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与慢性病患者黑人照护者认知表现相关的因素:一项探索性研究。

Factors related to cognitive performance among black caregivers of persons living with a chronic illness: An exploratory study.

机构信息

Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road NE, Atlanta, GA 30322, USA.

Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road NE, Atlanta, GA 30322, USA.

出版信息

Geriatr Nurs. 2024 Sep-Oct;59:159-169. doi: 10.1016/j.gerinurse.2024.06.035. Epub 2024 Jul 15.

Abstract

This study investigated factors associated with cognitive performance among Black caregivers of persons living with two chronic conditions: dementia or cancer. Fifty-six Black caregivers of people living with dementia or cancer were recruited from clinic and community sources. Variables measured included: depression, anxiety, stress, sleep, fatigue, and caregiver burden. Cognitive performance was assessed using the Montreal Cognitive Assessment (MoCA). Descriptive statistics and non-parametric analyses were conducted to identify factors related to MoCA scores. Caregivers were 58.3 years of age and predominantly female. The average MoCA score was 25.23. Gender and education, along with positive appraisal of caregiving were significantly associated with cognitive performance. Several other factors approached significance including cohabitation with the care recipient, fatigue, and stress due to perceived individual and institutional racism. Our findings suggest several factors that warrant further investigation for understanding the relationship between caregiving and cognitive performance in Black caregivers of people living with cancer or dementia.

摘要

本研究调查了与同时患有两种慢性疾病(痴呆或癌症)的患者的黑人护理者认知表现相关的因素。从诊所和社区来源招募了 56 名照顾痴呆或癌症患者的黑人护理者。测量的变量包括:抑郁、焦虑、压力、睡眠、疲劳和护理者负担。认知表现使用蒙特利尔认知评估(MoCA)进行评估。采用描述性统计和非参数分析来确定与 MoCA 分数相关的因素。护理者的年龄为 58.3 岁,主要为女性。平均 MoCA 得分为 25.23。性别和教育程度,以及对护理的积极评价与认知表现显著相关。其他几个因素也接近显著,包括与护理对象同住、疲劳以及因个人和体制种族主义而产生的压力。我们的研究结果表明,有几个因素值得进一步研究,以了解生活在癌症或痴呆症患者中的黑人护理者的照顾与认知表现之间的关系。

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