Chappell Neena L, Dujela Carren
Centre on Aging, Department of Sociology, University of Victoria, British Columbia.
Int J Aging Hum Dev. 2009;69(3):221-44. doi: 10.2190/AG.69.3.d.
Within gerontological caregiving research, there is a major emphasis on stresses and burdens of this role. Yet there has been little attention directed toward the coping strategies that caregivers engage in to cope with this role and the factors that influence their adoption of different coping strategies. This article examines coping strategies and change in coping strategy over a 1-year period. In particular the differential importance of caregiver capacity (such as social support, health, and personality) compared with careload (such as hours of caregiving and need of the care recipient) is examined within a path model. Data came from a purposive sample of caregivers experiencing heavy demands. Overall, problem-focused coping is used more often than emotion-focused coping (either positive or negative) or seeking social support, but caregivers use all types simultaneously. Caregiver capacity, specifically neuroticism, is the strongest predictor of problem-focused coping with those high in neuroticism less likely to use this strategy. High neuroticism also predicts less use overall and negative emotion-focused coping strategies. Few significant predictors emerge of change; those that did were caregiver capacity, not careload variables. The use of all coping strategies, except seeking social support which remained stable, decreased over a 1-year period.
在老年护理研究中,主要关注的是这一角色所带来的压力和负担。然而,对于护理人员用以应对这一角色的应对策略以及影响他们采用不同应对策略的因素,却很少有人关注。本文考察了为期一年的应对策略及应对策略的变化。特别是在一个路径模型中,研究了护理人员能力(如社会支持、健康状况和个性)与护理负担(如护理时长和受护理者的需求)相比的不同重要性。数据来自有繁重需求的护理人员的一个立意样本。总体而言,与情绪聚焦应对(无论是积极还是消极)或寻求社会支持相比,问题聚焦应对的使用更为频繁,但护理人员会同时使用所有类型的应对方式。护理人员能力,尤其是神经质,是问题聚焦应对的最强预测因素,神经质得分高的人使用这种策略的可能性较小。高神经质还预示着总体上较少使用以及较少使用消极情绪聚焦应对策略。几乎没有显著的预测因素能预示变化;出现的那些预测因素是护理人员能力,而非护理负担变量。除了寻求社会支持保持稳定外,所有应对策略的使用在一年时间里都有所减少。