Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study

Abstract Background Long-term care insurance (LTCI) projects were an essential components of health systems designed to support disabled people and their families. Despite LTCI has been getting more and more attention and promotion, there was a lack of qualitative study to explore the experiences of...

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Main Authors: Yitong Liu, Wenkun Xu, Zhuoya Yang, Yaning Wang, Rujian Lu, Yuexia Gao, Yaqin Zhong
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-02613-5
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author Yitong Liu
Wenkun Xu
Zhuoya Yang
Yaning Wang
Rujian Lu
Yuexia Gao
Yaqin Zhong
author_facet Yitong Liu
Wenkun Xu
Zhuoya Yang
Yaning Wang
Rujian Lu
Yuexia Gao
Yaqin Zhong
author_sort Yitong Liu
collection DOAJ
description Abstract Background Long-term care insurance (LTCI) projects were an essential components of health systems designed to support disabled people and their families. Despite LTCI has been getting more and more attention and promotion, there was a lack of qualitative study to explore the experiences of family caregivers who were directly involved in the care of disabled people enrolled in these projects. This study aimed to explore the experiences of family caregivers in the caregiving process within the context of LTCI. Methods This qualitative study used inductive content analysis to explore the experiences of family caregivers of disabled people. Fifteen family caregivers from long-term care service companies and communities in Nantong city were purposively selected to participate in the study between December 2023 to February 2024. Semi-structured in-depth interviews were conducted to collect data. The interviews were audio-recorded and transcribed verbatim. Results The results revealed a total of five major themes with thirteen sub-themes including: (1) caregiver fatigue (i.e. heavy daily care tasks, and lack of rest); (2) emotional stress (helplessness and depression, and isolated and alone); (3) perceived benefits of caregiving (emotional connection, and a new outlook on life); (4) more expectations for LTCI (expect respite care, expect medical care facilities, expect longer service duration and frequency, and expect more economic subsidies); and (5) positive evaluations of LTCI (provide psychological support, reduce the burden of care, and professional care services). Conclusions This study’s findings improved our understanding of caregiving experiences among family caregivers of disabled people enrolled in LTCI. Identifying caregivers’ experiences enabled the authorities to develop support strategies and interventions focused on helping them reduce the caregiver burden.
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spelling doaj-art-af10fa85930d4c45a38063773203a2be2025-01-26T12:22:56ZengBMCBMC Nursing1472-69552025-01-0124111310.1186/s12912-024-02613-5Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative studyYitong Liu0Wenkun Xu1Zhuoya Yang2Yaning Wang3Rujian Lu4Yuexia Gao5Yaqin Zhong6School of Public Health, Nantong UniversitySchool of Public Health, Nantong UniversitySchool of Public Health, Nantong UniversitySchool of Public Health, Nantong UniversityNantong Third People’s HospitalSchool of Public Health, Nantong UniversitySchool of Public Health, Nantong UniversityAbstract Background Long-term care insurance (LTCI) projects were an essential components of health systems designed to support disabled people and their families. Despite LTCI has been getting more and more attention and promotion, there was a lack of qualitative study to explore the experiences of family caregivers who were directly involved in the care of disabled people enrolled in these projects. This study aimed to explore the experiences of family caregivers in the caregiving process within the context of LTCI. Methods This qualitative study used inductive content analysis to explore the experiences of family caregivers of disabled people. Fifteen family caregivers from long-term care service companies and communities in Nantong city were purposively selected to participate in the study between December 2023 to February 2024. Semi-structured in-depth interviews were conducted to collect data. The interviews were audio-recorded and transcribed verbatim. Results The results revealed a total of five major themes with thirteen sub-themes including: (1) caregiver fatigue (i.e. heavy daily care tasks, and lack of rest); (2) emotional stress (helplessness and depression, and isolated and alone); (3) perceived benefits of caregiving (emotional connection, and a new outlook on life); (4) more expectations for LTCI (expect respite care, expect medical care facilities, expect longer service duration and frequency, and expect more economic subsidies); and (5) positive evaluations of LTCI (provide psychological support, reduce the burden of care, and professional care services). Conclusions This study’s findings improved our understanding of caregiving experiences among family caregivers of disabled people enrolled in LTCI. Identifying caregivers’ experiences enabled the authorities to develop support strategies and interventions focused on helping them reduce the caregiver burden.https://doi.org/10.1186/s12912-024-02613-5Family caregiversDisabled peopleCare experiencesQualitative study
spellingShingle Yitong Liu
Wenkun Xu
Zhuoya Yang
Yaning Wang
Rujian Lu
Yuexia Gao
Yaqin Zhong
Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
BMC Nursing
Family caregivers
Disabled people
Care experiences
Qualitative study
title Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
title_full Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
title_fullStr Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
title_full_unstemmed Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
title_short Caregiving experiences of family caregivers of disabled middle-aged and older adults enrolled in long-term care insurance: a qualitative study
title_sort caregiving experiences of family caregivers of disabled middle aged and older adults enrolled in long term care insurance a qualitative study
topic Family caregivers
Disabled people
Care experiences
Qualitative study
url https://doi.org/10.1186/s12912-024-02613-5
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