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家庭照顾者中抑郁症状、照顾者压力以及社会支持与痴呆症悲伤之间的关系。

Relationship between Depressive Symptoms, Caregiver Strain, and Social Support with Dementia Grief in Family Caregivers.

作者信息

Sánchez-Alcón Miriam, Garrido-Fernández Almudena, Cano-Rojas José María, Sánchez-Ramos José Luis, Ramos-Pichardo Juan Diego

机构信息

Nursing Department, Nursing Faculty, University of Huelva, 21007 Huelva, Spain.

Provincial Federation of Associations of Family Caregivers of People with Alzheimer's Disease and other Dementias of Huelva and Province, 21710 Huelva, Spain.

出版信息

Medicina (Kaunas). 2024 Apr 17;60(4):643. doi: 10.3390/medicina60040643.

DOI:10.3390/medicina60040643
PMID:38674288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11052144/
Abstract

: Dementia grief in family caregivers of people with dementia refers to grieving prior to the death of the care recipient. It is related to psychosocial risk factors that may have a negative impact on the health of these family caregivers. This study aimed to describe the relationship between depressive symptoms, caregiver strain, and social support with dementia grief in family caregivers of people with dementia. : A descriptive correlational cross-sectional study was conducted. A total of 250 family caregivers of people with dementia participated. Dementia grief was the main variable, and depressive symptoms, caregiver strain, and social support were assessed. Additionally, socio-demographic data were collected. Descriptive statistics were calculated, and a bivariate correlation analysis and a multiple linear regression analysis were performed for dementia grief. : Higher scores for dementia grief were found in women, in family caregivers of patients at advanced stages of dementia, and in family caregivers with a low level of education. High levels of depressive symptoms and caregiver strain and low levels of social support indicated greater intensity of dementia grief. Depressive symptomatology was the variable with the greatest influence on dementia grief. Caregiver strain and social support also related to dementia grief, but to a lesser extent. : In family caregivers, depressive symptoms, caregiver strain, and social support are related to the intensity of dementia grief, with a greater influence of depressive symptoms. Moreover, being female, having a low level of education, and caring for a care recipient at an advanced stage of dementia are factors associated with increased dementia grief. Concerning study limitations, the sample was restricted, belonging to a specific region of Spain and to a Provincial Federation of associations. It is necessary to exercise caution in generalizing results due to the sociodemographic and geographical characteristics of the sample.

摘要

痴呆症患者家庭照料者的痴呆症悲伤指的是在照料对象死亡之前的悲伤情绪。它与一些心理社会风险因素相关,这些因素可能会对这些家庭照料者的健康产生负面影响。本研究旨在描述痴呆症患者家庭照料者的抑郁症状、照料者压力和社会支持与痴呆症悲伤之间的关系。

开展了一项描述性相关性横断面研究。共有250名痴呆症患者的家庭照料者参与其中。将痴呆症悲伤作为主要变量,并对抑郁症状、照料者压力和社会支持进行评估。此外,还收集了社会人口统计学数据。计算了描述性统计量,并对痴呆症悲伤进行了双变量相关性分析和多元线性回归分析。

结果发现,女性、痴呆症晚期患者的家庭照料者以及受教育程度低的家庭照料者的痴呆症悲伤得分更高。高水平的抑郁症状和照料者压力以及低水平的社会支持表明痴呆症悲伤的强度更大。抑郁症状是对痴呆症悲伤影响最大的变量。照料者压力和社会支持也与痴呆症悲伤相关,但程度较小。

在家庭照料者中,抑郁症状、照料者压力和社会支持与痴呆症悲伤的强度相关,其中抑郁症状的影响更大。此外,女性、受教育程度低以及照料处于痴呆症晚期的照料对象是与痴呆症悲伤增加相关的因素。关于研究局限性,样本有限,来自西班牙的一个特定地区和一个省级协会联合会。由于样本的社会人口统计学和地理特征,在推广结果时需要谨慎。

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