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老年人照料者的角色过载感知与身体症状体验:社会支持的调节作用

Perceived role overload and physical symptom experience among caregivers of older adults: The moderating effect of social support.

作者信息

Ahn Soojung, Logan Jeongok G

机构信息

Doctoral Student, School of Nursing, University of Virginia, Charlottesville, VA, USA.

Associate Professor, School of Nursing, University of Virginia, Charlottesville, VA, USA.

出版信息

Geriatr Nurs. 2022 Jan-Feb;43:197-205. doi: 10.1016/j.gerinurse.2021.11.021. Epub 2021 Dec 15.

Abstract

We investigated the association between perceived role overload and physical symptom experience, and the potential moderating effect of social support among caregivers of older adults. We analyzed data of 1,471 caregivers obtained from the 2017 National Study of Caregiving. In the survey, participants were assessed for physical symptoms (pain, limited leg strength, and low energy), symptom-related activity limitations, perceived role overload, and informal/formal support sources. We performed multiple logistic regression analyses with interaction terms. Caregivers who perceived higher role overload were more likely to experience the physical symptoms and frequent limited activities due to the symptoms. The associations of perceived role overload with pain and low energy, respectively, were attenuated among caregivers with high informal support. The moderating effect of formal support appeared to be the opposite in relation to pain. Caregivers who perceived high burden may benefit from their informal support to prevent detrimental effects of caregiving on physical health.

摘要

我们调查了老年人照料者所感知到的角色过载与身体症状体验之间的关联,以及社会支持的潜在调节作用。我们分析了从2017年全国照料研究中获取的1471名照料者的数据。在该调查中,对参与者的身体症状(疼痛、腿部力量受限和精力不足)、与症状相关的活动受限、感知到的角色过载以及非正式/正式支持来源进行了评估。我们进行了带有交互项的多重逻辑回归分析。感知到较高角色过载的照料者更有可能出现身体症状,并因这些症状而频繁出现活动受限。在具有较高非正式支持的照料者中,感知到的角色过载分别与疼痛和精力不足之间的关联减弱。正式支持的调节作用在疼痛方面似乎相反。感知到负担较重的照料者可能会从他们的非正式支持中受益,以防止照料对身体健康产生不利影响。

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