What influences informal caregivers' risk perceptions and responses to home care safety of older adults with disabilities: A qualitative study

作者全名："Cao, Songmei; Huang, Huanhuan; Bo, Suping; Feng, Man; Liang, Yiqing; Liu, Yuqing; Zhao, Qinghua"

作者地址："[Cao, Songmei; Huang, Huanhuan] Chongqing Med Univ, Sch Nursing, Chongqing, Peoples R China; [Cao, Songmei; Huang, Huanhuan; Zhao, Qinghua] Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, Chongqing, Peoples R China; [Bo, Suping; Feng, Man; Liang, Yiqing] Jiangsu Univ, Affiliated Hosp, Dept Nursing, Zhenjiang, Peoples R China; [Liu, Yuqing] Duke Kunshan Univ, Global Hlth Res Ctr, Kunshan, Peoples R China"

通信作者："Zhao, QH (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000854966800001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：informal caregiver; home care; safety; risk perception; older adult

摘要："ObjectiveThis study aimed to explore the factors that influence risk perceptions and responses by informal caregivers of older adults with disabilities. MethodsA descriptive qualitative study was performed, and the socio-ecological framework was applied to interpret the complex influences on individual risk perceptions and responses. Semistructured interviews were conducted with 16 informal caregivers of older adults with disabilities. The interviews were transcribed verbatim and analyzed using content analysis. ResultsThe four levels of the socio-ecological framework successfully allowed for the analysis of influences on the risk perceptions and responses of informal caregivers as follows: at the individual level: previous experiences, personality characteristics, health literacy, and care burden; at the familial level: economic status, emotional connection, informational and decisional support; at the community level: health service accessibility and neighbor communication; and at the social level: responsibility-driven culture, media advocacy, and aging policies. ConclusionsThe establishment of risk perceptions and coping behaviors by informal caregivers was affected by many factors. Using the framework to interpret our findings provided insight into the influence of these varying factors. Comprehensive, realistic, and achievable strategies are needed for improving the risk perceptions of informal caregivers in home care by addressing personal, familial, and social environmental factors."

基金机构：Medical Scientific Research Project of Chongqing; [2021MSXM054]

基金资助正文：Funding This study was funded by Medical Scientific Research Project of Chongqing (Award Number: 2021MSXM054).