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痴呆症患者家属的护理自我效能:痴呆症知识和感知社会支持的作用。

Caregiving Self-Efficacy in Family Caregivers of People with Dementia: The Role of Knowledge of Dementia and Perceived Social Support.

机构信息

Department of Internal Medicine Nursing, Faculty of Health Sciences, Izmir University of Economics, İ̇zmir, Turkey.

Department of Internal Medicine Nursing, Dokuz Eylul University Faculty of Nursing, Izmir, Turkey.

出版信息

J Community Health Nurs. 2023 Oct 2;40(4):289-297. doi: 10.1080/07370016.2023.2241454. Epub 2023 Jul 31.

Abstract

PURPOSE

To examine the role of perceived social support and knowledge of dementia in family caregivers of people with dementia (PwD) regarding caregiving self-efficacy.

DESIGN

Descriptive, cross-sectional, and predictive design was used.

METHODS

The study was conducted with caregivers of PwD (n:102) between March and May 2022. Data was collected using the following forms: a socio-demographic characteristics form, the revised scale for caregiving self-efficacy (RSCSE), the dementia knowledge assessment scale (DKAS) and the revised form of the multidimensional scale of perceived social support (RFMSPSS). Data was assessed through descriptive statistics and multivariate regression analysis.

FINDINGS

The participants' RSCSE, DKAS and RFMSPSS mean scores were 1125.89 ± 417.18 (range:0-1800), 15.70 ± 6.06 (range:0-34), and 52.72 ± 20.07 (range:12-74), respectively. Analysis indicated that DKAS and RFMSPSS predicted positive caregiving self-efficacy scores but it was not statistically significant for DKAS (R2:0.209, F:13.077,  < 0.001). These variables accounted for 21% of total variance of caregiving self-efficacy. RFMSPSS predicted positively and statistically significantly (β:0.461,  < 0.001) the total score of the self-efficacy scale.

CONCLUSIONS

The perceived social support of caregivers of PwD is an important predictor of the self-efficacy level of caregivers.

CLINICAL EVIDENCE

In order to enhance improving the quality of the caregiving process, caregivers should be strengthened, and caregiving self-efficacy should be comprehensively evaluated to enable assistance to the caregiver. The social support of caregivers is an important predictor of caregiving self-efficacy. Therefore, social support should be taken into consideration when engaging in appropriate initiatives.

摘要

目的

探讨感知社会支持和痴呆症知识在痴呆症患者(PwD)照顾者的照顾自我效能感方面的作用。

设计

使用描述性、横断面和预测性设计。

方法

本研究于 2022 年 3 月至 5 月期间对 102 名 PwD 的照顾者进行了研究。数据收集使用以下表格:社会人口统计学特征表格、修订后的照顾自我效能量表(RSCSE)、痴呆症知识评估量表(DKAS)和多维感知社会支持量表修订版(RFMSPSS)。通过描述性统计和多元回归分析评估数据。

结果

参与者的 RSCSE、DKAS 和 RFMSPSS 平均得分为 1125.89±417.18(范围:0-1800)、15.70±6.06(范围:0-34)和 52.72±20.07(范围:12-74)。分析表明,DKAS 和 RFMSPSS 预测了积极的照顾自我效能感得分,但 DKAS 无统计学意义(R2:0.209,F:13.077,<0.001)。这些变量解释了照顾自我效能感总方差的 21%。RFMSPSS 预测了积极的、具有统计学意义的(β:0.461,<0.001)自我效能感量表总分。

结论

PwD 照顾者的感知社会支持是照顾者自我效能感水平的重要预测因素。

临床证据

为了提高照顾过程的质量,应加强照顾者,全面评估照顾自我效能感,为照顾者提供帮助。照顾者的社会支持是照顾自我效能感的重要预测因素。因此,在开展适当举措时应考虑社会支持。

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