Kraijo H
, Dijkhofstraat 14, 7391TG, Twello, Nederland.
Tijdschr Gerontol Geriatr. 2016 Sep;47(4):145-55. doi: 10.1007/s12439-016-0178-0.
The aim of this study was to introduce the concept of perseverance time of informal carers of relatives with dementia living at home.
During 2 years data were collected from 223 informal carers of persons with dementia and the care situation. Convergent validity was assessed by looking at associations of perseverance time with validated instruments for measuring subjective burden and happiness. Content validity was evaluated by performing bi- and multivariate correlations between perseverance time and characteristics of persons with dementia, informal carers and care situations.
Correlation coefficients between perseverance time and the validated measures of burden and happiness were significant. Health of the person with dementia, informal carer living apart from the person with dementia, and male gender of informal carer were positively associated with perseverance time; need for supervision, intensity of informal care provision, and reductions in working hours and hobbies in order to be able to provide care negatively. The predictive validity was significant with a perseverance time up to 2 years.
This investigation provides a first indication of the validity of the concept of perseverance time, but replication is necessary. In healthcare practice persevering time provides clues for early detection of overburdening and crises situations.
本研究旨在介绍在家照顾痴呆亲属的非正式照料者的坚持时间这一概念。
在两年时间里,收集了223名痴呆患者的非正式照料者及其照料情况的数据。通过观察坚持时间与用于测量主观负担和幸福感的有效工具之间的关联来评估收敛效度。通过对坚持时间与痴呆患者、非正式照料者及照料情况的特征进行双变量和多变量相关性分析来评估内容效度。
坚持时间与经证实的负担和幸福感测量指标之间的相关系数具有显著性。痴呆患者的健康状况、与痴呆患者分开居住的非正式照料者以及男性非正式照料者与坚持时间呈正相关;监督需求、非正式照料提供的强度以及为了能够提供照料而减少工作时间和爱好与坚持时间呈负相关。预测效度在坚持时间长达两年时具有显著性。
本调查首次表明了坚持时间这一概念的有效性,但有必要进行重复研究。在医疗保健实践中,坚持时间为早期发现负担过重和危机情况提供了线索。