Older Husbands as Caregivers of their Wives: A Descriptive Study of the Context and Relational Aspects of Care

Older Husbands as Caregivers of their Wives: A Descriptive Study of the Context and Relational Aspects of Care

Older Husbands as Caregivers of their Wives: A Descriptive Study of the Context and Relational Aspects of Care

Older Husbands as Caregivers of their Wives: A Descriptive Study of the Context and Relational Aspects of Cares

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Référence bibliographique [3174]

Ducharme, Francine, Lévesque, Louise, Lachance, Lise, Zarit, Steven H., Vézina, Jean, Gangbè, Marcellin et Caron, Chantal D. 2006. «Older Husbands as Caregivers of their Wives: A Descriptive Study of the Context and Relational Aspects of Care ». International Journal of Nursing Studies, vol. 43, no 5, p. 567-579.

Fiche synthèse

1. Objectifs


Intentions :
« The present descriptive study was carried out on a cohort of older husband caregivers of wives with diminishing functional or cognitive autonomy. Its objectives were threefold: (1) to describe the care context from three perspectives, namely, state of health of wife care recipients, husbands’ caregiving tasks, and informal and formal support received by husbands caregivers; (2) to describe the relational aspects of caregiving; and (3) to compare husbands caring for wives with and without memory problems regarding the context and relational aspects of care. » (p. 568)

2. Méthode


Échantillon/Matériau :
« This descriptive multi-site study was carried out in four regions of the Province of Québec (Canada): Montreal, Quebec City, Sherbrooke and Saguenay-Lac St-Jean. » (p. 570)
« In all, 323 husband caregivers took part in the study. [...] Their mean age was 73 years, with 17% over the age of 80. Just under half of husbands had been caring for their spouse for the past five years or more and 36% dedicated from 21 to 24 h a week to the task. » (p. 570)

Instruments :
- Guide d’entretien directif;
- L’échelle « Wife’s State of Health » (Gendron et Lévesque, 1993);
- La version révisée du « Memory and Behavior Problems Checklist » (Teri et al., 1992);
- « An 8-item scale developed by Pearlin et al. (1990) » (p. 571);
- Le « Mini Mental State Examination » (Folstein et al., 1975);
- La version française du « Inventory of Socially Supportive Behaviors » (Krause, 1995; Krause and Markides, 1990);
- « To measure utilization of formal support from services, we developed a checklist covering seven services most often used by caregivers (housekeeping services, day centre/day hospital, respite services, home-delivered meals, support groups, nursing care services and in-home personal care services). » (p. 571);
- L’échelle « Relational Deprivation » (Pearlin et al., 1990);
- L’échelle « Personal Gain » (Pearlin et al., 1990);
- « Three four-item scales » (Semple, 1992).

Type de traitement des données :
Analyse statistique

3. Résumé


« This study focused on the context and relational aspects that characterize care provided by older husbands to their wives. Concerning the first objective of the study, i.e., to describe the context of care, results underline that the husbands cared for a spouse whose state of health was not seriously deteriorated. In fact, the cared-for wives had little loss of autonomy, rarely displayed depressive behaviours, and even less so disruptive behaviours. Despite this health context, nearly 60% of husbands spent 84 h a week in caregiving and over one-third of the overall sample reported spending from 21 to 24 h a day caregiving. [...] Turning to the second objective of the study, that is, to exploring the relational aspects of caregiving, our results corroborate the relational deprivation between husbands and wives observed in qualitative research and reported by Kaye and Applegate (1990a). Pearlin et al. (1990) qualified this change as particularly salient and placed it at the heart of the relationship between the cared-for person and the caregiver. [...] The third objective of the study was to compare husbands caring for wives with and without memory problems. Husbands spent more hours a week providing care to wives with memory problems, as these cared-for persons require closer supervision and present disruptive behaviours more frequently than persons without memory problems. » (pp. 575-576)