Hampton Michelle M, Newcomb Patricia
Michelle M. Hampton, PhD, RN, NEA-BC, is director, Nursing Operations, Texas Health Harris Methodist Hospital Fort Worth, and adjunct faculty, University of Texas at Arlington, College of Nursing and Health Innovation. Patricia Newcomb, PhD, RN, is nurse scientist, Texas Health Harris Methodist Hospital Fort Worth.
J Hosp Palliat Nurs. 2018 Oct;20(5):471-477. doi: 10.1097/NJH.0000000000000464.
Researchers have established associations between the stressors of providing informal care and caregiver health risks. Despite the negative consequences, researchers have identified the existence of protective factors that have the potential to buffer or prevent stress. The purpose of this study was to determine the relationship between self-efficacy and stress in adult informal caregivers providing end-of-life care. This cross-sectional, associational study analyzed data from questionnaires completed by adult informal caregivers providing end-of-life care for an adult in North Texas. Questionnaires provided measures of self-efficacy, stress, and caregiver perceived health. Findings indicated caregiver self-efficacy globally had a significant correlation with stress, whereas caregivers' confidence in caring for themselves had a significant negative relationship with perceived stress. Specifically, study findings indicate caregivers with greater confidence in managing demands of caregiving have lower levels of stress, and caregivers with greater confidence in caring for themselves, specifically, have lower levels of perceived stress. Study findings highlight the importance of caregivers' self-care needs. Health care practitioners should recognize and intervene to support caregivers' self-care needs in order to prevent additional, needless health problems in this population.
研究人员已经确定了提供非正式护理的压力源与护理人员健康风险之间的关联。尽管存在负面后果，但研究人员已经识别出一些保护因素的存在，这些因素有可能缓冲或预防压力。本研究的目的是确定在提供临终护理的成年非正式护理人员中，自我效能感与压力之间的关系。这项横断面关联性研究分析了来自北德克萨斯州为一名成年人提供临终护理的成年非正式护理人员所填写问卷的数据。问卷提供了自我效能感、压力和护理人员感知健康状况的测量指标。研究结果表明，护理人员的总体自我效能感与压力存在显著相关性，而护理人员对自我护理的信心与感知到的压力存在显著负相关。具体而言，研究结果表明，对管理护理需求更有信心的护理人员压力水平较低，而对自我护理更有信心的护理人员，其感知到的压力水平更低。研究结果凸显了护理人员自我护理需求的重要性。医疗保健从业者应认识到并进行干预，以支持护理人员的自我护理需求，从而预防这一人群出现更多不必要的健康问题。
