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台湾中风或阿尔茨海默病患者照顾者的压力源、社会支持、抑郁症状及总体健康状况。

Stressors, social support, depressive symptoms and general health status of Taiwanese caregivers of persons with stroke or Alzheimer's disease.

作者信息

Huang Chiung-Yu, Sousa Valmi D, Perng Shao-Jen, Hwang Mei-Yi, Tsai Chun-Ching, Huang Mei-Huang, Yao Shu-Ying

机构信息

I-Shou University, Yanchao Shiang, Kaohsiung County, Taiwan.

出版信息

J Clin Nurs. 2009 Feb;18(4):502-11. doi: 10.1111/j.1365-2702.2008.02443.x.

Abstract

AIMS AND OBJECTIVES

This study examined the relationships among stressors, social support, depressive symptoms and the general health status of Taiwanese caregivers of individuals with stroke or Alzheimer's disease.

BACKGROUND

Caring for a disabled or cognitively impaired person can be extremely stressful and often has adverse effects on caregivers' health. While research on caregiving in Taiwan has examined caregivers' characteristics, caregivers' need and caregivers' burden in caring for older people in general, little is known about Taiwanese caregivers of individuals with stroke or Alzheimer's disease.

DESIGN

Cross-sectional, descriptive correlation design.

METHODS

Data were obtained from a convenience sample of 103 Taiwanese informal caregivers in the South of Taiwan and analysed using descriptive statistics, Pearson's correlations, multiple and hierarchical regressions and t-tests.

RESULTS

Caregivers who had lower household incomes and were taking care of individuals with more behaviour problems had more depressive symptoms. In addition, caregivers who were older and were taking care of individuals with more behaviour problems had worse general health. Caregivers who had more emotional support had less depressive symptoms.

CONCLUSIONS

Caregivers of persons with Alzheimer's disease had more depressive symptoms and worse general health than caregivers of persons with stroke. Only emotional support moderated the relationship between one of the stressors (household income) and depressive symptoms.

RELEVANCE TO CLINICAL PRACTICE

The findings of this study may be helpful for nurses and other health care professionals in designing effective interventions to minimise the negative impacts of stressors on the psychological and general health of caregivers in Taiwan.

摘要

目的与目标

本研究探讨了台湾中风或老年痴呆症患者照顾者的压力源、社会支持、抑郁症状与总体健康状况之间的关系。

背景

照顾残疾或认知障碍患者可能会带来极大压力,且常常对照顾者的健康产生不利影响。虽然台湾有关照顾的研究考察了照顾者的特征、照顾者的需求以及照顾者照顾老年人的总体负担,但对于台湾中风或老年痴呆症患者的照顾者却知之甚少。

设计

横断面描述性相关性设计。

方法

数据来自台湾南部103名非正式照顾者的便利样本,并使用描述性统计、皮尔逊相关性分析、多元和分层回归以及t检验进行分析。

结果

家庭收入较低且照顾行为问题较多患者的照顾者有更多抑郁症状。此外,年龄较大且照顾行为问题较多患者的照顾者总体健康状况较差。获得更多情感支持的照顾者抑郁症状较少。

结论

老年痴呆症患者的照顾者比中风患者的照顾者有更多抑郁症状且总体健康状况更差。只有情感支持缓和了其中一个压力源(家庭收入)与抑郁症状之间的关系。

与临床实践的相关性

本研究结果可能有助于护士和其他医疗保健专业人员设计有效的干预措施,以尽量减少压力源对台湾照顾者心理和总体健康的负面影响。

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