Positive appraisal of in-home family caregivers of dementia patients as an influence on the continuation of caregiving
Positive appraisal of in-home family caregivers of dementia patients as an influence on the continuation of caregiving
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DOI：
10.1111/psyg.12074
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发表时间：
2015-03-01
期刊：
影响因子：
2
通讯作者：
Miyakoshi, Yukiko
中科院分区：
文献类型：
--
作者：
Kajiwara, Kohei;Nakatani, Hisae;Miyakoshi, Yukiko
背景：我们试图确定影响痴呆患者持续居家护理的因素。方法：研究对象为接受居家护理服务的痴呆症患者的家庭照顾者。数据是通过照顾者填写的问卷收集的，然后通过邮件返回。结果：705名护理者平均年龄为63.9±11.5岁，平均护理年限为5.1±4.1岁。患者平均年龄84.7±7.4岁。我们对路径模型进行了分析。照顾者目前对持续照看的感受直接受到对照看的正面评价(Beta=0.2，P<；0.001)和他们所经历的负担(Beta=-0.39，P<；0.001)的影响。症状恶化的患者的护理持续受到对护理的积极评价(Beta=0.15，P<；0.001)和照顾者所经历的负担(Beta=-0.46，P<；0.001)的直接影响。痴呆患者的认知功能障碍和行为、心理症状对照顾者的持续性有间接影响。结论：积极评价和照顾者负担共同影响痴呆患者照顾者居家照顾者的持续性。此外，本研究还发现痴呆症患者的行为和心理症状得分通过直接影响照顾者负担而间接影响照料者是否继续照管。
Background: We attempted to determine the factors that influence the continuation of in-home caregiving for patients with dementia.Methods: The participants were family caregivers of dementia patients who received home care services. Data were collected via a questionnaire completed by caregivers and then returned in the mail. Of the 705 caregivers who received the questionnaire, 405 completed and returned it (response rate: 57.4%).Results: The average age of the caregivers was 63.9 +/- 11.5 years, and they had been providing care for an average of 5.1 +/- 4.1 years. The average age of the patients was 84.7 +/- 7.4 years. We analyzed the path model. Caregivers' current feelings about continuing caregiving were directly affected by a positive appraisal of caregiving (beta = 0.20, P < 0.001) and by the burden they experienced (beta = -0.39, P < 0.001). The continuation of caregiving of patients with worsening symptoms was directly affected by a positive appraisal of caregiving (beta = 0.15, P < 0.01) and by the burden experienced by the caregivers (beta = -0.46, P < 0.001). The continuation of caregiving was indirectly affected by the patients' cognitive impairment and by the behavioral and psychological symptoms of dementia score.Conclusions: The continuation of in-home caregiving among caregivers of patients with dementia was affected by both positive appraisal and caregiver burden. In addition, the present study revealed that behavioral and psychological symptoms of dementia score indirectly affects the continuation of caregiving by directly affecting caregiver burden.