Prävention hitzebedingter Gesundheitsbelastungen in der ambulanten Pflege
摘要
Older people in need of care in an outpatient setting are very vulnerable to heat-related health problems and are dependent on multipliers, such as carers, to implement protective measures. But are outpatient carers sensitised and prepared for this challenging task?
AimThe aim of this study was to determine the factors that influence the carers’ heat protection behaviour and to develop effective heat protection materials for them to identify heat-related health risks and increase heat protection behaviour towards patients and themselves in a participatory manner.
MethodsA heat checklist and a heat online training programme as well as a heat warning sticker were developed as heat-health materials, which were qualitatively evaluated in two focus group workshops with outpatient carers. The theoretically derived determinants of heat protection behaviour were also researched as part of the focus groups.
Results and conclusionsThe results show that a lack of time, personnel, money and materials as well as psychological, linguistic and cultural barriers have a negative influence on the implementation of heat protection measures, while existing experience and collective values have a positive influence. Heat protection materials should focus on concise and clear formats such as pocket cards that use symbols and simple language to convey realistically realisable content. In order to ensure long-term effectiveness, further training measures such as the developed online heat training programme should be integrated into a reform of carer training, and working conditions in the setting should also be improved, e.g. with more time and remuneration per caring assignment.