Alternative TitleA Mixed-Methods Study of the Risk Factors of Elderly Spousal Caregiving and the Methods of Supporting for Caregivers
Note (General)type:Thesis
Japan is experiencing a "super-aging" society. The aging rate is estimated at 28.4% as of 2019, the highest ever, and is expected to continue to rise. As aging society is progressing rapidly, emphasizing the need to expand healthcare services related to nursing care for elderly people, which has been taken up as an important social problem. To solve this problem, the government introduced the long-term care insurance system in 2000. Since then, persons requiring long-term care has been increasing year by year, reached 631 thousand in 2017.However, the family caregivers who living with the long-term care dependent elderly are 58.7%, and separated family caregivers are 12.2% of the total currently. The state of home care indicates that elderly depends on their family members for long-term care at home. Recently, the changes about the makeup of family caregivers over the last decade, spousal caregivers have been the most, increasing little by little and reached more than 25%. In other words, elderly people becoming in need of long-term nursing care, their spouse will possibly be the caregiver, and as a result elderly spousal caregiving seems to be more pervasive in future.This is a hypothesis-searching study presumes that risks exist in elderly spousal caregiving, and try to lead to new findings about these risks through research and analysis. The first step is to survey on the actual conditions of both elderly spousal caregivers and care recipients in ongoing home care to clarify the details of the risks. Based on this, to reveal risks that elderly spouses were not even aware of themselves, an interview survey of care specialists who create home care plans was carried out, and as the survey result, the structural elements of the risks that reduced the quality of life of caregivers and care recipients were illuminated.The purpose of this study is as follows. First, is to survey the conditions of both the care recipients and caregivers living at home, and clarify the characteristics of elderly spousal caregiving, after reviewing the conventional research about elderly spousal caregivers. Secondly, is to reveal the structural elements of risks and their connections in elderly spousal caregiving from the viewpoint of nursing support specialists. Third, is to consider the methods of supporting for elderly spouses against the risks. Finally, is to contemplate the position of supporting for caregivers from an overall view of the current care system, and to propose directions and challenges for future system reform related to supporting for caregivers, based on the results of the first to third objectives.Through questionnaire survey and interviews, the risks in elderly spousal caregiving have been proved. Based on the conclusion, the consideration about how supporting for caregivers should be provided has been made, and the suggestion for reforming the social welfare system has been put forward by comparison with European nations.
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2020-07-06T20:31:19+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション