregivers. The Japanese version of the Zarit scale (22 items) was used for negative appraisal and a positive caregiving appraisal scale (14 items) for positive appraisal.  Participants with above-median scores (care burden, 30.0; positive caregiving appraisal, 39.0) were categorized as having a high care burden and high positive appraisal.  To determine factors associated with appraisals, multinomial regression analysis was performed.  Negative/positive appraisals were separately set as a dependent variable, and 25 items relating to caregiver characteristics, care-recipient characteristics, and external variables were set as independent variables. This was followed by stepwise regression and backward elimination.

 Results: With respect to care burden, positively associated factors were sekenteior social pressure (CR 3.81, 95% CI 1.18-12.23), caregiving obligation (CR 4.46, 95% CI 1.89-10.55), household (CR 7.90, 95% CI 0.82-76.12), and depression (CR 78.42, 95% CI 16.09-382.04); negatively associated factors were care recipient age (CR 0.29, 95% CI 0.10-0.79), living with family (CR 0.27, 95% CI 0.10-0.71), and free time for caregivers (CR 0.32, 95% CI 0.13-0.78). With respect to positive appraisal, negatively associated factors were caregiving obligation (CR 0.28, 95% CI 0.15-0.52), caregiver gender (OR 0.44, 95% CI 0.51-1.97), and daughter-in-law as the caregiver (Cl 0.29, 95% CI 0.11-0.73).

 Conclusion: Community health nurses must increase their awareness of informal caregiver feelings toward caregiving duties, assess their health to reduce negative aspects and promote positive aspects of caregiving focusing on community support in their residential community except the factors about caregivers and care-recipients, and prevent deterioration of the health of caregivers.

Keywords:
Informal Caregiver Health; Community Health Nurses; Home-based Caregiving Appraisals
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleHome-Based Caregiving Appraisals by Informal Caregivers of the Elderly with High Care Needs in Japanen_GB
dc.contributor.authorJunko, Imaisoen_GB
dc.contributor.departmentPsien_GB
dc.author.detailsImaiso Junko, PhD, PHN, RN, junko@u-shizuoka-ken.ac.jpen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304012-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b>This study was to determine factors associated with negative/positive home-based caregiving appraisals by informal caregivers of the elderly with high care needs in Japan to consider which family carers community health nurses should focus on. <p><b>Methods: </b>Appraisal means how caregivers perceive their caregiving work.  This quantitative study examined 192 primary caregivers. The Japanese version of the Zarit scale (22 items) was used for negative appraisal and a positive caregiving appraisal scale (14 items) for positive appraisal.  Participants with above-median scores (care burden, 30.0; positive caregiving appraisal, 39.0) were categorized as having a high care burden and high positive appraisal.  To determine factors associated with appraisals, multinomial regression analysis was performed.  Negative/positive appraisals were separately set as a dependent variable, and 25 items relating to caregiver characteristics, care-recipient characteristics, and external variables were set as independent variables. This was followed by stepwise regression and backward elimination. <p> <b>Results: </b>With respect to care burden, positively associated factors were <i>sekentei</i>or social pressure (CR 3.81, 95% CI 1.18-12.23), caregiving obligation (CR 4.46, 95% CI 1.89-10.55), household (CR 7.90, 95% CI 0.82-76.12), and depression (CR 78.42, 95% CI 16.09-382.04); negatively associated factors were care recipient age (CR 0.29, 95% CI 0.10-0.79), living with family (CR 0.27, 95% CI 0.10-0.71), and free time for caregivers (CR 0.32, 95% CI 0.13-0.78). With respect to positive appraisal, negatively associated factors were caregiving obligation (CR 0.28, 95% CI 0.15-0.52), caregiver gender (OR 0.44, 95% CI 0.51-1.97), and daughter-in-law as the caregiver (Cl 0.29, 95% CI 0.11-0.73). <p> <b>Conclusion: </b>Community health nurses must increase their awareness of informal caregiver feelings toward caregiving duties, assess their health to reduce negative aspects and promote positive aspects of caregiving focusing on community support in their residential community except the factors about caregivers and care-recipients, and prevent deterioration of the health of caregivers.en_GB
dc.subjectInformal Caregiver Healthen_GB
dc.subjectCommunity Health Nursesen_GB
dc.subjectHome-based Caregiving Appraisalsen_GB
dc.date.available2013-10-22T20:27:36Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:27:36Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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