Cotter Valerie T, Gonzalez Elizabeth W, Fisher Kathleen, Richards Kathy C
15851 Johns Hopkins School of Nursing , USA.
15775 Drexel University College of Nursing and Health Professions , USA.
Dementia (London). 2018 Feb;17(2):214-224. doi: 10.1177/1471301217741744. Epub 2017 Nov 22.
Background People in the early stages of dementia adjust to the illness through stages of awareness, coping, and evaluation. Studies have found that hope, social support, and self-esteem facilitate coping, adjustment, and adaptation in chronic illness. Objective The purpose of this descriptive study was to examine the relationships between hope, social support, and self-esteem in individuals with early stage dementia. Methods Data were obtained from 53 individuals with early stage dementia. The scores on the Herth Hope Index, Social Support Questionnaire Short-Form, and the State Self-Esteem Scale were analyzed using linear regression. Results Hope was moderately associated with self-esteem ( r = .49, p < .001). Hope accounted for 25% of the variance in self-esteem and was a key component in predicting self-esteem. No significant relationship was found between social support and self-esteem. Conclusion Findings suggest that hope may be an important factor to help individuals manage potential threats to self-esteem in the experience of early stage dementia. Strategies to inspire hope and then enhance self-esteem are promising for individuals living with early stage dementia.
处于痴呆早期阶段的人会通过认知、应对和评估等阶段来适应疾病。研究发现,希望、社会支持和自尊有助于慢性病患者的应对、调整和适应。
本描述性研究旨在探讨早期痴呆患者的希望、社会支持和自尊之间的关系。
数据来自53名早期痴呆患者。使用线性回归分析了赫思希望指数、社会支持问卷简表和状态自尊量表的得分。
希望与自尊呈中度相关(r = 0.49,p < 0.001)。希望解释了自尊中25%的变异,是预测自尊的关键因素。社会支持与自尊之间未发现显著关系。
研究结果表明,希望可能是帮助个体应对早期痴呆经历中自尊潜在威胁的重要因素。激发希望进而增强自尊的策略对早期痴呆患者可能是有前景的。