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痴呆症患者照料者照料经历的积极方面

Positive Aspects of Caregiving Experience among Caregivers of Patients with Dementia.

作者信息

Grover S, Nehra R, Malhotra R, Kate N

机构信息

Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

出版信息

East Asian Arch Psychiatry. 2017 Jun;27(2):71-8.

PMID:28652500
Abstract

OBJECTIVE

To assess the positive aspects of caregiving and its correlates among caregivers of patients with dementia.

METHODS

A total of 55 primary caregivers of patients with dementia were invited to complete the Scale for Positive Aspects of Caregiving Experience (SPACE), Coping Checklist, Social Support Questionnaire, and World Health Organization Quality of Life-BREF version. Caregivers were also assessed by a clinician using the Burden Interview Schedule. Patients were assessed using the Hindi Mental State Examination and Instrumental Activities of Daily Living Scale.

RESULTS

The mean SPACE domain score was highest for motivation for caregiving role (2.63) followed by caregiver satisfaction (2.54), caregiving personal gains (2.4), and self-esteem and social aspect of caring (2.23). More educated caregivers scored significantly lower in the self-esteem and social aspect of caring. Married caregivers had a higher mean score in the motivation for caregiving role. There were some correlations between subjective burden and various SPACE domains, but the total objective burden score had no correlation with the SPACE. Higher use of avoidance coping was associated with a positive caregiving experience. Stronger social support was associated with higher score in the motivation for caregiving role. Higher level of caregiver burden in various domains was associated with lower motivation for caregiving. Caregiver satisfaction was associated with better quality of life for caregivers in terms of the environment.

CONCLUSIONS

A positive caregiving experience for primary caregivers of patients with dementia is associated with both objective and subjective burdens, avoidance coping, and perceived social support.

摘要

目的

评估痴呆患者照料者的照料积极方面及其相关因素。

方法

共邀请55名痴呆患者的主要照料者完成照料经历积极方面量表(SPACE)、应对清单、社会支持问卷和世界卫生组织生活质量简表。临床医生还使用负担访谈量表对照料者进行评估。使用印地语精神状态检查和日常生活活动能力量表对患者进行评估。

结果

照料角色动机的SPACE领域平均得分最高(2.63),其次是照料者满意度(2.54)、照料个人收获(2.4)以及照料的自尊和社会方面(2.23)。受教育程度较高的照料者在照料的自尊和社会方面得分显著较低。已婚照料者在照料角色动机方面的平均得分较高。主观负担与各个SPACE领域之间存在一些相关性,但客观负担总分与SPACE无相关性。更多地使用回避应对与积极的照料经历相关。更强的社会支持与照料角色动机得分较高相关。各个领域较高水平的照料者负担与较低的照料动机相关。照料者满意度在环境方面与照料者更好的生活质量相关。

结论

痴呆患者主要照料者的积极照料经历与客观和主观负担、回避应对以及感知到的社会支持均相关。

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