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妻子照顾者负担的预测因素。

Predictors of burden among wife caregivers.

作者信息

Robinson K M

出版信息

Sch Inq Nurs Pract. 1990 Fall;4(3):189-203; discussion 205-8.

PMID:2274731
Abstract

The relationship of caregiver health, past marital adjustment, as well as received social support to caregiving burden was studied in 78 wives who served as primary caregivers to husbands with irreversible memory impairment for an average of 4 years and 10 months. In addition, socioeconomic status and attitudes toward asking for help were investigated. This paper is based on the same data set as a previous article that focused on depression. Past marital adjustment was a significant (p less than .001) predictor of subjective burden and accounted for 20% of the total explained variance (22%). Socioeconomic status and attitude toward asking for help were the significant (p less than .001) predictors of objective burden and accounted for 12% of the total variance (17%). Received social support did not predict caregiver adjustment. The finding that past marital adjustment was significantly related to subjective burden suggests that caregivers with unhappy past marriages may need intervention in order to reframe past grievances in their marriages. Findings regarding social status indicate that caregivers with a higher income could purchase services, thus decreasing the amount of disruption in their lives and households.

摘要

研究了78名妻子的照顾者健康状况、过去的婚姻适应情况以及所获得的社会支持与照顾负担之间的关系。这些妻子作为主要照顾者,平均照顾患有不可逆记忆障碍的丈夫达4年零10个月。此外,还调查了社会经济地位和寻求帮助的态度。本文基于与之前一篇关注抑郁症的文章相同的数据集。过去的婚姻适应情况是主观负担的显著预测因素(p小于0.001),占总解释方差的20%(共22%)。社会经济地位和寻求帮助的态度是客观负担的显著预测因素(p小于0.001),占总方差的12%(共17%)。所获得的社会支持并不能预测照顾者的适应情况。过去的婚姻适应情况与主观负担显著相关这一发现表明,过去婚姻不幸福的照顾者可能需要干预,以便重新审视他们婚姻中的过往委屈。关于社会地位的研究结果表明,收入较高的照顾者可以购买服务,从而减少其生活和家庭中的干扰。

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