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中国痴呆症患者家属的附属耻辱感:一项横断面研究。

Affiliate Stigma among family caregivers of individuals with dementia in China: a cross-sectional study.

机构信息

School of Nursing, Wenzhou Medical University, Zhejiang, China.

Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Zhejiang, China.

出版信息

Front Public Health. 2024 May 30;12:1366143. doi: 10.3389/fpubh.2024.1366143. eCollection 2024.

Abstract

BACKGROUND

Affiliate stigma experienced by family caregivers of individuals with dementia may seriously affect home care and prognosis of these patients. This study aimed to explore the levels of perceived affiliate stigma and its influencing factors among family caregivers of patients with dementia in mainland China, which remains a relatively unexplored topic.

METHODS

In this cross-sectional study, purposive sampling was used to recruit dementia family caregivers from an online communication group between April and May 2022. A total of 727 eligible caregivers were included and asked to complete the demographic questionnaire, the affiliate stigma scale, and the caregiver burden inventory. Descriptive statistics, independent sample t-test, one-way analysis of variance, Pearson correlation analysis, and multiple linear regression were used to explore the factors that influence perceived affiliate stigma among dementia family caregivers.

RESULTS

The mean score for affiliate stigma of dementia family caregivers was 48.09 ± 16.38 (range: 22-86). Whether there were regular breaks during patient care, time-dependent burden, developmental burden, physical burden, and social burden were significant factors influencing the affiliate stigma of dementia family caregivers.

CONCLUSION

Dementia family caregivers showed a moderate to high level of affiliate stigma. Those who had regular breaks during patient care, higher time-dependent burden, developmental burden, and physical burden and lower social burden exhibited higher levels of affiliate stigma.

摘要

背景

痴呆患者家属经历的附属耻辱感可能严重影响这些患者的家庭护理和预后。本研究旨在探索中国大陆痴呆患者家属感知的附属耻辱感水平及其影响因素,这是一个相对未被探索的课题。

方法

本横断面研究采用目的抽样法,于 2022 年 4 月至 5 月间从一个在线交流群组中招募痴呆患者的家属照顾者。共纳入 727 名符合条件的照顾者,要求他们填写人口统计学问卷、附属耻辱感量表和照顾者负担量表。采用描述性统计、独立样本 t 检验、单因素方差分析、Pearson 相关分析和多元线性回归分析来探讨影响痴呆患者家属感知附属耻辱感的因素。

结果

痴呆患者家属的附属耻辱感平均得分为 48.09±16.38(范围:22-86)。在患者护理期间是否有定期休息、时间依赖性负担、发展性负担、身体负担和社会负担是影响痴呆患者家属附属耻辱感的显著因素。

结论

痴呆患者家属表现出中等至高度的附属耻辱感。那些在患者护理期间有定期休息、更高的时间依赖性负担、发展性负担和身体负担以及更低的社会负担的人表现出更高的附属耻辱感。

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