Predicting desire for institutional placement among racially diverse dementia family caregivers: the role of quality of care.
Predicting desire for institutional placement among racially diverse dementia family caregivers: the role of quality of care.
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预测不同种族痴呆症家庭护理人员对机构安置的渴望：护理质量的作用。
DOI：
10.1093/geront/gns110
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Burgio,LouisD
中科院分区：
文献类型：
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作者：
Sun,Fei;Durkin,DanielW;Hilgeman,MichelleM;Harris,Grant;Gaugler,JosephE;Wardian,Jana;Allen,RebeccaS;Burgio,LouisD
目的：关于痴呆患者的机构化的文献没有考虑照顾者的护理质量的作用，这包括照顾者的示范性护理（EC）行为和照顾者对护理对象的潜在有害行为（PHBs）。本研究旨在了解护理质量的作用，在调解之间的压力源和照顾者的愿望制度化（DTI）一个病人dementions.Design和方法：一个样本的612个家庭照顾者从不同的种族/民族背景的基线数据，提高阿尔茨海默氏症的照顾者健康（REACH II）项目的资源。使用传教士和海耶斯渐近和resternation的策略，以评估直接和间接的影响，照顾者的压力源（日常护理困扰，行为困扰，负担）照顾者的愿望，制度化的病人dementions.Results的多个中介模型：总体而言，PHB是正相关的照顾者的愿望，制度化的照顾者。具体而言，聚羟基丁酸被发现调解之间的关系，在高加索人和拉丁裔群体的压力源和DTI，而只有EC的中介作用是显着的在非洲裔美国人group.Implications：照顾者的护理质量的看法有助于解释他们的愿望，制度化他们的照顾对象与痴呆症。建议在临床和社会服务环境中对所有族裔群体进行EC和PHB评估。干预措施应促进非裔美国人照顾者之间的EC行为，并解决高加索和拉丁美洲照顾者的PHBs的问题。
Purpose:Literature on institutionalization of patients with dementia has not considered the role of caregivers’ quality of care, which encompasses caregivers’ exemplary care (EC) behaviors and caregivers’ potentially harmful behaviors (PHBs) toward care recipients. This study sought to understand the role of quality of care in mediating between caregiving stressors and caregiver desire to institutionalize (DTI) a patient with dementia.Design and Methods:A sample of 612 family caregivers from diverse racial/ethnic backgrounds was drawn from the baseline data of the Resources for Enhancing Alzheimer’s Caregiver Heath (REACH II) project. Multiple mediator models were run using Preacher and Hayes asymptotic and resampling strategies to assess direct and indirect effects of caregiver stressors (daily care bother, behavioral bother, and burden) on caregiver desire to institutionalize a patient with dementia.Results:Overall, PHB was positively related to caregiver desire to institutionalize their care recipients. Specifically, PHB was found to mediate the relationship between caregiving stressors and DTI in the Caucasian and Latino groups, whereas only the mediation effect of EC was significant in the African American group.Implications:Caregivers’ perceptions of quality of care helped explain their desire to institutionalize their care recipients with dementia. Including assessment of EC and PHB in clinical and social service settings is recommended for all ethnic groups. Interventions should facilitate EC behaviors among African American caregivers and address concerns of PHBs in Caucasian and Latino caregivers.