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积极的照护特征作为老年人照护者照护负担与生活满意度之间的中介因素

Positive Caregiving Characteristics as a Mediator of Caregiving Burden and Satisfaction With Life in Caregivers of Older Adults.

作者信息

Fauziana Restria, Sambasivam Rajeswari, Vaingankar Janhavi Ajit, Abdin Edimansyah, Ong Hui Lin, Tan Min-En, Chong Siow Ann, Subramaniam Mythily

机构信息

1 Institute of Mental Health, Research Division, Singapore, Singapore.

出版信息

J Geriatr Psychiatry Neurol. 2018 Nov;31(6):329-335. doi: 10.1177/0891988718802111. Epub 2018 Sep 27.

Abstract

BACKGROUND

Satisfaction with life is recognized to be a factor in alleviating burden in stressful caregiving duties. However, the mechanism underlying this relationship is indistinct. Positive aspects of caregiving (PAC) may help to regulate caregiving burden among caregivers of older adults. The study aims to examine whether positive caregiving characteristics mediate the effect between satisfaction with life and burden of care.

METHODS

Participants were 285 caregivers of older adults (aged 60 and above) in Singapore and were recruited in a cross-sectional, self-report study (mean [M] = 47.0 years; 64.6% females). Measures included in the study were the Zarit Burden Interview (ZBI), Positive Aspects of Caregiving (PAC), and the Satisfaction with Life Scale (SWLS). Mediation analyses were used to study the indirect effects of life satisfaction on caregiver burden through features of PAC.

RESULTS

Mean scores for the ZBI, PAC, and SWLS scales were M = 23.15 (standard deviation [SD] = 15.98), M = 34.55 (SD = 8.19), and M = 23.56 (SD = 6.62) respectively. Results from the mediation analysis revealed that the association between life satisfaction and caregiving burden was significantly mediated by the PAC ( P < .001).

DISCUSSION

Positive aspects of caregiving may be a mechanism that links satisfaction with life and caregiver burden. Findings may represent attempts to manage caregiving duties as well as maintaining a positive attitude toward their responsibilities.

摘要

背景

生活满意度被认为是减轻压力护理负担的一个因素。然而,这种关系背后的机制尚不清楚。护理的积极方面(PAC)可能有助于调节老年人护理者的护理负担。本研究旨在探讨积极的护理特征是否介导生活满意度与护理负担之间的关系。

方法

参与者为新加坡285名老年人(60岁及以上)的护理者,通过横断面自我报告研究招募(平均年龄[M]=47.0岁;64.6%为女性)。研究中使用的测量工具包括 Zarit 负担访谈(ZBI)、护理的积极方面(PAC)和生活满意度量表(SWLS)。中介分析用于研究生活满意度通过 PAC 特征对护理者负担的间接影响。

结果

ZBI、PAC 和 SWLS 量表的平均得分分别为 M = 23.15(标准差[SD]=15.98)、M = 34.55(SD = 8.19)和 M = 23.56(SD = 6.62)。中介分析结果显示,PAC 显著介导了生活满意度与护理负担之间的关联(P <.001)。

讨论

护理的积极方面可能是连接生活满意度和护理者负担的一种机制。研究结果可能代表了管理护理职责以及对自身责任保持积极态度的尝试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deb0/6262596/904caee25242/10.1177_0891988718802111-fig1.jpg

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