[Inadequate care by family caregiver of frail elderly living at home].
In order to elucidate the present situation and background of inadequate care of frail elderly living at home by family caregivers, a questionnaire survey was performed on family caregivers. A total of 408 family caregivers were analyzed. The major results of this survey were as follows; 1. Thirty two percent of caregivers were associated with inadequate care. The percentage of main details of inadequate care were "ignoring" was 19%, "the infliction of mental anguish (e.g. insulting or verbal aggression)" was 14% and "physical injury (e.g. slap, pinch or kick)" was 8%. 2. As a result of the analysis of answers to open-ended questions by caregivers, the reason for inadequate care were classified roughly into three groups as follows; 1. stress and feelings of the caregiver 2. behavior or characteristics of the elderly 3. human relationship between the caregiver and the elderly or the caregiver and the relatives. 3. Frequency of caregiver's emotion of animosity to elderly were "often" was 3.9%, "sometimes" was 18.1%, "occasionally" was 39.2%, "rarely" was 22.5%, "none" was 11.5%. The main reason for animosity were "elderly happened to be angry or complained", "not able to understand caregivers talk", "irritated due to being busy" or "there is no feeling of appreciation in the elderly". 4. The relation of inadequate care and emotion of animosity was large (chi 2 test, P < 0.0001) and correlation of degree of animosity and experience of inadequate care was linear.
Ueda
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Department of Public Health, Kansai Medical University.
D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006701:Home Nursing / Q000592:standards*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care / Q000592:standards*; D011795:Surveys and Questionnaires