School of Nursing, Southern Medical University, Guangzhou, China.
J Clin Nurs. 2020 Sep;29(17-18):3425-3434. doi: 10.1111/jocn.15380. Epub 2020 Jul 1.
To explore the relationship between personality traits, caring characteristics and abuse tendency among professional caregivers of older people with dementia in long-term care facilities in China.
Elder abuse is a serious global health problem and human right violation with high incidence among older people with dementia. There are many investigations about impact factors of risk of abuse among family caregivers of older people with dementia. However, in long-term care facilities, the situation of abuse tendency needs further investigation.
Cross-sectional study.
An observational survey was conducted according to the STROBE checklist. We investigated 156 professional caregivers of older people with dementia in three long-term care facilities in Guangzhou, China. Participants completed a demographic questionnaire, the Caregiver Abuse Screen (CASE) and the Neuroticism Extraversion Openness Five-Factor Inventory (NEO-FFI). Data were analysed using Mann-Whitney U tests, Kruskal-Wallis tests, Spearman's rank correlation and logistic regression analyses.
Over half of the participants (51.9%) reported abuse tendency to the older people with dementia. There was a significant negative correlation between the caregivers' agreeableness scores of NEO-FFI and their CASE scores. Multivariate logistic regression analyses highlighted that protective factors of abuse tendency were caregivers' agreeableness, care recipients' source of finances and their duration of dementia while higher care difficulty and presence of older people's behavioural and psychological symptoms of dementia (BPSD) were the risk factors.
Caregivers' agreeableness personality trait and the caring characteristics of older people with dementia may be relevant to abuse tendency in long-term care facilities. Further study with a larger sample size is needed to validate such a correlation.
Older people with dementia are at high risk for abuse. Prospective caregivers could pay more attention to developing their own agreeableness. The managers might establish monitoring system for reducing the abuse.
探讨中国长期护理机构老年痴呆症患者专业照护者的人格特质、关怀特征与虐待倾向之间的关系。
虐待老年人是一个严重的全球健康问题和侵犯人权的行为，在老年痴呆症患者中发病率很高。有许多关于家庭照护者对老年痴呆症患者的虐待风险的影响因素的调查。然而，在长期护理机构中，虐待倾向的情况需要进一步调查。
横断面研究。
根据 STROBE 清单进行观察性调查。我们调查了中国广州三家长期护理机构的 156 名老年痴呆症患者的专业照护者。参与者完成了一份人口统计学问卷、照顾者虐待筛查表（CASE）和神经质-外向性-开放性五因素人格量表（NEO-FFI）。使用 Mann-Whitney U 检验、Kruskal-Wallis 检验、Spearman 等级相关和逻辑回归分析进行数据分析。
超过一半的参与者（51.9%）报告对老年痴呆症患者有虐待倾向。NEO-FFI 量表中照顾者的宜人性得分与他们的 CASE 得分呈显著负相关。多变量逻辑回归分析突出了虐待倾向的保护因素是照顾者的宜人性、照顾对象的资金来源和他们患痴呆症的时间，而较高的照顾难度和老年痴呆症患者的行为和心理症状（BPSD）的存在则是危险因素。
照顾者的宜人性人格特质和老年痴呆症患者的关怀特征可能与长期护理机构中的虐待倾向有关。需要进一步研究以验证这种相关性。
老年痴呆症患者有很高的被虐待风险。未来的照护者可能需要更加关注培养自己的宜人性。管理者可以建立监测系统，以减少虐待行为的发生。
