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中国中部痴呆老年人家庭照顾者中虐待老人的发生率及相关因素:一项横断面研究。

Prevalence and associated factors of elder abuse in family caregivers of older people with dementia in central China cross-sectional study.

机构信息

Department of Thyroid Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.

Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.

出版信息

Int J Geriatr Psychiatry. 2019 Feb;34(2):299-307. doi: 10.1002/gps.5020. Epub 2018 Nov 27.

Abstract

OBJECTIVE

To explore the abuse risk and related important determinants among older people with dementia in central China.

METHODS

In this cross-sectional descriptive study, a sample of 158 family caregivers of older people with dementia was conveniently recruited from the Clinical Medicine Research Center of Dementia and Cognitive Impairment in Hubei Province, China. A social-demographic questionnaire, the Simplified Coping Style Questionnaire (SCSQ), the Social Support Rating Scale (SSRS), the Caregiver Burden Inventory (CBI), and the Caregiver Abuse Screen (CASE) were used for data collection. Descriptive statistics, Mann-Whitney U tests, Kruskal-Wallis tests, Spearman's rank correlation coefficient, and logistic regression analysis were used for the data analyses.

RESULTS

The results demonstrate that 77.8% reported a risk of the abuse of older people with dementia. Moreover, positive and negative reactions, subjective support, and emotional, social, and physical burden were associated with family caregivers' abusive behaviours.

CONCLUSION

This was a study conducted to examine the risk of the abuse of older people with dementia by family caregivers in central China. Elder abuse is prevalent among people with dementia. The present results confirmed the need to focus on family caregiver burden, coping styles, and social support in future interventions to prevent elder abuse.

摘要

目的

探讨中国中部地区老年痴呆症患者的虐待风险及其相关重要决定因素。

方法

本横断面描述性研究便利选取了中国湖北省痴呆与认知障碍临床医学研究中心的 158 名老年痴呆症患者的家庭照顾者作为样本。使用社会人口学问卷、简化应对方式问卷(SCSQ)、社会支持评定量表(SSRS)、照顾者负担量表(CBI)和照顾者虐待筛查(CASE)进行数据收集。采用描述性统计、Mann-Whitney U 检验、Kruskal-Wallis 检验、Spearman 秩相关系数和逻辑回归分析进行数据分析。

结果

结果表明,77.8%的人报告了老年痴呆症患者遭受虐待的风险。此外,积极和消极反应、主观支持以及情感、社会和身体负担与家庭照顾者的虐待行为有关。

结论

本研究旨在探讨中国中部地区老年痴呆症患者家庭照顾者虐待的风险。老年虐待在痴呆症患者中很普遍。目前的结果证实,需要在未来的干预措施中关注家庭照顾者的负担、应对方式和社会支持,以预防老年虐待。

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