College of Nursing Science, Kyung Hee University, Seoul, Korea.
Department of Nursing, Chung-Ang University, Seoul, Korea.
J Adv Nurs. 2018 Nov;74(11):2544-2554. doi: 10.1111/jan.13770. Epub 2018 Jul 24.
This study identified the moderating role of the amount of caregiving tasks on relationships between dementia family caregivers' characteristics (age, education, etc.) and outcomes (burden, etc.).
A cross-sectional analysis of surveyed data.
A convenience sample of 369 family caregivers (151 males, 218 females) aged 20 years or older was recruited from 10 cities in the southern area of South Korea. Data were collected from November-December 2011. Measures of caregiver burden, perceived health status and emotional distress of caregivers related to the memory-behaviour problems of the care recipient were used to assess the outcomes of family caregivers of older adults with dementia.
The amount of caregiving tasks has a moderating effect on the relationships between caregivers' characteristics (such as living with the recipient and duration of caregiving) and the caregiver burden. The interaction between the amount of caregiving tasks and status of living with recipient was significant in relation to the emotional distress of caregivers related to the memory-behaviour problems of the care recipient with dementia; however, there was no effect of the amount of caregiving tasks on the relationships between caregivers' characteristics and perceived health status.
The amount of caregiving tasks can have a moderating role in the caregiving stress model. Intervention programs need to be developed and implemented to reduce negative outcomes of family caregivers, particularly those living with older adults with dementia.
本研究旨在确定照护任务量在痴呆症家庭照顾者特征（年龄、教育程度等）与结果（负担等）之间的关系中的调节作用。
对调查数据的横断面分析。
从韩国南部 10 个城市招募了 369 名年龄在 20 岁及以上的有便利条件的家庭照顾者（151 名男性，218 名女性）作为样本。数据收集于 2011 年 11 月至 12 月。使用照顾者负担、照顾者感知健康状况和与记忆行为问题相关的照顾者情绪困扰等指标来评估老年痴呆症患者家庭照顾者的结果。
照护任务量对照顾者特征（如与受照顾者同住和照顾时间长短）与照顾者负担之间的关系具有调节作用。照护任务量与与受照顾者同住状况之间的相互作用对与痴呆症受照顾者记忆行为问题相关的照顾者情绪困扰有显著影响；然而，照护任务量对照顾者特征与感知健康状况之间的关系没有影响。
照护任务量可以在照顾者压力模型中发挥调节作用。需要制定和实施干预计划，以减轻家庭照顾者的负面结果，特别是那些与老年痴呆症患者同住的照顾者。
