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阿尔茨海默病患者的家庭照顾者的感知健康、照顾者负担过重和感知社会支持:性别差异。

Perceived health, caregiver overload and perceived social support in family caregivers of patients with Alzheimer's: Gender differences.

机构信息

Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain.

Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London, UK.

出版信息

Health Soc Care Community. 2021 Jul;29(4):1001-1009. doi: 10.1111/hsc.13134. Epub 2020 Aug 11.

Abstract

Perceived health in caregivers is related to caregiver burden, psychological well-being and social support. Women perceive poorer health and are more likely than men to experience caregiver overload. The objectives of this study were to analyse perceived health, perceived social support and caregiver overload in family caregivers of patients with Alzheimer's disease, as well as to study the effect of the perceived social support as a mediating variable between perceived health and caregiver overload was also analysed, taking into account the caregivers' gender. A cross-sectional descriptive design was used. The sample consisted of 255 family caregivers of individuals with Alzheimer's disease in the Almería Health District (Spain). This study was conducted from January to December 2015. The caregivers' mean age was 55.35 years (SD = 12.35), with 85.5% (n = 218) being women and 14.5% (n = 37) being men. The following questionnaires were administered: Goldberg's General Health Questionnaire-28; the Caregiver Strain Index, measuring caregiver overload; and the Duke-UNC-11 functional social support questionnaire. Poor perceived health, high caregiver overload and high perceived social support were found. Differences in perceived health and perceived social support were significantly higher in women than in men. In women, perceived social support was a mediating variable between perceived health and family caregiver overload. This mediation was not observed in men. This study suggests that perceived social support influences the emotional well-being and the caregiver overload of family caregivers of patients with Alzheimer's. However, its effect differs according to gender. It would, therefore, be necessary to have an in-depth understanding of the variables determining these differences in family caregivers.

摘要

照顾者的感知健康与照顾者负担、心理幸福感和社会支持有关。女性感知健康状况较差,比男性更有可能经历照顾者负担过重。本研究的目的是分析照顾者感知健康、感知社会支持和照顾者负担过重,以及分析感知社会支持作为感知健康和照顾者负担过重之间的中介变量的效果,同时考虑到照顾者的性别。采用了横断面描述性设计。样本由 255 名阿尔默里亚卫生区(西班牙)阿尔茨海默病患者的家庭照顾者组成。这项研究于 2015 年 1 月至 12 月进行。照顾者的平均年龄为 55.35 岁(SD=12.35),其中 85.5%(n=218)为女性,14.5%(n=37)为男性。使用了以下问卷:戈德堡一般健康问卷-28;照顾者压力指数,测量照顾者负担过重;以及杜克-北卡罗来纳州-11 项功能性社会支持问卷。发现感知健康状况较差、照顾者负担过重和感知社会支持较高。女性的感知健康和感知社会支持差异显著高于男性。在女性中,感知社会支持是感知健康和家庭照顾者负担过重之间的中介变量。在男性中没有观察到这种中介作用。本研究表明,感知社会支持影响阿尔茨海默病患者家庭照顾者的情绪健康和照顾者负担过重。然而,其效果因性别而异。因此,有必要深入了解决定家庭照顾者这些差异的变量。

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