School of Psychology, Bangor University, Bangor, Gwynedd, UK.
Int Psychogeriatr. 2012 Nov;24(11):1816-26. doi: 10.1017/S1041610212000889. Epub 2012 Jun 1.
Numerous theoretical models have been developed to explore how caregiving can impact on caregiving outcomes. However, limited attention has been given to the effects of caregivers' motivations for providing care, the meaning they find in caregiving, and the nature of their relationship with the care-recipient. The current study explored the associations between intrinsic and extrinsic motivations, ability to find meaning in caregiving, and pre-caregiving and current relationship quality, and the way in which these variables interact to influence caregiving outcomes.
This was a cross-sectional questionnaire study, in which the respondents were 447 caregivers of people with dementia who were in receipt of a specialist nursing service.
The results showed that intrinsic motivations, meaning, and pre-caregiving and current relationship quality were significantly related to each other, while extrinsic motivations were only related to intrinsic motivations and meaning. All these factors were significantly related to caregiving outcomes as measured by caregiver burden, role captivity, and competence.
Based on these findings, it is recommended that interventions aimed at reducing caregiving stress should take into account the impact of the quality of the relationship and the caregivers' motivations for providing care. More longitudinal research is needed to explore how meanings, motivations, and relationship quality change over the caregiving career.
许多理论模型已经被开发出来，以探讨照顾者如何影响照顾者的结果。然而，对于照顾者提供照顾的动机、他们在照顾中找到的意义以及他们与照顾对象关系的性质，关注有限。本研究探讨了内在动机和外在动机、在照顾中找到意义的能力、照顾前和当前关系质量之间的关联，以及这些变量如何相互作用影响照顾者的结果。
这是一项横断面问卷调查研究，调查对象为接受专业护理服务的 447 名痴呆症患者的照顾者。
结果表明，内在动机、意义、照顾前和当前关系质量之间存在显著相关性，而外在动机仅与内在动机和意义相关。所有这些因素都与照顾者负担、角色束缚和能力等照顾结果显著相关。
基于这些发现，建议旨在减轻照顾压力的干预措施应考虑到关系质量和照顾者提供照顾动机的影响。需要更多的纵向研究来探讨在照顾生涯中意义、动机和关系质量如何变化。
