Relationship Between Resilience Factors and Caregiving Status of Families of Patients with Amyotrophic Lateral Sclerosis (ALS) in Japan.

J Community Health Nurs

Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan.

Published: January 2024

AI Article Synopsis

  • The study aimed to explore the innate and acquired factors that contribute to the resilience of caregivers for ALS patients, along with the dynamics of caregiving situations.
  • Data was collected through questionnaires from 370 caregivers, revealing that having ALS association membership and certain employment statuses positively influenced resilience, while reduced family function and male caregivers faced greater burdens.
  • The findings suggest targeted support for male and non-working caregivers, improvements in family dynamics, and guidance on using respiratory equipment to alleviate caregiving challenges.

Article Abstract

Purpose: To identify innate and acquired factors leading to amyotrophic lateral sclerosis (ALS) caregivers' resilience, the relationships among these factors, and caregiving situations.

Design: Cross-sectional study.

Methods: Questionnaires measuring resilience, caregiver burden, and family functioning were mailed to caregivers of ALS patients in Japan.

Findings: The 370 responses showed that increases in both innate and acquired factors were related to having an ALS association membership, while decreases were associated with reduced family function. Increases in innate factors were related to employment and those consenting to ventilators, while decreases were associated with being male and having a sense of the care burden. Decreases in acquired factors were related to the presence of an alternative caregiver.

Conclusions: By identifying the caregiving situation based on innate and acquired factors, we were able to identify the significance and direction of specific caregiving support.

Clinical Evidence: Community health nurses should focus on improving family function and creating a supportive environment. Further, support for male and non-working caregivers should be strengthened and consultation on the use of respiratory equipment promoted to reduce the caregiving burden.

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Source
http://dx.doi.org/10.1080/07370016.2023.2254771DOI Listing

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