Lévesque L, Ducharme F, Lachance L
Faculté des Sciences Infirmières, Université de Montréal.
West J Nurs Res. 1999 Aug;21(4):472-91; discussion 491-7. doi: 10.1177/019394599902100404.
Based on the stress and coping model of Lazarus and Folkman, the aim of this comparative study was to determine whether the caregiving experience of the caregivers of an institutionalized demented relative is different from the one of the caregivers whose relative does not suffer from dementia. Five dimensions of the caregiving experience were considered: stressors, cognitive appraisal of the stressors, social support, coping strategies and well-being. The sample consisted of primary caregivers of a demented and a nondemented relative. Results revealed that the caregivers of a demented relative were exposed to more stressors than the caregivers of a nondemented relative. Functional impairment as well as depressive behaviors were appraised as more disturbing. According to MANCOVA analysis, formal and informal social support seems to play a protective role in the psychological distress of the caregivers of a demented relative. There was no difference between the two groups with regard to their coping strategies. Overall, the caregivers of a demented relative seemed to experience some dimensions of caregiving in a different way compared with their counterparts, and the nature of dementia in itself helps to explain this difference.
基于拉扎勒斯和福克曼的压力与应对模型，本比较研究的目的是确定机构化痴呆亲属照料者的照料经历是否与亲属未患痴呆的照料者不同。研究考虑了照料经历的五个维度：压力源、对压力源的认知评估、社会支持、应对策略和幸福感。样本包括痴呆亲属和非痴呆亲属的主要照料者。结果显示，痴呆亲属的照料者比非痴呆亲属的照料者面临更多压力源。功能障碍以及抑郁行为被评估为更具干扰性。根据多变量协方差分析，正式和非正式社会支持似乎对痴呆亲属照料者的心理困扰起到保护作用。两组在应对策略方面没有差异。总体而言，与非痴呆亲属照料者相比，痴呆亲属照料者似乎在照料的某些维度上有着不同的体验，而痴呆本身的性质有助于解释这种差异。
