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老年人照料者心理韧性和心理健康的中介作用。

The mediating roles of psychological resilience and psychological well-being of caregivers for the older adults.

作者信息

Kukihara Hiroko, Ando Michiyo, Koga Kayoko, Nishio Midori, Nakashima Fumiko, Yamawaki Niwako

机构信息

Department of Nursing, School of Health Sciences at Fukuoka, International University of Health and Welfare, Japan.

Faculty of Child Studies, Nishikyushu University, Japan.

出版信息

J Rural Med. 2024 Oct;19(4):241-249. doi: 10.2185/jrm.2023-037. Epub 2024 Oct 1.

Abstract

OBJECTIVE

This study aimed to investigate the mediating effects of psychological resilience and psychological well-being for caregivers at nursing homes on the relationship between insomnia and elder maltreatment. As the world is aging quickly and the number of older individuals cared for by formal caregivers has been increasing, this study's results could help create intervention programs to minimize the occurrence of older people's maltreatment.

MATERIALS AND METHODS

A total of 431 care workers who met all criteria, from 21 care service centers for older adults in Fukuoka, Japan, completed the Conditions of Maltreatment Scale, Caregivers' Belief in Ideal Care, Insomnia Severity Index, WHO-5 Well-Being Index, and Connor-Davidson Resilience Scale-10.

RESULTS

A multivariate analysis of variance revealed that participants with no insomnia had greater resilience, higher psychological well-being, and greater belief in ideal care and to treated older clients less roughly compared to participants with insomnia. Psychological resilience and well-being were significant mediators in the relationship between insomnia, rough care, and beliefs in ideal care.

CONCLUSION

As formal caregivers are in urgent demand, society should take care of them. The most effective and successful intervention for improving their physical and psychological well-being should be initiated at the individual and organizational levels.

摘要

目的

本研究旨在探讨心理韧性和心理健康在养老院护理人员失眠与虐待老年人关系中的中介作用。鉴于全球人口迅速老龄化,由正式护理人员照料的老年人数量不断增加,本研究结果有助于制定干预计划,以尽量减少老年人受虐待事件的发生。

材料与方法

从日本福冈的21家老年人护理服务中心选取了431名符合所有标准的护理人员,他们完成了虐待情况量表、护理人员理想护理信念量表、失眠严重程度指数、世界卫生组织-5幸福指数和康纳-戴维森心理韧性量表-10。

结果

多因素方差分析显示,与失眠的参与者相比,没有失眠的参与者具有更强的心理韧性、更高的心理健康水平、更强的理想护理信念,并且对老年客户的照料方式更温和。心理韧性和心理健康在失眠、粗暴护理和理想护理信念之间的关系中是重要的中介变量。

结论

由于对正式护理人员的需求迫切,社会应该关爱他们。应在个人和组织层面开展最有效、最成功的干预措施,以改善他们的身心健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e7c/11442087/2aeb2c7ec4cd/jrm-19-241-g001.jpg

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