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5th International Conference on Social Work in Health and Mental Health (10-14 December 2006). Spousal Caregiving: Keeping Healthy. Dr Ng Guat Tin Asst Professor, Department of Social Work National University of Singapore Email: swkngt@nus.edu.sg. Caregiver quote.
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5th International Conference on Social Work in Health and Mental Health (10-14 December 2006) Spousal Caregiving: Keeping Healthy Dr Ng Guat Tin Asst Professor, Department of Social Work National University of Singapore Email: swkngt@nus.edu.sg
Caregiver quote “I told him (husband), ‘Why you make me so angry? You better not stress me.’ Sometimes a carer can die before the patient does (laughing)” Spousal caregiver, 60 years old. Had breast cancer herself in year 2000 and recovered. 1
Literature on Caregiver Health • Effects of caregiving stressor on caregivers’ psychosocial and physical healthand moderating/mediating factors ***** • Health behaviors/health habits/health promotion or preventive practices of caregivers ** • Facilitation of health of care recipients * 2
Literature on Caregiver Health • Consistent finding: • Higher levels of depression and other psychological symptoms (Pinquart & Sorensen, 2003; Scharlach et al., 1997; Vitalianao, Zhang, & Scanlan, 2003) • Inconsistent findings: • Higher odds of not getting enough rest, not having enough time to exercise, not having time to recuperate from illness, and forgetting to take prescription medications (Burton et al., 1997) 3
Literature on Caregiver Health • Inconsistent findings: • More likely to eat breakfast daily, get flu shots, and receive pneumonia jabs but do not differ on 10 other health promotion/risk behaviors (Scharlach et al., 1997) • Leisure-time exercise lower in spousal caregivers and non-spouse caregivers than married non-caregivers (Fredman et al., 2006) 4
Methodology • Study aim • Sample description • Qualitative interviews/Thematic analysis 5
Major themes A. Caregiver health promotion 1. Physical health promotion behavior 2. Psychosocial health promotion behavior B. Formal support and health care of caregivers 6
Major themes and sub-themes Caregiver health promotion Formal support and health care of caregivers Physical health promotion behaviors Psycho-social health promotion behaviors • Giving advice/information • Providing direct caregiver support services • Regularity of exercise • Getting physical check-up or examination • Adequacy of sleep • Taking care of self • Getting support from paid help • Taking respite • Getting social support • Getting spiritual support 7