The First Clinical College of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250012, China.
Weifang Health Supervision Institute, Weifang, Shandong, 261000, China.
Geriatr Nurs. 2024 Mar-Apr;56:252-258. doi: 10.1016/j.gerinurse.2024.02.020. Epub 2024 Feb 22.
Guided by the Stress Process Model, this study examined the mediating effect of resilience on the relationship between care stressors and perceived caregiving stress.
Data were based on 234 older adults with disabilities and their caregivers from 6 urban districts and 6 rural counties from Jinan, China. Descriptive analysis, analysis of variance, ordinary least squares regression, and mediation analysis were performed.
Perceived stress among family caregivers of Chinese older adults with disabilities was affected by the physical and mental health of both themselves and the care recipients, as well as care intensity and financial difficulties. Resilience played a partial mediating role in the associations among three stressors (i.e. older adults' disability levels, number of chronic diseases, and caregivers' self-reported mental) and perceived caregiving stress.
Enhanced resilience aids caregivers' adaptation to their roles, suggesting the need for societal, spiritual, emotional, and behavioral resilience training.
本研究以压力过程模型为指导，考察了韧性在照顾压力源与感知照顾压力之间的关系中的中介作用。
数据来自中国济南 6 个城区和 6 个农村县的 234 名残疾老年人及其照顾者。采用描述性分析、方差分析、普通最小二乘回归和中介分析。
中国残疾老年人家庭照顾者的感知压力受到自身和照顾对象的身心健康、照顾强度和经济困难的影响。韧性在三个压力源（即老年人的残疾程度、慢性病的数量以及照顾者自我报告的心理）与感知照顾压力之间的关联中起部分中介作用。
增强韧性有助于照顾者适应其角色，这表明需要进行社会、精神、情感和行为韧性培训。
