Simpson Cherie, Carter Patricia
School of Nursing, University of Texas at Austin, 1700 Red River, D0100, Austin, TX 78701, USA.
J Holist Nurs. 2013 Jun;31(2):113-20. doi: 10.1177/0898010112473803. Epub 2013 Jan 24.
The purpose was to obtain a better understanding of the role of mastery (global and caregiving) in wives' versus daughters' experience of caring for a person with dementia.
A total of 67 caregivers participated in a cross-sectional study. Variables measured were global mastery, caregiving mastery, stress, and depressive symptoms. Analysis included t tests, correlations, and multiple regressions.
Wives and daughters reported similar levels of stress and depressive symptoms. The correlations between stressors, caregiver stress, and depressive symptoms were significant for wives but not daughters. The relationships between global mastery and stress, and global mastery and depressive symptoms were significant for both wives and daughters, but the magnitude was less for daughters in the relationship of global mastery and depressive symptoms. Caregiver mastery was strongly related to stress and depressive symptoms for wives but not for daughters.
Consideration must be given to the differences in the experience of mastery so that evaluations and interventions can be tailored to the unique experiences of wives and daughters.
旨在更深入地了解掌控感（总体掌控感和照护掌控感）在妻子与女儿照顾痴呆患者经历中的作用。
共有67名照护者参与了一项横断面研究。所测量的变量包括总体掌控感、照护掌控感、压力和抑郁症状。分析包括t检验、相关性分析和多元回归分析。
妻子和女儿报告的压力和抑郁症状水平相似。压力源、照护者压力和抑郁症状之间的相关性在妻子中显著，但在女儿中不显著。总体掌控感与压力以及总体掌控感与抑郁症状之间的关系在妻子和女儿中均显著，但在总体掌控感与抑郁症状的关系中，女儿的相关程度较小。照护掌控感与妻子的压力和抑郁症状密切相关，但与女儿无关。
必须考虑掌控感体验的差异，以便评估和干预能够针对妻子和女儿的独特经历进行调整。
