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家庭主妇和老年痴呆症患者护理者的情绪耗竭:对慢性病、躯体症状和社会功能障碍的影响。

Emotional Exhaustion in Housewives and Alzheimer Patients' Caregivers: Its Effects on Chronic Diseases, Somatic Symptoms and Social Dysfunction.

机构信息

Research Directorate, Inca Garcilaso de la Vega University, Cercado de Lima 7476, Peru.

Department of Personality, Evaluation and Psychological Treatment, CTS-432 Research Team, University of Seville, 41004 Seville, Spain.

出版信息

Int J Environ Res Public Health. 2019 Sep 4;16(18):3250. doi: 10.3390/ijerph16183250.

Abstract

BACKGROUND

Emotional exhaustion causes adverse effects in those who suffer from it. Housewives are not excluded. Domestic and care chores, which are considered to be sources of stress, increase when taking on the role of caregiver for a family member with Alzheimer's disease.

OBJECTIVE

To analyse the influence of emotional exhaustion, somatic symptoms and social dysfunction, based on the activity they carry out.

METHODOLOGY

Cross-sectional survey. 193 women participated, of which: housewives (HWs) (n = 97), and Alzheimer's patient caregiver-housewives (CHWs) (n = 96). The evaluation tools were: sociodemographic/working data questionnaire (ad hoc), Maslach Burnout Inventory (MBI) and Goldberg General Health Questionnaire (GHQ-28).

RESULTS

High rates of emotional exhaustion are observed, as well as an existing positive link between chronic diseases, somatic symptoms and social dysfunction. The structural model indicates that emotional exhaustion predicts the amount and extent of diseases, somatic symptoms and social dysfunction. The influence is higher in CHWs.

LIMITATIONS

Sample procedure implemented at convenience; the variable of the grade of dependence of the Alzheimer's patient caregiver was not included in the study.

CONCLUSIONS

The domestic and care chores that HWs and CHWs carry out affect their health. Hence the need to develop psychoeducative programmes that are adapted to the particular needs of these women and focused on the different areas of their everyday lives.

摘要

背景

情绪枯竭会对患者产生负面影响,家庭主妇也不例外。当她们承担起照顾阿尔茨海默病患者的责任时,家庭和护理工作等被认为是压力源的事情会增加。

目的

根据活动分析情绪枯竭、躯体症状和社会功能障碍的影响。

方法

横断面调查。共有 193 名女性参与,其中包括:家庭主妇(HW)(n = 97)和阿尔茨海默病患者照顾者家庭主妇(CHW)(n = 96)。评估工具包括:社会人口统计学/工作数据问卷(特定)、Maslach 职业倦怠量表(MBI)和 Goldberg 一般健康问卷(GHQ-28)。

结果

观察到情绪枯竭的发生率较高,并且慢性疾病、躯体症状和社会功能障碍之间存在正相关关系。结构模型表明,情绪枯竭预测疾病的数量和程度、躯体症状和社会功能障碍。对 CHW 的影响更高。

局限性

样本程序是在方便的情况下实施的;未将阿尔茨海默病患者照顾者的依赖程度变量纳入研究。

结论

HW 和 CHW 所从事的家务和护理工作会影响她们的健康。因此,有必要制定适合这些女性特定需求的心理教育计划,并关注她们日常生活的不同领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4240/6765817/921aafff64bb/ijerph-16-03250-g001.jpg

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