Objective and Subjective Dementia Caregiving Burden: The Moderating Role of Immanent Justice Reasoning and Social Support
Objective and Subjective Dementia Caregiving Burden: The Moderating Role of Immanent Justice Reasoning and Social Support
复制标题
客观和主观痴呆护理负担：内在正义推理和社会支持的调节作用
DOI：
10.3390/ijerph17020455
复制
发表时间：
2020-01-02
影响因子：
--
通讯作者：
Yang, Fan
中科院分区：
文献类型：
--
作者：
Cao, Yanchun;Yang, Fan
照顾负担显着影响家庭痴呆症照顾者的身心健康。虽然家庭痴呆症照顾者的客观照顾负担（OCB）和主观照顾负担（SCB）之间的关联已有充分记录，但很少有人知道这种关联如何通过个人资源（例如内在正义推理）和人际资源（例如社会支持）的配置来调节。本研究收集了中国西部四川省城市化地区 157 名非收容痴呆症患者主要家庭照顾者的横断面数据。他们回答了有关每天花在看护上的时间、简短版扎里特负担访谈 (ZBI)、看护者意义量表的子量表、社会支持评定量表 (SSRS) 和人口统计问题的问题。控制护理人员的人口统计变量后，本研究发现客观和主观痴呆症护理负担显着相关（p < 0.001），内在正义推理与主观负担呈正相关（p < 0.01）。此外，当社会支持和内在正义推理均较高时，OCB 和 SCB 之间呈显着正相关（p < 0.001），但当社会支持较高且内在正义推理较低时，OCB 和 SCB 之间呈中性相关。当社会支持和内在正义推理都较低时，OCB 和 SCB 之间呈显着正相关（p < 0.05），但当社会支持较低且内在正义推理较高时，OCB 和 SCB 之间呈中性相关。这项研究表明制定干预计划的重要性，该计划应考虑家庭痴呆症护理人员护理的外部支持资源的配置和内部意义的构建。
Caregiving burden significantly effects the physical and mental health of family dementia caregivers. While the association between objective caregiving burden (OCB) and subjective caregiving burden (SCB) of family dementia caregivers is well documented, little is known as with how the association is moderated by the configuration of intrapersonal resource (e.g., immanent justice reasoning) and interpersonal resource (e.g., social support). The present study collected cross-sectional data on 157 major family caregivers of non-institutionalized persons with dementia in an urbanizing region of Western China's Sichuan Province. They responded to questions on daily time spent on caregiving, the short version of Zarit Burden Interview (ZBI), a sub-scale of a caregiver meaning scale, Social Support Rating Scale (SSRS), and demographic questions. Controlling for the demographic variables of the caregivers, this study found that the objective and subjective dementia caregiving burden were significantly associated (p < 0.001), and immanent justice reasoning was positively correlated with subjective burden (p < 0.01). Moreover, the association between OCB and SCB was significantly positive when social support and immanent justice reasoning were both high (p < 0.001), but neutral when social support was high and immanent justice reasoning was low. The association between OCB and SCB was significantly positive when social support and immanent justice reasoning were both low (p < 0.05), but neutral when social support was low and immanent justice reasoning was high. This research suggests the importance of developing intervention programs that consider the configuration of the external supporting resources and internal meaning-making of caregiving of the family dementia caregivers.