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老年中风患者照顾者的照顾负担、宗教应对方式及精神健康状况以及影响精神健康的预测因素

Caregiver burden, religious coping, and spiritual well-being among caregivers of elderly stroke patients and predictors affecting spiritual well-being.

作者信息

Kılınç İşleyen Eda, Korkmaz Sinan Emre, Narcıkara Ceyda, Ekici Büşra

机构信息

Faculty of Health Sciences, Public Health Nursing Department, Uşak University, Uşak, Türkiye.

Nursing Department, Uşak University, Uşak, Türkiye.

出版信息

Psychogeriatrics. 2025 Jan;25(1):e13206. doi: 10.1111/psyg.13206. Epub 2024 Oct 23.

Abstract

BACKGROUND

Stroke is a disease that affects the arteries leading to and within the brain. Stroke usually creates a range of disabilities such as physical deficits and difficulty in performing daily activities. These long-term needs and the continuous caregiving sequence affect the care burden and spiritual well-being of caregivers.

METHOD

The correlational study population consisted of caregivers of stroke older patients (N = 100). Burden Interview Scale, Spiritual Well-Being Scale and Religious Coping Scale were used. Descriptive analyses, independent sample t-test, one-way analysis of variance, correlation, regression analyses were used to evaluate the data.

RESULTS

The mean age of caregivers was 48.38 ± 13.52 years. The score of Burden Interview Scale was 31.41 ± 15.13 (light/moderate), Negative Religious Coping was 7.39 ± 3.17 (moderate), Positive Religious Coping was 24.30 ± 4.34 (high), and Spiritual Well-Being was 21.65 ± 6.73 (low). There is a significant relationship between Burden Interview and Negative Religious Coping (r = 0.274; P = 0.006), Burden Interview and spiritual well-being (r = -0.563; P = 0.000), and spiritual well-being and positive religious coping (r = 0.228; P = 0.026). The predictors that affect the spiritual well-being of caregivers were found to be Burden Interview (β = -0.571) and Positive Religious Coping (β = 0.181) (P < 0.05).

CONCLUSION

Nurses play an important role in increasing the spiritual well-being levels and religious coping behaviours of caregivers. Nurses should communicate empathically with caregivers, understand their feelings, and provide emotional support.

摘要

背景

中风是一种影响通向大脑及大脑内部动脉的疾病。中风通常会造成一系列残疾,如身体缺陷和日常生活活动困难。这些长期需求以及持续的护理过程会影响护理人员的护理负担和精神健康。

方法

相关性研究的人群包括中风老年患者的护理人员(N = 100)。使用了护理负担访谈量表、精神健康量表和宗教应对量表。采用描述性分析、独立样本t检验、单因素方差分析、相关性分析和回归分析来评估数据。

结果

护理人员的平均年龄为48.38 ± 13.52岁。护理负担访谈量表的得分是31.41 ± 15.13(轻度/中度),消极宗教应对得分为7.39 ± 3.17(中度),积极宗教应对得分为24.30 ± 4.34(高度),精神健康得分为21.65 ± 6.73(低度)。护理负担访谈与消极宗教应对之间存在显著关系(r = 0.274;P = 0.006),护理负担访谈与精神健康之间存在显著关系(r = -0.563;P = 0.000),精神健康与积极宗教应对之间存在显著关系(r = 0.228;P = 0.026)。发现影响护理人员精神健康的预测因素是护理负担访谈(β = -0.571)和积极宗教应对(β = 0.181)(P < 0.05)。

结论

护士在提高护理人员的精神健康水平和宗教应对行为方面发挥着重要作用。护士应与护理人员进行共情沟通,理解他们的感受,并提供情感支持。

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