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在 COVID-19 大流行期间,对西班牙阿尔茨海默病患者护理人员样本的超负荷工作和情绪健康的研究。

Overload and Emotional Wellbeing in a Sample of Spanish Caregivers of Alzheimer's Patients during COVID-19 pandemic.

机构信息

Instituto Universitario para el Desarrollo Social y Sostenible, Universidad de Cádiz, Cádiz, Spain.

Department of Psychology, Universidad de Cádiz, Cádiz, Spain.

出版信息

Exp Aging Res. 2023 Jul-Sep;49(4):389-406. doi: 10.1080/0361073X.2022.2115739. Epub 2022 Aug 29.

Abstract

INTRODUCTION

Carers of Alzheimer's suffer from caregiver overload, anxiety and depression. Changes in caregiving brought about by pandemic restrictions (COVID-19) may play a role. The aim was to explore the caregiver profile and assess the influence of the pandemic on informal and formal caregivers in a Spanish sample.

METHOD

Sixty caregivers participated. An ad hoc questionnaire, ZBI, STAI and BDI were administered.

RESULTS

Informal caregivers were more overloaded, anxious and depressed than professional caregivers. Both groups perceived themselves to be more sad, worried and stressed than in the pre-pandemic situation. The pandemic-generated variables associated with caregiving did not influence caregiver overload in both groups. In informal caregivers, worsening of the patient with stress and changes in perceived social support with anxiety and depression. In professional caregivers, changes in routine were associated with stress and lower depression and changes in perceived social support with higher caregiver strain. Changes in caregiving routine and changes in perceived social support were predictors of overload and emotional distress in both caregivers.

CONCLUSIONS

Overload was not influenced by the pandemic situation. Changes in caregiving routine and lack of social support were found to be predictors of overload and emotional distress in both types of caregivers.

摘要

简介

阿尔茨海默病患者的照顾者承受着照顾者负担过重、焦虑和抑郁的困扰。大流行限制(COVID-19)带来的照顾方式的变化可能起了作用。本研究旨在探索西班牙样本中照顾者的特征,并评估大流行对非正式和正式照顾者的影响。

方法

共有 60 名照顾者参与了研究。使用专门的问卷、ZBI、STAI 和 BDI 进行评估。

结果

与专业照顾者相比,非正式照顾者的负担过重、焦虑和抑郁更为严重。两组照顾者都认为自己比大流行前更悲伤、更担忧和压力更大。与照顾相关的大流行产生的变量并未影响两组照顾者的负担过重。在非正式照顾者中,患者压力的恶化与焦虑和抑郁相关的感知社会支持的变化有关。在专业照顾者中,常规的改变与压力有关,而抑郁程度降低,感知社会支持的改变与照顾者压力增加有关。照顾常规的改变和感知社会支持的改变是两种类型的照顾者负担过重和情绪困扰的预测因素。

结论

负担过重不受大流行情况的影响。研究发现,照顾常规的改变和社会支持的缺乏是两种类型的照顾者负担过重和情绪困扰的预测因素。

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