Assessment of self-efficacy for caregiving: The critical role of self-care in caregiver stress and burden
Assessment of self-efficacy for caregiving: The critical role of self-care in caregiver stress and burden
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DOI：
10.1017/s1478951510000507
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发表时间：
2011-03-01
影响因子：
2.2
通讯作者：
Heitzmann, Carolyn A.
中科院分区：
文献类型：
--
作者：
Merluzzi, Thomas V.;Philip, Errol J.;Heitzmann, Carolyn A.
目的：很少有人注意到评估自我护理和沟通的重要性，在临终关怀的设置，特别是临终关怀那些谁是绝症。照顾者量表（CGI），自我效能的测量，包括这两个方面，进行psychometric analysis.Method：133个主要照顾者完成了CGI，其中，81还完成了感知压力量表（PSS），照顾者负担量表（CBI），和照顾者的任务（ADLR-CG）的措施。根据家访，社会工作者还对所需的照顾者任务（ADLR-SW）进行了评分。结果：M + I（V.5.1）的拟合指数显示了一个四因素的解决方案：管理医疗信息（α = 0.64），照顾照顾病人（α = 0.78），照顾自己（α = 0.88），和管理困难的互动/情绪（α = 0.76）。CGI与应激（PSS，r =-0.54，p = 0.001）和负担（CBI，p =-0.37，p = 0.001）高度负相关; ADLR-CG与负担（r = 0.43，p = 0.001）相关，但与应激无关。在回归和相对重要性分析中，照顾自己和管理困难的互动/情绪在与压力和负担的负面关系方面表现得最强和最稳健。结果的意义：结果表明，CGI是一个可靠的和有效的测量自我效能感，并指出自我效能对于自我照顾和管理困难的沟通在成功地满足绝症患者的康复需求方面的重要性。
Objective: Little attention has been given to assessing the importance of self-care and communication in the caregiving setting, especially caregiving for those who are terminally ill. The Caregiver Inventory (CGI), a measure of self-efficacy for caregiving that includes these two dimensions, was subjected to psychometric analyses.Method: One hundred and thirty-three primary caregivers completed the CGI; of those, 81 also completed the Perceived Stress Scale (PSS), Caregiver Burden Inventory (CBI), and a measure of caregiver tasks (ADLR-CG). Based on home visits, social workers also rated the caregiver tasks required (ADLR-SW). Exploratory Factor Analysis, as well as reliability and validity analyses were conducted.Results: Fit indices in M + I (V. 5.1) indicated a four factors solution: Managing Medical Information (alpha = 0.64), Caring for Care Recipient (alpha = 0.78), Caring for Oneself (alpha = 0.88), and Managing Difficult Interactions/Emotions (alpha = 0.76). The CGI was highly negatively related to stress (PSS, r = -0.54, p = 0.001) and burden (CBI, p = -0.37, p = 0.001); ADLR-CG was related to burden (r = 0.43, p = 0.001) but not stress. In regression and relative importance analyses, Care of Oneself and Managing Difficult Interactions/Emotions emerged as equal in terms of having the strongest and most robust negative relationships with stress and burden.Significance of Results: Results suggest that the CGI is a reliable and valid measure of self-efficacy for caregiving, and indicate the importance of self-efficacy for self-care and for managing difficult communication in successfully navigating the demands of caregiving for terminally ill persons.