Predictors of change and continuity in home care for dementia patients.
To investigate predictors of change in the sense of competence of primary caregivers and continuity in home care for dementia patients.
A prospective longitudinal study with a follow-up period of 10 months.
Dementia patients living in the community selected by Dutch general practitioners.
Pairs of demented patients and their primary caregivers (N=138).
Main outcome measures
Sense of competence : a 27-item scale (alpha=0.79) based on issues derived from the family crisis model and the Burden Interview.
Continuity in home care is determined by the number of patient's admissions to a nursing or retirement home.
Regression analysis revealed that a change in the caregiver's sense of competence was independently predicted by characteristics of the patient, the primary caregiver and the professional social network.
A decreased sense of competence was associated with a longer duration of dementia and the patient's more agitated behaviour, the caregiver's higher initial sense of competence and being a female caregiver sharing a household with the demented patient.
A positive influence on the change in the sense of competence was found when these females received a professional intervention consisting of support for the caregiver.
Reporting to be a Catholic or a Protestant compared with not being religiously involved positively influenced the change in sense of competence. (...)
Mots-clés Pascal : Etude longitudinale, Soin, A domicile, Stress, Aidant, Evolution, Facteur prédictif, Démence sénile, Système santé, Vieillard, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Placement institution
Mots-clés Pascal anglais : Follow up study, Care, At home, Stress, Caregiver, Evolution, Predictive factor, Senile dementia, Health system, Elderly, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0369358
Code Inist : 002B18H05B. Création : 12/09/1997.