残疾严重程度对中国西部农村居家维吾尔族和哈萨克族老年家庭负担的影响：家庭功能的中介作用。
Effects of Disability Severity on the Family Burden of Home-Dwelling Uygur and Kazakh Aged in Rural Western China: Family Function as a Mediator.
机构信息
Medical College of Shihezi University, China.
The Third Affiliated Hospital of Shihezi University Medical College, China.
出版信息
J Transcult Nurs. 2022 Jul;33(4):511-520. doi: 10.1177/10436596221090271. Epub 2022 Apr 28.
INTRODUCTION
Caring for the disabled elderly puts heavy burdens on their families. This study aimed to explore family function (FF) as a mediator in the relationship between disability severity (DS) and family burden (FB) of the Uygur and Kazakh home-dwelling disabled elderly cared for by informal caregivers in China.
METHOD
A cross-sectional design with multistage sampling was used to recruit 431 families with Uygur and Kazakh disabled elderly in Bortala, Xinjiang, China. Data were collected using the Activities of Daily Living Scale, Family Burden Interview Schedule, and Family Adaptation, Partnership, Growth, Affection, and Resolve Index Scale and then analyzed using hierarchical regression.
RESULTS
FF had a partial mediating effect on the relationship between DS and FB (β = 0.131; 95% confidence interval [CI] = [0.074, 0.197]; < .01); the effective rate was 41.46%.
DISCUSSION
Multidisciplinary care teams should implement targeted interventions to improve FF of the disabled elderly to alleviate FB.
介绍
照顾失能老年人给家庭带来了沉重的负担。本研究旨在探讨家庭功能（FF）作为中国维吾尔族和哈萨克族失能老年人家庭照料者家庭负担（FB）与残疾严重程度（DS）之间关系的中介因素。
方法
采用多阶段抽样的横断面设计，在中国新疆博尔塔拉招募了 431 个维吾尔族和哈萨克族失能老年人家庭。使用日常生活活动量表、家庭负担访谈表和家庭适应、伙伴关系、成长、情感和解决指数量表收集数据，然后使用分层回归进行分析。
结果
FF 对 DS 和 FB 之间的关系具有部分中介作用（β=0.131；95%置信区间[CI]为[0.074, 0.197]；<0.01）；有效率为 41.46%。
讨论
多学科护理团队应实施有针对性的干预措施，以改善失能老年人的 FF，从而减轻 FB。
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