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女性照顾者的医疗保健满意度与社会支持以及压力、抑郁和生活满意度之间的关系:对患病儿童依赖的调节作用。

The Association between Healthcare Satisfaction and Social Support and Stress, Depression, and Life Satisfaction in Female Caregivers: The Moderating Role of Dependence of a Sick Child.

机构信息

Department of Nursing, University of Applied Health Sciences, 10000 Zagreb, Croatia.

Department of Nursing, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, Croatia.

出版信息

Int J Environ Res Public Health. 2024 Sep 20;21(9):1245. doi: 10.3390/ijerph21091245.

Abstract

UNLABELLED

The caregivers of children suffering from rare diseases face numerous emotional, social, economic, organizational, and other difficulties, which can significantly impair their quality of life and mental health. Therefore, among other things, it is important to understand the factors which can influence psychosocial well-being. This research aimed to explore the association between healthcare satisfaction and social support and stress, depression, and life satisfaction in caregivers, with a moderating role of the ill child's dependence on their caregiver.

METHODS

A cross-sectional study was conducted among 185 female caregivers of children with rare diseases. The data were analysed by using hierarchical regression analysis to examine the moderating effect of the child's dependence.

RESULTS

Lower dependence of the child moderated the association between a higher level of healthcare satisfaction and reduced stress and a higher level of life satisfaction. Furthermore, lower child dependence moderated the association between a higher level of social support and a reduction in depression. In contrast, this association was absent in female caregivers with highly dependent children. On the other hand, the research confirmed that a higher level of social support led to stress reduction and increased life satisfaction in all respondents, regardless of the child's dependence. Furthermore, the research confirmed that higher levels of healthcare satisfaction are associated with a reduction in depression in caregivers, regardless of the child's dependence level.

CONCLUSION

This research highlights the importance of providing adequate social support and high-quality healthcare in order to improve the psychosocial well-being of caregivers of children with rare diseases. Interventions to increase this support can reduce stress and depression and increase caregivers' life satisfaction. Thus, future research should focus on the development and evaluation of specific interventions that support these factors.

摘要

未加标签

患有罕见疾病的儿童的照料者面临着许多情感、社会、经济、组织和其他方面的困难,这会严重影响他们的生活质量和心理健康。因此,除其他外,了解可能影响心理社会福祉的因素非常重要。这项研究旨在探讨医疗保健满意度与社会支持以及压力、抑郁和生活满意度之间的关联,同时考虑患儿对其照料者的依赖程度的调节作用。

方法

对 185 名患有罕见疾病的儿童的女性照料者进行了横断面研究。使用分层回归分析来检验儿童依赖程度的调节作用,对数据进行了分析。

结果

患儿的依赖程度越低,医疗保健满意度水平越高,与压力越低和生活满意度越高之间的关联就越显著。此外,患儿的依赖程度越低,社会支持水平越高与抑郁程度越低之间的关联就越显著。相反,在患儿依赖性较高的女性照料者中,这种关联并不存在。另一方面,研究证实,较高的社会支持水平会降低所有受访者的压力并提高生活满意度,而不论患儿的依赖程度如何。此外,研究还证实,较高的医疗保健满意度水平与照料者抑郁程度的降低有关,而不论患儿的依赖水平如何。

结论

这项研究强调了提供充足的社会支持和高质量医疗保健的重要性,以改善患有罕见疾病的儿童的照料者的心理社会福祉。增加这种支持的干预措施可以减轻压力和抑郁,提高照料者的生活满意度。因此,未来的研究应侧重于开发和评估支持这些因素的具体干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/346c/11431563/fb9a69ae85fb/ijerph-21-01245-g001.jpg

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