Perceived Stress and Health among Home Care Aides: Caring for Older Clients in a Medicaid-Funded Home Care Program

被引：23

作者：

Muramatsu, Naoko ^{[1
]}

Sokas, Rosemary K. ^{[2
]}

Lukyanova, Valentina V. ^{[3
,4
]}

Zanoni, Joseph ^{[5
]}

机构：

[1] Univ Illinois, Community Hlth Sci, Chicago, IL USA

[2] Georgetown Univ, Sch Nursing & Hlth Studies, Washington, DC 20057 USA

[3] Amer Assoc Nurse Anesthetists, Park Ridge, IL USA

[4] Univ Illinois, Sch Publ Hlth, Chicago, IL USA

[5] Univ Illinois, Great Lakes Ctr Environm & Occupat Hlth & Safety, Chicago, IL USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2019年 / 30卷 / 02期

基金：

美国国家卫生研究院;

关键词：

Long-term care; home care services; caregivers; home care aides; occupational stress; life stress; health promotion; focus groups; vulnerable populations; underserved populations; Medicaid; frail elderly; aging; job task enrichment; BODY-FLUID EXPOSURE; OCCUPATIONAL RISK; UNITED-STATES; LIFE-COURSE; WORKERS; BLOOD; CAREGIVERS; AMERICANS; PROFILE; IMPACT;

D O I：

10.1353/hpu.2019.0052

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Home care aides (HCAs) provide housekeeping and personal care services to help older clients remain in the community. However, little is known about the health of HCAs, who themselves constitute an underserved population. The goal of this study was to investigate how HCAs' work and life contexts manifest themselves in HCAs' health as perceived by HCAs. Six focus groups were conducted with HCAs (N=45). Analysis revealed how HCAs' work-and life-related stress accumulated over time and affected HCAs' health and interaction with their older clients. Home care aides were interested in personal health promotion and client well-being. Home care aides may constitute an underused resource for the care of older adults with disabilities. Information about intricately intertwined work and life contexts should inform policymakers and home care providers in their efforts to improve the quality of publicly funded home care services.

引用

页码：721 / 738

页数：18

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