Predictors of Caregiver and family functioning following traumatic brain injury: Social support moderates caregiver distress
Predictors of Caregiver and family functioning following traumatic brain injury: Social support moderates caregiver distress
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DOI：
10.1097/00001199-200204000-00006
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发表时间：
2002-04-01
影响因子：
2.4
通讯作者：
Hanks, RA
中科院分区：
文献类型：
--
作者：
Ergh, TC;Rapport, LJ;Hanks, RA
目的：本研究探讨了60对创伤性脑损伤患者及其照顾者的家庭功能障碍和照顾者痛苦的预测因素。设计图：采用分层多元回归分析的横断面设计评估了受伤后时间、对缺陷的认识、受伤者的神经行为和神经心理功能以及护理者感知的社会支持的相对影响。结果：家庭功能障碍和照顾者心理困扰的预测模型分别解释了52%和39%的方差。受伤者的神经行为障碍是照顾者痛苦的最强预测因子。社会支持对家庭功能有直接的线性关系，是家庭功能的最强预测因子。社会支持是照顾者心理困扰的有效调节因子。在没有足够的社会支持，照顾者的痛苦增加受伤后，认知功能障碍，并在照顾者的赤字意识较长的时间，而这些特征与照顾者有足够的社会支持的痛苦。结论：康复专业人员应强调TBI患者的护理人员和家庭寻求和获得足够的社会支持的重要性。
Objective: This study examined predictors of family dysfunction and caregiver distress among 60 pairs of persons who sustained a traumatic brain injury and their caregivers. Design: A cross-sectional design that used hierarchical multiple regression analyses evaluated the relative influences of time since injury, awareness of deficit, and neurobehavioral and neuropsychological functioning of the person with injury, and caregiver perceived social support. Results: The predictor model accounted for 52% of the variance in family dysfunction and 39% in caregiver psychological distress. Neurobehavioral disturbance in the person with injury was the strongest predictor of caregiver distress. Social support showed a direct and linear relationship to family functioning, and it was the strongest predictor of family functioning. Social support was a powerful moderator of caregiver psychological distress. In the absence of adequate social support, caregiver distress increased with longer time after injury, cognitive dysfunction, and unawareness of deficit in care recipients, whereas these characteristics were not associated with distress among caregivers with adequate social support. Conclusions: Rehabilitation professionals should stress the importance of caregivers and families of persons with TBI seeking and obtaining adequate social support.