Factors of Resilience in Informal Caregivers of People with Dementia from Integrative International Data Analysis
Factors of Resilience in Informal Caregivers of People with Dementia from Integrative International Data Analysis
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DOI：
10.1159/000449131
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发表时间：
2016-01-01
影响因子：
2.4
通讯作者：
Woods, Bob
中科院分区：
文献类型：
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作者：
Joling, Karlijn J.;Windle, Gill;Woods, Bob
背景/目的：尽管照顾痴呆症患者可能会有压力，但一些照顾者似乎没有经历过对他们幸福的负面影响。本研究旨在检视照顾者在不同挑战环境下表现出韧性的比例，并找出与其韧性相关的因素。方法：来自荷兰和英国的4项研究对痴呆症患者的非正式照顾者进行了基线数据的协调和整合。照顾者的韧性被定义为尽管有不同类型的高照护要求，但仍具有高水平的心理健康。多元回归分析确定了与照顾者复原力显著相关的因素。结果：综合数据集包括15个协调变量，数据来自1048名面临高护理需求的照顾者。复原力的流行程度从35%到43%不等，这取决于对高度护理的需求。男性照顾者、女性照顾者、与亲人分开居住、照顾者负担较低与照顾者弹性呈正相关。结论：尽管面临巨大的挑战，照顾者仍有能力表现出韧性。这项研究展示了如何协调来自多个现有研究的数据，以增加力量并探索结果的一致性。这有助于更好地理解哪些因素可能促进照顾者的复原力，并为开发服务提供见解。(C)2016年作者(S)，S.Karger AG，巴塞尔出版
Background/Aims: Although caring for a person with dementia can be stressful, some caregivers appear to experience few negative consequences to their well-being. This study aimed to examine what proportion of caregivers demonstrates resilience under different challenging circumstances and to identify factors related to their resilience. Methods: Baseline data from 4 studies from the Netherlands and UK among informal caregivers of people with dementia were harmonized and integrated. Caregiver resilience was defined as high levels of psychological well-being despite different types of high caregiving demands. Multivariate regression analyses identified factors significantly related to caregiver resilience. Results: The integrated data set included 15 harmonized variables with data from 1,048 caregivers facing a high care demand. The prevalence of resilience varied between 35 and 43%, depending on the demand for high care. Being a male caregiver, caring for a female, living apart from your relative, and low caregiver burden were positively related to caregiver resilience. Conclusion: Caregivers have the capacity to demonstrate resilience despite significant challenges. This study demonstrates how harmonization of data from multiple existing studies can be used to increase power and explore the consistency of findings. This contributes to a better understanding of which factors are likely to facilitate caregiver resilience and offers insights for developing services. (C) 2016 The Author(s) Published by S. Karger AG, Basel