Lu Yueh-Feng Yvonne, Wykle May
Indiana University School of Nursing, Indianapolis, IN 6202, USA.
Clin Nurs Res. 2007 Feb;16(1):29-43. doi: 10.1177/1054773806295238.
The specific aims of this study were to (a) identify relationships among care-giving stress, caregivers' functional ability, and number of self-care behavior responses to physical and psychological symptoms in caregivers of persons with dementia and (b) examine the mediating function of functional ability in the relationship between caregiving stress and self-care behavior response to symptoms. A correlational, cross-sectional design was used, and a survey was mailed to 99 caregivers. The survey questionnaire contained items about demographics, caregiving stress, functional ability, and self-care behavior. The results indicate that caregivers who reported higher levels of caregiving stress had poorer self-rated health, poorer physical function, more symptoms, high levels of depressed mood, and more self-care behaviors. Caregiving stress was indirectly related to self-care behavior response to symptoms through functional ability, which suggests a need for developing early interventions to enhance the functional ability and self-care behaviors in response to some caregivers' symptoms.
(a)确定痴呆症患者照料者的照料压力、照料者的功能能力以及对身体和心理症状的自我护理行为反应数量之间的关系;(b)检验功能能力在照料压力与对症状的自我护理行为反应之间关系中的中介作用。采用了相关性横断面设计,并向99名照料者邮寄了调查问卷。调查问卷包含有关人口统计学、照料压力、功能能力和自我护理行为的项目。结果表明,报告照料压力水平较高的照料者自我评定健康状况较差、身体功能较差、症状较多、情绪低落程度较高且自我护理行为较多。照料压力通过功能能力与对症状的自我护理行为反应间接相关,这表明需要制定早期干预措施,以增强照料者应对某些症状时的功能能力和自我护理行为。