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60岁及以上为亲孙子孙女提供照料的亲属寄养照料者在健康和社会状况方面的主导个人价值观及压力应对策略。

Dominant personal values and stress-coping strategies in relation to health and social conditions of kinship foster carers aged 60+ providing care for their biological grandchildren.

作者信息

Giezek Marta, Landowski Marek, Zabielska Paulina, Karakiewicz Beata

机构信息

Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin, Żołnierska 48, Szczecin, 71-210, Poland.

Independent Research and Biostatistics Laboratory, Department of Social Medicine, Pomeranian Medical University in Szczecin, Żołnierska 48, Szczecin, 71-210, Poland.

出版信息

BMC Geriatr. 2025 Apr 21;25(1):258. doi: 10.1186/s12877-025-05908-7.

Abstract

BACKGROUND

The subject of personal values prompts deep reflection in the context of foster care provided by kinship carers, in particular grandparents, towards their biological grandchildren. Taking over the care of their own grandchildren may play a confrontational role in the context of grandparents' personal values, causing a sense of failure in their parenting skills in relation to their biological children, which has various effects on the creation of attachment relationships and the methods of raising grandchildren, who are often already affected by traumatic experiences. Grandparents also have to face public deliberation whether they are in a position to provide proper care for their grandchild or grandchildren when they most probably made various mistakes while raising and caring for their own children.

AIM

Identification of dominant personal values and stress-coping strategies in relation to the health and social resources of people aged 60 + providing kinship foster care for their grandchildren.

METHODS

This is a continuation of research conducted in 2018-2019 in north-western Poland. The target population comprised 189 families with kinship carers aged 60 + . Consent to participate was obtained from 78 carers, i.e. 41.27% of those eligible for the study. The study was conducted using the diagnostic survey method. The study used the following standardized scales and questionnaires: PVL, Mini-COPE and NEO-FFI, as well as nursing care sheets and an original survey to determine the profile of a kinship foster carer.

RESULTS

Over 75% of the respondents identified "good health, physical and mental fitness" as the dominant personal value. For 50% of the respondents "successful family life" was a symbol of happiness and for 45.16% of them it was "good health". As for the stress-coping strategies, the highest average rank of 4.84 was assigned to the "active coping" strategy, followed by a value of 4.56 for the "planning" strategy, and then "acceptance" and "positive reframing". The strategy which had the lowest rank of 0.08 was "using psychoactive substances", which did not receive a rank value higher than 2 and was assigned a value of 0 by 95.16% of the respondents. The dominant personality traits among kinship foster carers were: conscientiousness (mean ± SD = 3.34 ± 0.41), followed by agreeableness and extroversion. Neurotic personality traits were reported by the smallest number of respondents (mean ± SD = 1.12 ± 0.63).

CONCLUSIONS

Studies have shown that grandparents taking on the responsible role of kinship foster carers for their grandchildren are guided by love. They point to their health as an important resource. They perform their duties conscientiously and are open to new knowledge. They are capable of dealing with stress constructively. Their resourcefulness and a sense of purpose could increase with improved housing and financial conditions.

摘要

背景

个人价值观这一主题促使人们深入思考亲属照料者,尤其是祖父母,对其亲孙子孙女提供寄养照料的情况。在祖父母的个人价值观背景下,接管自己孙辈的照料可能会起到对抗作用,导致他们在对亲生孩子的养育技能方面产生失败感,这对依恋关系的建立以及养育往往已经受到创伤经历影响的孙辈的方式会产生各种影响。祖父母还必须面对公众的审视,即当他们在养育和照料自己的孩子时很可能犯了各种错误的情况下,他们是否有能力为一个或多个孙辈提供妥善照料。

目的

确定60岁及以上为孙辈提供亲属寄养照料的人群在健康和社会资源方面的主要个人价值观及压力应对策略。

方法

这是2018 - 2019年在波兰西北部开展的研究的延续。目标人群包括189个有60岁及以上亲属照料者的家庭。78名照料者同意参与,即符合研究条件者的41.27%。该研究采用诊断性调查方法。研究使用了以下标准化量表和问卷:个人价值观清单(PVL)、简易应对方式问卷(Mini - COPE)和大五人格问卷(NEO - FFI),以及护理工作表和一份原始调查问卷以确定亲属寄养照料者的概况。

结果

超过75%的受访者将“身体健康、身心健康”确定为主要个人价值观。50%的受访者认为“家庭生活美满”是幸福的象征,45.16%的受访者认为是“身体健康”。至于压力应对策略,“积极应对”策略的平均排名最高,为4.84,其次是“计划”策略,得分为4.56,然后是“接受”和“积极重新评价”。排名最低的策略是“使用精神活性物质”,得分为0.08,其排名值不高于2,95.16%的受访者将其评分为0。亲属寄养照料者中占主导地位的人格特质是:尽责性(均值±标准差 = 3.34 ± 0.41),其次是宜人性和外向性。报告具有神经质人格特质的受访者最少(均值±标准差 = 1.12 ± 0.63)。

结论

研究表明,承担起为孙辈提供亲属寄养照料责任的祖父母是受爱驱使的。他们将自己的健康视为重要资源。他们认真履行职责,乐于接受新知识。他们有能力建设性地应对压力。随着住房和经济条件的改善,他们的足智多谋和目标感可能会增强。

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