Caring for Dementia Caregivers: Psychosocial Factors Related to Engagement in Self-Care Activities.
Caring for Dementia Caregivers: Psychosocial Factors Related to Engagement in Self-Care Activities.
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DOI：
10.3390/bs13100851
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发表时间：
2023-10-18
影响因子：
2.6
通讯作者：
Czaja, Sara J.
中科院分区：
文献类型：
--
作者：
Lin, Xinyao;Moxley, Jerad H.;Czaja, Sara J.
照顾者往往优先考虑照顾对象的需要，而忽视自己的健康需要。必须了解与他们的自我护理实践和参与自我护理活动有关的因素。本研究探讨了痴呆症照顾者从事自我护理活动的程度，这如何根据照顾者的特点而变化，以及自我护理参与是否介导了社会支持和照顾者结果之间的关系。该研究利用了来自痴呆症护理人员（N = 243）的不同样本的基线数据，这些护理人员参加了一项随机试验，评估了基于社会心理技术的护理人员干预。结果表明，痴呆症照顾者从事低水平的自我护理活动，他们的参与根据照顾者的背景特征（年龄，性别，种族/民族，与照顾对象的关系，就业状况）而有所不同。护理人员参与较少（例如，更少的ADL/IADL帮助和更多的照顾者准备）和更多的社会支持预测更高的自我护理活动参与。自我照顾活动参与作为一个中介，这样更多的社会支持预测更多的自我照顾活动，这反过来又与更积极的看法，照顾者的负担和抑郁症。研究结果表明，需要采取干预措施，促进痴呆症照顾者的自我护理参与，并强调社会支持和照顾者准备对照顾者福祉的重要性。
Caregivers often prioritize the needs of the care recipient and neglect their own health needs. It is imperative to understand the factors related to their self-care practices and engagement in self-care activities. The present study examined the extent to which dementia caregivers engaged in self-care activities, how this varied depending on caregiver characteristics, and whether self-care engagement mediated the relationship between social support and caregiver outcomes. The study utilized baseline data from a diverse sample of dementia caregivers (N = 243) who participated in a randomized trial evaluating a psychosocial technology-based caregiver intervention. Results showed that the dementia caregivers engaged in low levels of self-care activities and that their engagement varied based on the caregivers’ background characteristics (age, gender, race/ethnicity, relationship to the care recipient, and employment status). Less caregiver involvement (e.g., less ADL/IADL help provided and more caregiver preparedness) and more social support predicted higher self-care activity engagement. Self-care activity engagement served as a mediator, such that more social support predicted more self-care activities, which, in turn, were associated with more positive perceptions of caregiving and less caregiver burden and depression. The findings suggest a need for interventions that promote self-care engagement among dementia caregivers and underscore the importance of social support and caregiver preparedness to caregivers’ well-being.
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DOI：
10.1093/geronb/50b.2.p59
发表时间：
1995-03-01
影响因子：
6.2
作者：
KRAUSE, N
通讯作者：
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影响因子：
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