Institute for Research, Development and Innovation, International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
Department of Psychology, International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.
Geriatr Nurs. 2019 Jul-Aug;40(4):380-385. doi: 10.1016/j.gerinurse.2018.12.009. Epub 2019 Feb 11.
A cross-sectional study design involving a total of 230 participants, recruited through Alzheimer's Disease Foundation Malaysia (ADFM), was adopted to access and correlate caregiver strain index (CSI) and resilience (RES) levels of the AD caregivers with various patients' and caregivers' factors. Findings revealed that 77.7% of caregivers had a high level of stress, and there was a significant negative correlation between RES and CSI (P < 0.001). Care recipients' physical function was negatively associated with CSI level. Caregivers' gender and employment status were not directly associated with CSI but were significantly associated with caregivers' RES level. Among the mediator variables, years of care was related to increase CSI and adult-children of AD patients experienced a higher level of caregiver strain compared to the other caregiver groups (P = 0.025). Thus, interventions to improve the family caregivers' RES level, and support for AD patients will be helpful in lowering the strains of AD caregivers.
本研究采用横断面设计，共纳入 230 名参与者，由马来西亚阿尔茨海默病基金会（ADFM）招募，旨在评估和比较 AD 患者和照料者的多种因素与照料者压力指数（CSI）和韧性（RES）之间的相关性。研究结果表明，77.7%的照料者压力水平较高，RES 与 CSI 呈显著负相关（P<0.001）。照料者的身体功能与 CSI 水平呈负相关。照料者的性别和就业状况与 CSI 无直接关联，但与照料者的 RES 水平显著相关。在中介变量中，照顾年限与 CSI 增加有关，AD 患者的成年子女比其他照料者群体经历更高的照料者压力（P=0.025）。因此，提高家庭照料者 RES 水平以及对 AD 患者的支持干预措施将有助于降低 AD 照料者的压力。
