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老年亲属的家庭照顾者:应对方式与痛苦程度的变化

Family caregivers of older relatives: ways of coping and change in distress.

作者信息

Knussen Christina, Tolson Debbie, Brogan Clare A, Swan Iain R C, Stott David J, Sullivan Frank

机构信息

Department of Psychology, Glasgow Caledonian University, Glasgow, Scotland, UK.

出版信息

Psychol Health Med. 2008 May;13(3):274-90. doi: 10.1080/13548500701405483.

DOI:10.1080/13548500701405483
PMID:18569896
Abstract

The aim of this secondary analysis was to examine the relationships between the ways in which caregivers coped with caregiving stressors and their experience of distress over time. Three coping subscales were derived from the Carers' Assessment of Management Index (CAMI) coping scale: "maintaining balance", "focusing on caregiving" and "avoidance". A proportional (relative) scoring technique was applied. The analysis was based on the responses of 115 pairs of caregivers and care recipients. Care recipients were aged 66-92 years, with no symptoms of dementia, and the majority had mild to moderate hearing impairment. Data were collected at baseline and 6 months later. Caregivers who increased the proportion of strategies endorsed in the "maintaining balance" subscale experienced a decrease in distress, irrespective of change in the proportion of strategies endorsed in the "avoidance" subscale. "Focusing on caregiving" was not significantly related to distress. The results highlight the potential benefits to these caregivers of maintaining a balance in their lives by taking breaks from caregiving.

摘要

这项二次分析的目的是研究照顾者应对照顾压力源的方式与他们随时间产生的痛苦体验之间的关系。从照顾者管理指数评估(CAMI)应对量表中得出了三个应对子量表:“保持平衡”“专注于照顾”和“回避”。采用了比例(相对)评分技术。该分析基于115对照顾者和受照顾者的回答。受照顾者年龄在66至92岁之间,没有痴呆症状,且大多数有轻度至中度听力障碍。在基线时和6个月后收集数据。在“保持平衡”子量表中认可的策略比例增加的照顾者,其痛苦感会降低,而不论在“回避”子量表中认可的策略比例如何变化。“专注于照顾”与痛苦感没有显著关系。结果突出了这些照顾者通过从照顾中抽出时间休息来保持生活平衡的潜在益处。

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