Home care can be helpful or threatening for OPwD who are cognitively and mobility impaired. These family caregivers primarily provide daily care such as dressing and eating, bathing, and providing social and emotional support for OPwD. As a result, in China, 85% of OPwD are primarily cared for by family members at home, and adult children or spouses of OPwD are the primary caregivers in the family. Furthermore, only a small proportion of OPwD from high-income families have access to formal home care services provided by skilled caregivers. The Chinese government has established community-based home care services, such as daycare centers, respite care services, and in-home dementia care services provided by professional caregivers however, these services are still in the exploratory stage. Home care is the process of enabling OPwD to maintain daily living in their home through the help of caregivers. Social customs, cultural expectations, and legal obligations also emphasize that caring for older adults is the family’s responsibility. In addition, older people also have a strong cultural preference for aging in place. Many long-term care system facilities do not accommodate OPwD due to a lack of skilled nursing staff and limited space. However, the availability of specialist medical care services is minimal compared to the significant increase in the total number of OPwD. The number of OPwD in China will increase from about 9.5 million in 2015 to 16 million by 2030. With the aging of the Chinese population, the number of older people with dementia continues to increase. China has the highest number of older people with dementia (OPwD) in the world, with 20% of the world’s dementia population. Therefore, when addressing home care safety for older people with dementia, the focus should be on providing targeted education programs and support services for family caregivers of older people with dementia.ĭementia is a degenerative disease of the central nervous system with progressive cognitive and memory impairment as its main clinical manifestations. And as the primary caregivers of older people with dementia, the caregiving ability and safety awareness of family caregivers primarily determine the safety of home care for older people with dementia. The risk factors for home care safety for older people with dementia are complex. Safety risks in home care for older people with dementia stem from five areas: poor health of older people with dementia, dementia symptoms, unsafe home environment, the insufficient caring ability of family caregivers, and lack of safety awareness of family caregivers. This study used a qualitative research approach a total of 24 family caregivers were interviewed face-to-face and semi-structured from February 2022 to May 2022, and the Colaizzi seven-step phenomenological research method was used to analyze the data and refine the themes. This study explored the risk factors for home care safety for older people with dementia based on the perspective of family caregivers. However, factors contributing to safety incidents in home care have not been adequately considered. Many studies have examined home care safety for older people with dementia. Many older people with dementia currently prefer home care however, homes are neither professionally designed nor regulated like health care facilities, and home care is more prone to safety incidents.
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