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Self-Reliance Support in Home Care: Establishment and Evaluation
home care;self-reliance support;reablemen;family caregivers;aging in place
|Issue Date: ||2019-05-23 11:46:12 (UTC+8)|
Background and purpose: The needs of long-term care grow as population is aging. The latest trend of providing long-term care to achieve aging in place is by improving the self-care ability of the disabled people. The purpose of this study was to build a home-based self-reliance support care model with reablement concept, which provide goal-oriented training in activities of daily living (ADLs) and instrumental of daily living (IADLs) on personalized needs-based home care plan, and to evaluate the effectivenss of this self-reliance home care model.
Methods: The study used a quasi-experimental research. The experimental group participated in the self-reliant care model, including 20 care attendents, and 33 pairs of home care users and family caregivers from one home-care agency in Taoyuan city. The control group received the usual home care, with participants of 20 care attendents and 40 pairs of home care users and family caregivers from another home care agency in Maiolee city. The experiemental group applied the self-reliance hoem care model, which was built by the training of the researcher on the home care attendants, and discussing of development in self-reliance home care plans. The control group applied the usual home care model. The data were collected by pretest (October 2017), 1st post-test (Janaury 2018), and 2nd post-test (May 2018), when the long-term care payment reform was conducted since 2018. The generalized eatimating equation (GEE) was used for analysis.
Results: Self-reliance home care model improved the occupational satisfaciotn and achievement for home care attedants, improved the mutual support, independence, and quality of life among the users, and reduced the stress of the users and family care. After the long-term care payment reform, the satisfaction and qualife of life reduced after reform for the control group. Regarding to the experimental group, most outcome decline after the reform for the home care attendatns, while the users’ dependence continued to decline, and family caregivers’ mutual support continued to increase and the stress continued to reduce.
Conclusions: Self-reliance care enhances the sense of accomplishment of home attendants and the quality of life of service users, and reduces the care pressure of family caregivers. It is recommended to use policies as incentives to increase the implementation of self-reliance care, and ultimately to achieve the goal of independence and aging in place.
|Appears in Collections:||[健康管理組] 博碩士論文|
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