Predictors of burden and depression among nursing home family caregivers
Predictors of burden and depression among nursing home family caregivers
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DOI：
10.1080/13607860600963380
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发表时间：
2007-01-01
影响因子：
3.4
通讯作者：
Majerovitz, S. Deborah
中科院分区：
文献类型：
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作者：
Majerovitz, S. Deborah
这项研究确定了疗养院居民的家庭护理人员的护理负担和抑郁症的预测因素。 Pearlin 的应力过程模型被用作理论框架。对疗养院居民的 103 名家庭护理人员进行了结构化访谈。使用多元回归分析来确定情境变量（护理人员年龄、收入、健康）、护理压力源（居民记忆和行为问题、护理任务、对疗养院的满意度）以及社会支持与护理人员负担和抑郁之间的关系。预测变量的所有三个领域都与护理人员负担显着相关。只有背景因素和社会支持才能预测抑郁症。该样本中的抑郁水平有所升高，平均值低于临床抑郁症的临界值。疗养院居民的家庭成员面临照顾者负担和抑郁的风险，并且每种结果在该人群中都有独特的预测因素。了解与更大负担和抑郁相关的因素可以指导疗养院工作人员和心理健康专业人员与家庭成员合作。年长的家庭成员、身体健康状况不佳或收入低的人的风险最高，尤其是患抑郁症的风险最高；而受损程度较高的居民的家庭则面临更高的负担风险。社会支持是减轻负担、促进积极心理健康的重要因素。
This study identified predictors of caregiver burden and depression among family caregivers to nursing home residents. Pearlin's stress process model was used as a theoretical framework. Structured interviews were conducted with 103 family caregivers to nursing home residents. Multiple regression analysis was used to determine the relationship of contextual variables (caregiver age, income, health), caregiving stressors (resident's memory and behaviour problems, caregiving tasks, satisfaction with nursing home), and social support with caregiver burden and depression. All three domains of predictor variables were significantly related to caregiver burden. Only contextual factors and social support predicted depression. Depression levels were elevated in this sample, with the mean falling above the cutoff for clinical depression. Family members of nursing home residents are at risk for caregiver burden and depression and each outcome has unique predictors in this population. Understanding factors associated with greater burden and depression can guide nursing home staff and mental health professionals in working with family members. Older family members, those in poor physical health or with low incomes are at highest risk, particularly for depression; while families of more impaired residents are at higher risk for burden. Social support is an important factor in alleviating burden and promoting positive mental health.