Kocabaş Dilek, Karaçar Yeliz, Barçin Nur Ebru
Department of Health Care Management, Akdeniz University, Antalya, Turkey.
Department of Psychiatric Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
Nurs Open. 2025 Aug;12(8):e70288. doi: 10.1002/nop2.70288.
The aim of this study is to determine the psychological resilience and self-efficacy levels of caregivers of individuals with Alzheimer's disease and to examine the effects of these variables on the caregiver burden.
A cross-sectional, quantitative design was used.
The study was conducted in the neurology outpatient clinic of a university hospital between March and July 2022. The sample of the study consisted of caregivers of 105 individuals diagnosed with Alzheimer's disease. Data were collected using the "Zarit Burden Interview," the "Revised Scale for Caregiving Self-Efficacy," and the "Resilience Scale Short Form." In the study, descriptive statistics and Pearson correlation analysis were employed, and the stepwise multiple regression model was applied.
It was determined that caregivers had a moderate to severe caregiving burden (43.57 ± 16.58) and a moderate level of psychological resilience (20.24 ± 5.96) and self-efficacy (62.84 ± 15.96). The stepwise regression analysis results showed that a lower mini mental state score (β = -0.821; p < 0.001), low caregiver income status (β = -0.201; p < 0.008), inadequate social support (β = -0.155; p < 0.030), shorter duration of Alzheimer's disease diagnosis (β = -0.323; p < 0.001), advanced age (β = -0.299; p < 0.001), and prolonged caregiving (β = -0.216; p < 0.005) were the main predictors of caregiver burden. In addition, the levels of caregiver's self-efficacy in obtaining respite (β = -0.340; p < 0.001), psychological resilience (β = -0.293; p < 0.001), and self-efficacy in controlling upsetting thoughts (β = -0.240; p < 0.001) about caregiving predicted caregiver burden significantly.
The resilience and self-efficacy levels of caregivers predicted caregiver burden significantly. As the psychological resilience and self-efficacy levels of caregivers increase, caregiver burden may decrease significantly.
PATIENT OR PUBLIC CONTRIBUTION: Interviews were conducted with the research participants to collect data. Our findings can be used to develop interventions and coping strategies to reduce the care burden of caregivers of individuals with Alzheimer's disease and to improve their resilience and self-efficacy.
The results were reported in accordance with STROBE guidelines.
本研究旨在确定阿尔茨海默病患者照料者的心理韧性和自我效能水平，并探讨这些变量对照料者负担的影响。
采用横断面定量设计。
本研究于2022年3月至7月在一家大学医院的神经内科门诊进行。研究样本包括105名被诊断为阿尔茨海默病患者的照料者。使用“扎里特负担访谈”、“修订版照料自我效能量表”和“心理韧性量表简表”收集数据。在研究中，采用描述性统计和Pearson相关分析，并应用逐步多元回归模型。
确定照料者有中度至重度的照料负担（43.57±16.58）、中度的心理韧性水平（20.24±5.96）和自我效能水平（62.84±15.96）。逐步回归分析结果显示，较低的简易精神状态评分（β = -0.821；p < 0.001）、照料者低收入状况（β = -0.201；p < 0.008）、社会支持不足（β = -0.155；p < 0.030）、阿尔茨海默病诊断时间较短（β = -0.323；p < 0.001）、高龄（β = -0.299；p < 0.001）和照料时间延长（β = -0.216；p < 0.005）是照料者负担的主要预测因素。此外，照料者在获得喘息机会方面的自我效能水平（β = -0.340；p < 0.001）、心理韧性（β = -0.293；p < 0.001）以及在控制对照料的烦恼想法方面的自我效能水平（β = -0.240；p < 0.001）均显著预测照料者负担。
照料者的心理韧性和自我效能水平显著预测照料者负担。随着照料者心理韧性和自我效能水平的提高，照料者负担可能会显著降低。
对研究参与者进行访谈以收集数据。我们的研究结果可用于制定干预措施和应对策略，以减轻阿尔茨海默病患者照料者的护理负担，并提高他们的心理韧性和自我效能。
结果按照STROBE指南进行报告。
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