Factors related to the acceptance of home care and nursing homes among older Egyptians: A cross-sectional study
Received 22 December 2008; received in revised form 6 May 2009; accepted 10 May 2009.
Abstract
Background
Socio-demographic changes may deprive older Egyptians from receiving care by family members and raise the question of how they react if they become dependent on help.
Objective
The objective of this study was to determine factors related to the acceptance of home care and nursing homes among older Egyptians.
Design
A two group comparative design based on self-reports.
Participants
The sample was composed of 344 older persons receiving home care or staying in a nursing home and 267 non-care recipients.
Setting
The study was conducted in Greater Cairo.
Methods
Factors related to the acceptance of home care and nursing homes were determined separately for each group by logistic regression.
Results
Lesser feelings of shame while receiving care from non-family members were related to an increased acceptance of both kinds of care. For non-care recipients disagreement to the traditional idea of family care had a similar effect. For care recipients the experience made with a particular kind of care was strongly related to its acceptance.
Discussion
Home care is a new phenomenon in Cairo and in contrast to nursing homes it was unknown to most study participants. For this reason any conclusion about which kind of service is preferred by older Egyptians would be a premature one.
Conclusion
Feelings of shame while receiving care from a non-family member are more important than functional limitations when older Egyptians are considering the options of home care and nursing homes.
aCharité-Universitätsmedizin Berlin, Centre for Humanities and Health Sciences, Department of the Education for Nurse and Paramedical Teachers and Nursing Science, Augustenburger Platz 1, 13353 Berlin, Germany
bAin Shams University Hospital, Department of Geriatric Medicine, P.O. Box 9560, Nasr City, Cairo 11471, Egypt
cAin Shams University Hospital, Department of Geriatric Medicine, P.O. Box 72, Helmiyet El-Zeytoun Distribution, Cairo 11321, Egypt
ABSTRACT