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照顾痴呆症患者:探究感知负担、抑郁、应对方式与幸福感之间的关系。

Caring for a person with dementia: exploring relationships between perceived burden, depression, coping and well-being.

作者信息

McConaghy Ronelle, Caltabiano Marie Louise

机构信息

James Cook University, Cairns, Queensland, Australia.

出版信息

Nurs Health Sci. 2005 Jun;7(2):81-91. doi: 10.1111/j.1442-2018.2005.00213.x.

Abstract

This study was concerned with identifying the impact of variables such as gender, length of time caring, coping style, depression and perception of caregiving burden on the physical and psychological well-being of carers of persons with dementia. Forty-two carers aged between 21 and 88 years from Blue Care's Homecare Dementia Service and Cairns Aged Care Health Service participated in the study. A cross-sectional survey research design was used, with participants providing information on the Satisfaction with Life Scale, the Center for Epidemiologic Studies Depression Scale, the COPE, Short Form (SF)-12 and the Zarit Caregiver Burden Scale. Perceived burden accounted for 41.7% of the variance in satisfaction with life as a subjective measure of well-being. There were no significant differences between male and female carers. Satisfaction with life was not found to decrease with length of time caring for the dementia sufferer. There were no significant findings in regard to coping style or physical health of carers. The well-being of carers can be enhanced through strategies which lead to a reduced perception of burden, with respite services providing tangible relief from burden.

摘要

本研究旨在确定性别、护理时长、应对方式、抑郁以及对护理负担的认知等变量对痴呆症患者照料者身心健康的影响。来自蓝十字家庭护理痴呆症服务机构和凯恩斯老年护理健康服务机构的42名年龄在21岁至88岁之间的照料者参与了该研究。采用横断面调查研究设计,参与者提供了关于生活满意度量表、流行病学研究中心抑郁量表、应对方式问卷简表(SF-12)以及扎里特照料者负担量表的信息。作为幸福感主观衡量指标的生活满意度中,感知到的负担占方差的41.7%。男性和女性照料者之间没有显著差异。未发现生活满意度会随着照料痴呆症患者的时长而降低。在照料者的应对方式或身体健康方面没有显著发现。可以通过减轻负担感知的策略来提高照料者的幸福感,喘息服务能切实减轻负担。

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