The First Hospital of China Medical University, Shenyang, Liaoning Province, China.
The First Hospital of China Medical University, Shenyang, Liaoning Province, China.
Geriatr Nurs. 2024 Sep-Oct;59:7-14. doi: 10.1016/j.gerinurse.2024.06.029. Epub 2024 Jul 6.
The increase in the number of older adults with disability creates new challenges for caregivers. Benefit finding is the positive experience that caregivers get from caregiving, helping to reduce the negative impact on the caregiver's quality of life. However, there is less research on the positive experiences of family caregivers of older adults with disabilities. This study aimed to identify different benefit finding profiles among family caregivers of older adults with disabilities in China and to explore the sociodemographic characteristics and psychosocial factors with different benefit finding profiles.
A cross-sectional study of 218 family caregivers of Chinese older adults with disabilities using the sociodemographic questionnaire, the Family-APGAR, the Sense of Coherence-13, the Emotion Regulation Scale and Benefit Finding Scale from October 2022 to June 2023 in communities and hospitals of China, Shenyang, Liaoning Province. Latent profile analysis was used to analyze the latent profiles of benefit finding among family caregivers of Chinese older adults with disability. Multiple logistic regression was used to explore the predictors of different profiles.
The benefit finding among family caregivers of Chinese older adults with disability can be classified into three potential profiles: Profile 1 - high-level benefit finding group (12.84%), Profile 2 - medium-level benefit finding group (43.58%), Profile 3 - low-level benefit finding group (43.58%). Working status, family function, and cognitive reappraisal of caregiver were predictors of different profiles.
Nurses and community health care staffs should pay attention to the characteristics, family function, and emotion regulation strategies of family caregivers of older adults with different disability. Help family caregivers enhance family cohesion and cognitive reappraisal to improve positive experiences for caregivers in different profiles.
随着残疾老年人数量的增加，给照料者带来了新的挑战。益处发现是照料者从照料中获得的积极体验，有助于减少对照料者生活质量的负面影响。然而，关于残疾老年人家庭照料者积极体验的研究较少。本研究旨在识别中国残疾老年人家庭照料者的不同益处发现特征，并探讨不同益处发现特征与社会人口学特征和心理社会因素的关系。
2022 年 10 月至 2023 年 6 月，采用横断面研究方法，对中国辽宁省沈阳市社区和医院的 218 名残疾老年人家庭照料者进行社会人口学问卷、家庭适应度评估、心理一致感量表 13 项、情绪调节量表和益处发现量表调查。采用潜在剖面分析对中国残疾老年人家庭照料者的益处发现潜在特征进行分析。采用多因素逻辑回归分析探讨不同特征的预测因素。
中国残疾老年人家庭照料者的益处发现可分为三种潜在特征：特征 1-高水平益处发现组（12.84%）、特征 2-中水平益处发现组（43.58%）、特征 3-低水平益处发现组（43.58%）。照料者的工作状况、家庭功能和认知重评是不同特征的预测因素。
护士和社区卫生保健工作者应关注不同残疾老年人家庭照料者的特点、家庭功能和情绪调节策略。帮助家庭照料者增强家庭凝聚力和认知重评，以提高不同特征的照料者的积极体验。
