Better caregiver mastery is associated with less anxiety in individuals with cognitive impairment.
Better caregiver mastery is associated with less anxiety in individuals with cognitive impairment.
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DOI：
10.1186/s12912-023-01471-x
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发表时间：
2023-09-07
期刊：
影响因子：
3.2
通讯作者：
Hodgson, Nancy A.
中科院分区：
文献类型：
--
作者：
Hwang, Yeji;Mcphillips, Miranda V.;Huang, Liming;Perez, G. Adriana;Hodgson, Nancy A.
关键词：
当照顾者对照顾者的掌握程度较高时，有认知障碍的被照顾者有较少的行为健康问题。然而，随着时间的推移，照顾者掌握和照顾者焦虑之间的关系尚不清楚。因此，本研究的目的是研究随着时间的推移，更好的照顾者掌握与认知障碍患者的焦虑减少有关。使用健康模式临床试验（NCT03682185）数据集并以痴呆行为和心理症状相关因素概念框架为指导，进行二次数据分析。这项研究包括154对认知障碍患者和他们的照顾者。对焦虑变化进行多元线性回归分析。模型1包括神经变性水平的变量（即认知障碍和年龄）。模型2在模型1的基础上加入了患者因素（即睡眠问题和抑郁）。最后，模型3在模型2中加入照顾者因素（即照顾者掌握），考察照顾者掌握的变化如何影响被照顾者焦虑的变化。模型3有统计学意义；在控制了与认知障碍和患者因素相关的神经退行性变水平的变量后，随着时间的推移，照顾者掌握程度的改善（β =-0.230, p = 0.015）与焦虑的减少有关（R2 = 0.1099）。对照顾者掌握程度高的照顾者可能对如何照顾他们所爱的人以及如何管理他们的神经精神症状有更好的了解。因此，通过提供家庭照顾者所需的心理教育项目和资源来提高照顾者的掌握水平，将有助于减少认知障碍患者焦虑的频率。
When caregivers have a high level of caregiver mastery, their care recipients with cognitive impairment have less behavioral health problems. However, the relationship between caregiver mastery and anxiety among care recipients over time is unknown. Therefore, this study was conducted to examine that better caregiver mastery is associated with less anxiety in individuals with cognitive impairment over time. A secondary data analysis was conducted using the Healthy Patterns Clinical Trial (NCT03682185) dataset and guided by Factors Associated with Behavioral and Psychological Symptoms of Dementia conceptual framework. This study included 154 dyads of individuals with cognitive impairment and their caregivers. Multiple linear regression analyses were performed on changes in anxiety. Model 1 included variables at the level of neurodegeneration (i.e., cognitive impairment and age). Model 2 added patient factors (i.e., sleep problems and depression) with the Model 1. Finally, Model 3 included caregiver factor (i.e., caregiver mastery) with the Model 2 to examine how changes in caregiver mastery influence changes in anxiety of care recipients. Model 3 was statistically significant; after controlling for variables at the level of neurodegeneration associated with cognitive impairment and patient factors, improvement of caregiver mastery over time (β =-0.230, p = 0.015) was related to decreased anxiety over time (R2 = 0.1099). Caregivers with high caregiver mastery may have better knowledge on how to care for their loved ones and how to manage their neuropsychiatric symptoms. Therefore, improving the level of caregiver mastery by providing psychoeducational programs and resources that family caregivers need will help reduce the frequency of anxiety in individuals with cognitive impairment.
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影响因子：
9.9
作者：
Cummings, JL
通讯作者：
Cummings, JL
影响因子：
3.4
作者：
Kessler, Asia Sikora;Mock, Gabrielle;Burgio, Louis D.
通讯作者：
Burgio, Louis D.
影响因子：
5.7
作者：
Dawson, Nicole T.;Powers, Sara M.;Judge, Katherine S.
通讯作者：
Judge, Katherine S.
影响因子：
3.7
作者：
Goyal, Alka R.;Bergh, Sverre;Kirkevold, Oyvind
通讯作者：
Kirkevold, Oyvind
DOI：
10.1016/j.gerinurse.2021.06.019
发表时间：
2021-09
期刊：
Geriatric nursing (New York, N.Y.)
影响因子：
--
作者：
Hwang Y;Hodgson N
通讯作者：
Hodgson N