Family home-based care on the wellbeing of elderly with senile dementia in Ondo state
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Date
2015
Authors
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Journal ISSN
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Publisher
Obafemi Awolowo University
Abstract
This study identified the home-based care needs and level of caregiven to elderly with senile dementia; developed and administered a self-care nursing intervention package; as well as determined its impact on wellbeing of the care recipient. This was with a view of exploring the effect of the family home-based care on the wellbeing of the elderly with senile dementia.
The research was conducted in Owo Local Government in Ondo-State using a quasi-experimental design. Fifty six (56) care recipients (elderly person living with dementia) and their respective family caregivers (n=56) selected by purposive sampling formed the sample. Twenty eight (28) were assigned to experimental and control groups in dyad. Four (4) instruments were used; Modified Caregivers Assessment Questionnaire, Blessed Dementia Scale (Activities of daily living), Mini-Mental State Examination and Self-Care Assistance Nursing Intervention Observational Checklist/Scale.The Self-Care Assistance Nursing Intervention (educational) package was administered to experimental group in two-sessions after the collection of baseline data. Post intervention were conducted ateight weeks (1st post- test), and sixteen weeks (2nd post-test). Data collected were analyzed with the aid of Statistical Package of Social Sciences (SPSS). Statistical techniques employed includespercentages, mean scores and student t-test.
Results showed that the home-based care needs of the elderly with dementia centresaround Activities of Daily Living (ADLs) 87.8%, Instrumental Activities of Daily Living (IADLs) 57.3% and Psychosocial needs (95%). At pre-intervention, analysis revealed that thelevel of caregiven to the elderly with dementia were only fair (53.6%) and good (46.4%) for the experimental group; and fair (50%) and good (50%) for the control group. However, at first post-intervention,the level of caregiven recorded by the experimental group had appreciated (fair-7.1%, good-78.6% and excellent-14.3% with mean of 70.9±9.3) while the control group recorded fair (39.3%), good (46.4%) and excellent (14.3%) with a mean of 64.5±14.0 respectively. The results of second post-intervention for the experimental group revealed a drastic improvement in the level of caregiven (good 21.4% and excellent 78.6% with mean of 85.2±8.4). No significant improvement was observed in the level of caregiven by the control group (fair-571%, good 42.9% and mean score of 58±10.1).Further analysis showed that there was no significant difference between the self-care assistance provided by experimental and control groups (t =-0.20, P=0.802) at pre-intervention.At first post-intervention, there was significant difference between the self-care assistance provided by experimental and control groups of family caregivers in the home-based caregiven for the maintenance of care recipients’ wellbeing with (t = 2.54, P =0.01). Similarly, at 2nd post-interventionthere was very significant difference between the self care assistance provided by experimental and control groups of family caregivers in the home-based caregiven for the maintenance of care recipients’ wellbeing with(t=12.85, P <0.001).
The study therefore concludes that the Self-Care Assistance Nursing Intervention package improves the home-based caregiving and also enhances the wellbeing of care recipients.
Description
xii,89 pages
Keywords
Family, Home-Based Care, Wellbeing, Senile Dementia, Caregiven, Self-care, Self-care nursing, Caregivers, Family home-based care
Citation
Ayeni, A.R. (2015). Family home-based care on the wellbeing of elderly with senile dementia in Ondo State. Obafemi Awolowo University