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老年护理者的感知控制与适应:一种解释模型的发展

Perceived control and adaptation in elder caregivers: development of an explanatory model.

作者信息

Wallhagen M I

机构信息

School of Nursing, Dept. of Physiological Nursing, University of California, San Francisco 94143-0610.

出版信息

Int J Aging Hum Dev. 1992;36(3):219-37. doi: 10.2190/ba90-aqx3-t6ce-abek.

DOI:10.2190/ba90-aqx3-t6ce-abek
PMID:1302245
Abstract

Perceived control has been implicated in the adaptation and well-being of older adults and may be especially relevant to elder caregivers. However, few studies have investigated perceived control within the individual's unique personal, social, and environmental context. This study tested a model representing the hypothesis that perceived control, defined as the perception that salient or valued aspects of one's life are manageable, mediates the objective and subjective aspects of caregiving and caregiver adaptation. Sixty elderly caregivers ranging in age from sixty to eighty-four (M = 69.4) were interviewed. Perceived control had a direct relationship with life satisfaction and depression, and an indirect relationship with subjective symptoms of stress. Wishful thinking coping behavior had a negative relationship with all adaptation variables. Findings are discussed in relation to further refinement and development of a theoretical approach to caregiver research and intervention studies in light of the obtained path model.

摘要

感知控制与老年人的适应和幸福感有关,可能对老年护理人员尤为重要。然而,很少有研究在个体独特的个人、社会和环境背景下调查感知控制。本研究测试了一个模型,该模型代表了这样一个假设,即感知控制(定义为认为自己生活中显著或有价值的方面是可控的)在客观和主观的护理及护理人员适应方面起中介作用。对60名年龄在60岁至84岁(平均年龄69.4岁)的老年护理人员进行了访谈。感知控制与生活满意度和抑郁有直接关系,与主观压力症状有间接关系。一厢情愿的应对行为与所有适应变量呈负相关。根据获得的路径模型,结合对护理人员研究和干预研究理论方法的进一步完善和发展,对研究结果进行了讨论。

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