Aim: To synthesize what is known about elder abuse and relationship factors associated with abuse between caregivers and older people with memory disorders at home.
Background: Concerns about abuse in the caring relationship between older people with memory disorders and family caregivers have increased. Abuse is associated with negative outcomes on older people's health, quality of life, and zest for life. Abuse in the caring relationship manifests in financial exploitation, neglect, mistreatment, and physical issues.
Design: Systematic review.
Data sources: Databases including Scopus, PubMed/Medline, SveMed+ , Cinalh, SonINDEX, and ProQuest were searched using keywords about abuse in the caring relationship between older people with memory disorders and family caregivers at home. Articles published between 2005-2019 were retrieved and underwent data analysis and knowledge synthesis.
Review methods: The review was presented under the categories of the dyadic approach of elder abuse in connection with the role of caregiver (risk) and care recipient (vulnerability) by Fulmer et al. (2005).
Results: The search process led to 12 quantitative studies, including an intervention, a prospective, nine surveys, and a cross-sectional structural interview. Findings were synthesized and presented under 'personal', 'physical and psychological', and 'social' domains indicating the bilateral roles of caregiver and care recipient leading to abuse.
Conclusion: This review depicted factors influencing abuse in the caring relationship between older people with memory disorders and their family caregivers at home. They included family caregivers' psychological issues, knowledge of memory disorders and modifications, previous caring relationship, social support, number of care recipients, and care recipients' functional level.
Impact: This review identifies what influences elder abuse by family caregivers using the dyadic approach and explains how abuse can be prevented through suggested strategies. The review findings are relevant to multidisciplinary healthcare providers and can guide the provision of support, screening and assessment, educational programs, and legislative initiatives.
目的: 综合了解虐待老年人相关情况以及与照护人员虐待家中患有记忆障碍的老年人有关的关系因素。 背景: 患有记忆障碍的老年人和家庭照护人员之间护理关系中虐待情况越来越受到人们的关注。虐待会对老年人的健康、生活质量和生活热情产生负面影响。照护关系中的虐待情况表现为经济剥削、忽视、苛待以及身体虐待问题。 设计: 系统评估。 数据来源: 通过Scopus、PubMed/Medline、SveMed+、Cinalh、SonINDEX和ProQuest数据库,使用与患有记忆障碍的老年人和家庭照护人员之间护理关系中虐待情况有关的关键字词进行检索。选取于2005年至2019年期间发表的文章,并对其进行数据分析和知识汇总。 评估方法: 根据Fulmer等人(2005年)提出的与照护人员(风险)和受照护者(脆弱性)的作用相关的虐待老年人二元方法的类别进行评估。 结果: 检索共获得12项定量研究,其中包括一项干预研究、一项前瞻性研究、九项调查研究以及一项横向结构化访谈。在“个人”、“生理和心理”和“社会”领域对研究结果进行了汇总综合和呈现,表明照护人员和受照护者的双边作用导致虐待。 结论: 本项评估工作描述了影响家中患有记忆障碍的老年人和家庭照护人员之间护理关系中虐待情况的因素。此等因素包括家庭照护人员的心理问题、记忆障碍及矫正知识、先前的照护关系、社会支持、受照护者人数及受照护者的功能水平。 影响: • 本项评估工作使用二元法确定了影响家庭照护人员虐待老年人的因素,并说明了如何通过建议策略预防虐待情况。 • 本项评估结果与多学科医疗保健提供者相关,并可就提供支持、筛选和评估、教育计划和立法倡议给予指导。.
Keywords: abuse; caregivers; dyad; memory disorder; nurse; older people; systematic review.
© 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.