家庭照顾者所确定的与中风幸存者行为相关的因素。
Factors associated with stroke survivor behaviors as identified by family caregivers.
作者信息
Gonzalez Carmanny, Bakas Tamilyn
机构信息
Indiana University School of Nursing, Indianapolis, IN, USA.
出版信息
Rehabil Nurs. 2013 Jul-Aug;38(4):202-11. doi: 10.1002/rnj.85. Epub 2013 May 17.
PURPOSE
Stroke survivor behaviors that caregivers identify as bothersome can lead to family caregiver stress, which can result in premature institutionalization of the survivor. The purpose of this study was to explore demographic and theory-based factors associated with survivor bothersome behaviors as identified by family caregivers.
METHODS
A secondary analysis of a combined sample of 96 family caregivers of stroke survivors was conducted using baseline data from two existing studies. Bothersome behaviors were measured using the Revised Memory and Behavior Problems Checklist (RMBPC). Theory-based factors were measured using well-validated scales.
RESULTS
Male stroke survivors exhibited more bothersome behaviors (t = 3.53, p < .01). After controlling for survivor gender, 35% of the variance in bothersome behaviors was explained by caregiver depressive symptoms, task difficulty, life changes, and threat appraisal (F[5, 88] = 10.82, p < .001).
CONCLUSIONS
These results identify potential areas for nursing interventions designed to reduce bothersome behaviors as identified by family caregivers.
目的
照顾者认为令人烦恼的中风幸存者行为会导致家庭照顾者压力，进而可能导致幸存者过早入住养老机构。本研究的目的是探讨与家庭照顾者所确定的幸存者令人烦恼行为相关的人口统计学和基于理论的因素。
方法
使用两项现有研究的基线数据，对96名中风幸存者家庭照顾者的合并样本进行二次分析。使用修订后的记忆与行为问题清单（RMBPC）测量令人烦恼的行为。基于理论的因素使用经过充分验证的量表进行测量。
结果
男性中风幸存者表现出更多令人烦恼的行为（t = 3.53，p <.01）。在控制幸存者性别后，照顾者的抑郁症状、任务难度、生活变化和威胁评估解释了令人烦恼行为中35%的变异（F[5, 88] = 10.82，p <.001）。
结论
这些结果确定了护理干预的潜在领域，旨在减少家庭照顾者所确定的令人烦恼的行为。
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