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照顾与机构化:对家庭冲突和社会情感支持的认知

Caregiving and institutionalization: perceptions of family conflict and socioemotional support.

作者信息

Gaugler J E, Zarit S H, Pearlin L I

机构信息

The Pennsylvania State University, University Park, USA.

出版信息

Int J Aging Hum Dev. 1999;49(1):1-25. doi: 10.2190/91A8-XCE1-3NGX-X2M7.

DOI:10.2190/91A8-XCE1-3NGX-X2M7
PMID:10614830
Abstract

This study examines the impact of family conflict and socioemotional support among caregivers who institutionize their relatives. Fifty-two wives, forty-three husbands, and sixty-seven daughters were interviewed before and after the placement of a cognitively impaired relative. A repeated measures ANOVA was performed to examine differences in reports of family conflict and socioemotional support among caregivers. Husbands reported greater increases in family conflict than wives or daughters during the institutionization process. Conversely, wives and daughters indicated higher levels of socioemotional support than husbands. Hierarchical regression equations were then calculated to assess the independent contributions of family conflict and socioemotional support to postplacement adaptation. Decreases in socioemotional support during institutionalization significantly predicted postplacement anger among husbands and increases in family conflict significantly predicted postplacement depression among wives. Overall, family conflict and socioemotional support have important implications among caregivers who institutionalize their relatives.

摘要

本研究考察了将亲属送入养老院的照料者之间家庭冲突和社会情感支持的影响。在认知受损亲属入住前后,对52名妻子、43名丈夫和67名女儿进行了访谈。采用重复测量方差分析来检验照料者在家庭冲突和社会情感支持报告方面的差异。在亲属入住养老院的过程中,丈夫报告的家庭冲突增加幅度大于妻子或女儿。相反,妻子和女儿表示社会情感支持水平高于丈夫。然后计算分层回归方程,以评估家庭冲突和社会情感支持对入住后的适应情况的独立贡献。在亲属入住养老院期间社会情感支持的减少显著预测了丈夫入住后的愤怒情绪,而家庭冲突的增加显著预测了妻子入住后的抑郁情绪。总体而言,家庭冲突和社会情感支持在将亲属送入养老院的照料者中具有重要影响。

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