Wang Jing-Jy, Lin Jong-Ni, Lee Feng-Ping
Department of Nursing, National Cheng Kung University, Taiwan.
Geriatr Nurs. 2006 Sep-Oct;27(5):284-91; quiz 292. doi: 10.1016/j.gerinurse.2006.08.016.
Psychological abuse of elders is a growing but hidden problem. This study attempted to determine whether caregivers psychologically abuse their elderly care recipients and identify risk factors contributing to such abuse. Ninety-two caregivers completed this study. The Demographic Sheet, the Caregiver Psychological Elder Abuse Behavior scale (CPEAB), and the Caregiver's Burden Scale were used to collect data. The CPEAB scores for caregivers of the elderly were 20 to 51 (mean 30.45 +/- 7.03). The level of abusive behavior was positively associated with gender, education level, and caregiver's burden and negatively correlated with age (P < .01-.05), suggesting that female caregivers, caregivers with higher levels of education, and caregivers with high burdens demonstrated more severe psychologically abusive behavior. Burden and age accounted for 25.9% of the variance for abusive behaviors. This study provides preliminary data estimating caregiver psychologically abusive behavior and its related risk factors. Analytical results provide important information for medical and social interventions and policies for improving the quality of life of elderly people.
老年人遭受心理虐待是一个日益严重但却隐蔽的问题。本研究试图确定照顾者是否会在心理上虐待他们所照顾的老年人,并找出导致此类虐待行为的风险因素。92名照顾者参与了本研究。使用人口统计学表格、照顾者心理虐待老年人行为量表(CPEAB)以及照顾者负担量表来收集数据。老年人照顾者的CPEAB得分在20至51分之间(平均为30.45 +/- 7.03)。虐待行为的程度与性别、教育水平以及照顾者负担呈正相关,与年龄呈负相关(P <.01 -.05),这表明女性照顾者、教育水平较高的照顾者以及负担较重的照顾者表现出更严重的心理虐待行为。负担和年龄解释了虐待行为变异的25.9%。本研究提供了初步数据,用以估计照顾者的心理虐待行为及其相关风险因素。分析结果为改善老年人生活质量的医疗和社会干预措施及政策提供了重要信息。