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与照顾家庭成员相比,照顾伴侣动物:照顾者的负担和积极体验。

Caregiving for a Companion Animal Compared to a Family Member: Burden and Positive Experiences in Caregivers.

作者信息

Britton Karysa, Galioto Rachel, Tremont Geoffrey, Chapman Kimberly, Hogue Olivia, Carlson Mark D, Spitznagel Mary Beth

机构信息

Department of Psychiatry, Rhode Island Hospital, Providence, RI, United States.

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.

出版信息

Front Vet Sci. 2018 Dec 21;5:325. doi: 10.3389/fvets.2018.00325. eCollection 2018.

Abstract

Research in human caregiving shows burden is often present in the caregiver and can be reduced by interventions that increase positive perceptions of caregiving. Recent work suggests burden is also present in owners of a seriously ill companion animal. To help determine if findings from the human caregiving literature are likely to generalize to companion animal caregiving, we undertook a comparison of burden and positive aspects of caregiving in these groups. Caregivers recruited through social media disease support and information groups completed self-report questionnaires of burden and positive aspects of caregiving in an online research protocol. Owners of a seriously ill companion animal ( = 117) and caregivers of a family member with dementia ( = 252) were cross-sectionally compared. Analyses in the full sample were repeated in a subset ( = 75 per group) of caregivers with blindly matched demographic profiles. Burden was elevated in both dementia and companion animal caregiver groups, though higher overall for dementia caregivers ( < 0.001 for full and matched samples). In contrast, greater positive aspects of caregiving were reported by companion animal caregivers ( < 0.001 for full and matched samples). In both groups, positive aspects of caregiving were negatively associated with burden (full sample < 0.001; matched sample < 0.05). Exploratory item analyses suggested the two groups show comparable experiences of fearing the future, guilt, and financial strain ( = for full and matched sample). Although both groups showed elevated burden, companion animal caregivers reported less burden and a more positive appraisal of caregiving. Elements of burden showing similarities across groups provide a foundation for understanding caregiver burden in the companion animal owner. The inverse correlation between positive aspects of caregiving and burden suggests the impact of positive caregiving experiences should be considered in burden interventions, but because companion animal owners already positively appraise caregiving, enhancing positive aspects of caregiving may not offset burden as it does in human caregiving samples.

摘要

关于人类护理的研究表明,护理者往往会有负担感,而增加对护理积极认知的干预措施可以减轻这种负担。最近的研究表明,患有重病的伴侣动物的主人也存在负担感。为了帮助确定人类护理文献中的研究结果是否可能推广到伴侣动物护理中,我们对这些群体护理的负担和积极方面进行了比较。通过社交媒体疾病支持和信息群组招募的护理者,在一项在线研究方案中完成了关于护理负担和积极方面的自我报告问卷。对患有重病的伴侣动物的主人(n = 117)和患有痴呆症家庭成员的护理者(n = 252)进行了横断面比较。在具有盲目匹配人口统计学特征的护理者子样本(每组n = 75)中重复了全样本分析。痴呆症护理者组和伴侣动物护理者组的负担都有所增加,尽管痴呆症护理者的总体负担更高(全样本和匹配样本均P < 0.001)。相比之下,伴侣动物护理者报告的护理积极方面更多(全样本和匹配样本均P < 0.001)。在两组中,护理的积极方面与负担呈负相关(全样本P < 0.001;匹配样本P < 0.05)。探索性项目分析表明,两组在对未来的恐惧、内疚和经济压力方面有可比的经历(全样本和匹配样本均P = )。虽然两组的负担都有所增加,但伴侣动物护理者报告的负担较轻,对护理的评价更积极。各群体中负担表现出相似性的因素为理解伴侣动物主人的护理者负担提供了基础。护理积极方面与负担之间的负相关表明,在减轻负担的干预措施中应考虑积极护理经历的影响,但由于伴侣动物主人已经对护理给予了积极评价,增强护理的积极方面可能不会像在人类护理样本中那样抵消负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bc/6308119/02201ed5668c/fvets-05-00325-g0001.jpg

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