Zauszniewski Jaclene A, Lekhak Nirmala, Musil Carol M
a Nursing , Kate Hanna Harvey Professor of Community Health Nursing and Case Western Reserve University , Cleveland , Ohio , USA.
b Nursing , University of Nevada , Las Vegas Las Vegas , Nevada , USA.
Issues Ment Health Nurs. 2018 May;39(5):382-387. doi: 10.1080/01612840.2018.1424974. Epub 2018 Feb 16.
Currently, 15 million informal caregivers, most of whom are women, provide care for older adults with dementia (Alzheimer's Disease Association, 2016). Caregiving for these individuals often creates distress and may adversely affect female caregivers' psychosocial and spiritual well-being. Approximately 35% of dementia caregivers complain of health deterioration after initiating caregiving responsibilities as compared to 19% of caregivers of older adults who do not have dementia (Alzheimer's Disease Association, 2016). Persons with dementia exhibit symptoms and behaviors that often are challenging for their caregivers. The way that caregivers react to these symptoms and behaviors may affect their coping repertoire and their mental health. Adequate evaluation of caregiver reactions to symptoms of dementia will provide information useful for developing targeted interventions to promote optimal health of female dementia caregivers and to potentially postpone the need for nursing home or long-term placement of the care recipient.
目前,1500万非正式护理人员(其中大多数为女性)为患有痴呆症的老年人提供护理服务(阿尔茨海默病协会,2016年)。照顾这些人往往会造成困扰,并可能对女性护理人员的心理社会和精神健康产生不利影响。与照顾没有痴呆症的老年人的护理人员中的19%相比,约35%的痴呆症护理人员在开始承担护理责任后抱怨健康状况恶化(阿尔茨海默病协会,2016年)。患有痴呆症的人表现出的症状和行为往往对其护理人员构成挑战。护理人员对这些症状和行为的反应方式可能会影响他们的应对能力和心理健康。对护理人员对痴呆症症状的反应进行充分评估,将为制定有针对性的干预措施提供有用信息,以促进女性痴呆症护理人员的最佳健康状况,并有可能推迟护理对象进入养老院或长期安置的需求。