Bauer M J, Maddox M K, Kirk L N, Burns T, Kuskowski M A
Research Service and Geriatric Research, Education and Clinical Center, Department of Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.
Am J Alzheimers Dis Other Demen. 2001 Nov-Dec;16(6):329-34. doi: 10.1177/153331750101600601.
The purpose of this exploratory study was to examine the perceptions of 115 female spouse caregivers of early to moderate stage dementia patients. Based on patients' cognitive status, cross-sectional comparisons of two groups of caregiving wives were conducted. No group differences were found in measures of caregiver burden, depression, or personal gain. However, wives of patients with greater cognitive impairment experienced lower levels of mastery and more relational deprivation when compared to wives of patients with higher mental status. Supportive approaches might be directed toward helping early dementia caregivers restructure their understanding of, and participation in, their marital relationships in anticipation of changes ahead. Interventions aimed at enhancing a caregiver's sense of personal mastery may help reduce the negative effects of dementia on caregivers' well-being.
这项探索性研究的目的是调查115名早期至中期痴呆症患者的女性配偶照顾者的看法。根据患者的认知状况，对两组照顾妻子进行了横断面比较。在照顾者负担、抑郁或个人收获的测量方面未发现组间差异。然而，与精神状态较好的患者的妻子相比，认知障碍较严重的患者的妻子掌握感较低，关系剥夺感更强。支持性方法可能旨在帮助早期痴呆症照顾者在预期未来变化时重新构建他们对婚姻关系的理解和参与。旨在增强照顾者个人掌握感的干预措施可能有助于减少痴呆症对照顾者幸福感的负面影响。
