Huang Chiung-Yu, Musil Carol M, Zauszniewski Jaclene A, Wykle May L
I-Shou University, Ta-Hsu Hsiang, Kaohsiung County, Taiwan.
Int J Aging Hum Dev. 2006;63(1):1-25. doi: 10.2190/72JU-ABQA-6L6F-G98Q.
The purpose of this study was to explore the relationship of demographic characteristics, contextual factors, social support, and coping on health outcomes of family caregivers of older adults with dementia in Taiwan. This study also examined caregiving stress and whether support moderated the effects of caregiver stress on health. Lazarus and Folkman's (1984) Stress model guided this study. The descriptive cross-sectional study included subjects who were primary family caregivers of older adults with dementia from two settings in southern Taiwan. A convenience sample of 148 participants was interviewed. Data analysis consisted of Pearson's correlations, and simple and multiple regression analysis. Findings indicated that younger caregivers, those with paid assistants, and those with longer duration of caregiving had better health. Females with lower income and without assistants had more depressive symptoms. In addition, moderating effects of social support were supported. The results from this study provided a basis for developing interventions to minimize negative impacts on caregivers.
本研究的目的是探讨台湾地区老年痴呆症患者家庭照顾者的人口统计学特征、情境因素、社会支持和应对方式与健康结果之间的关系。本研究还考察了照顾压力以及社会支持是否缓和了照顾者压力对健康的影响。拉扎勒斯和福克曼(1984年)的压力模型为本研究提供了指导。这项描述性横断面研究的对象是来自台湾南部两个地区的老年痴呆症患者的主要家庭照顾者。对148名参与者进行了便利抽样访谈。数据分析包括皮尔逊相关性分析以及简单和多元回归分析。研究结果表明,较年轻的照顾者、有付费助手的照顾者以及照顾时间较长的照顾者健康状况较好。收入较低且没有助手的女性有更多的抑郁症状。此外,社会支持的缓和作用得到了证实。本研究结果为制定干预措施以尽量减少对照顾者的负面影响提供了依据。