Yu Hairong, Lingler Jennifer H, Sereika Susan M, Erlen Judith A
Hairong Yu, BSN, is PhD Candidate, Second Military Medical University School of Nursing, Shanghai, P. R. China. Jennifer H. Lingler, PhD, CRNP, is Associate Professor, Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pennsylvania. Susan M. Sereika, PhD, is Professor and Director, Center for Research and Evaluation, University of Pittsburgh School of Nursing, Pennsylvania. Judith A. Erlen, PhD, RN, FAAN, is Professor and Chair, Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pennsylvania.
Nurs Res. 2017 May/Jun;66(3):240-245. doi: 10.1097/NNR.0000000000000220.
Understanding caregiver's perceptions of their family member's memory loss is a necessary step in planning nursing interventions to detect and address caregiver burden.
The purpose of this study was to characterize caregivers' perceptions of their family members' memory loss and identify potential correlates within Leventhal's common sense model (CSM).
This secondary analysis used baseline data from a larger randomized controlled trial. Patients with memory loss and their caregivers (N = 83 dyads) from the community were included. The adapted Brief Illness Perception Questionnaire (BIPQ) assessed caregivers' illness perceptions. Eight additional instruments measured correlates within the CSM. Responses were described; multiple linear regression was used to predict BIPQ dimension scores, and logistic regression was used to predict dichotomized BIPQ scores.
Most caregivers were female, White, and spouses of the patients; they reported a range of perceptions on the nine BIPQ dimensions. Patients' cognitive function consistently emerged as a significant correlate of caregivers' illness perceptions, explaining the most variance in caregivers' perceived consequences, identity, and treatment control (p < .01). Caregivers' reactions to patients' behavioral symptoms and caregivers' trait anxiety were associated with perceived illness coherence (p < .01). Caregivers with higher severity of daily hassles and White caregivers perceived that their family members' memory loss would last longer (p < .001).
Caregivers' perceptions of family members' memory loss varied; distinct dimensions of caregivers' illness perception were associated with a range of clinical and psychosocial factors. This exploratory study demonstrates the complexity of applying the CSM to caregivers of persons with memory loss.
了解照顾者对其家庭成员记忆丧失的看法是规划护理干预措施以检测和解决照顾者负担的必要步骤。
本研究的目的是描述照顾者对其家庭成员记忆丧失的看法，并在莱文索尔常识模型（CSM）中确定潜在的相关因素。
这项二次分析使用了一项大型随机对照试验的基线数据。纳入了来自社区的记忆丧失患者及其照顾者（N = 83对）。改编后的简短疾病认知问卷（BIPQ）评估了照顾者的疾病认知。另外八项工具测量了CSM中的相关因素。对回答进行了描述；多元线性回归用于预测BIPQ维度得分，逻辑回归用于预测二分法的BIPQ得分。
大多数照顾者为女性、白人，且是患者的配偶；他们报告了对BIPQ九个维度的一系列看法。患者的认知功能一直是照顾者疾病认知的一个重要相关因素，解释了照顾者感知后果、身份和治疗控制方面的最大差异（p <.01）。照顾者对患者行为症状的反应和照顾者的特质焦虑与感知疾病连贯性相关（p <.01）。日常困扰严重程度较高的照顾者和白人照顾者认为其家庭成员的记忆丧失会持续更长时间（p <.001）。
照顾者对家庭成员记忆丧失的看法各不相同；照顾者疾病认知的不同维度与一系列临床和社会心理因素相关。这项探索性研究表明将CSM应用于记忆丧失患者照顾者的复杂性。
