摘要
目的调查养老机构老年痴呆照顾者虐待倾向现状,分析其与照顾者护理能力、社会支持的相关性。方法采用便利抽样法,选取浙江省11家养老机构中的316名老年痴呆照顾者进行调查,包括一般资料调查表、照顾者虐待倾向评估量表、痴呆患者照顾者护理能力问卷及社会支持评定量表等。采用Spearman秩相关分析照顾者的虐待倾向评分与其护理能力、社会支持的相关性;采用二元logistic回归分析照顾者虐待倾向的影响因素。结果发放问卷316份,回收有效问卷298份,有效回收率为94.3%。298名照顾者中,有虐待倾向者125名,占比为41.9%。相关分析显示,养老机构失智症照顾者虐待倾向得分与护理能力总分、技能维度、人际关系维度、社会支持总分、客观支持维度呈负相关(r=-0.159、-0.135、-0.155、-0.115、-0.127,P<0.05)。二元logistic回归分析结果显示,同时照顾2位老人,老人生活部分自理、完全不能自理,老人有精神行为症状、照顾者感到重度痛苦是虐待倾向的危险因素(OR=3.213、10.621、15.221、4.523、7.002,P<0.05或0.01),人际关系是虐待倾向的保护因素(OR=0.643,P<0.01)。结论养老机构老年痴呆照顾者虐待倾向发生率仍较高,与照顾者护理能力、社会支持具有相关性,可通过提升老年痴呆照顾者专业护理能力,增强照顾者人际关系、改善社会支持,来降低老年痴呆照顾者虐待倾向的发生风险。
Objective To investigate the current situation of the abuse tendency of the caregivers with dementia in nursing home institutions,and analyze its correlation with the nursing ability and social support of the caregivers.Methods A total of 316 cases of dementia caregivers from 11 nursing homes in Zhejiang Province were investigated by convenience sampling method,including the general data questionnaire,the caregiver abuse assessment scale,the nursing ability questionnaire of dementia caregivers and the social support assessment scale.Correlations between abuse tendency of the caregivers and their nursing ability and social support were analyzed using Spearman rank correlation analysis.Factors influencing abuse tendency of the caregivers were analyzed using binary logistic regression.Results A total of 316 questionnaires were sent out,and 298 were recovered,with the effective recovery rate of 94.30%.The incidence of abuse tendency among dementia caregivers was 41.9%,and correlation analysis showed that the score of the caregiver's abuse tendency was negatively correlated with the total score of nursing ability,skill dimension,interpersonal dimension,total score of social support and objective support dimension(r=-0.159,-0.135,-0.155,-0.115,-0.127;P<0.05).Binary logistic regression analysis showed that,taking care of two old man at the same time,the old people who take care of themselves partly or can't take care of themselves,have mental behavior symptoms and make the caregiver feel severe pain(OR=3.213,10.621,15.221,4.523,7.002;P<0.05 or P<0.01)are the risk factors of abuse tendency;Relationships are a protective factor for abuse tendency(OR=0.643,P<0.01).Conclusion The incidence of abuse tendency of dementia caregivers in old-age care institutions is still high,which is related to the nursing ability and social support of caregivers.The incidence of abuse tendency can be reduced by reducing the burden of caregivers,improving the professional nursing ability of dementia,enhancing the interpersonal relationship of caregivers and improving the social support.
作者
郑瑶
仲祎璐
刘彩霞
郑慧玲
李斐斐
胡镕镕
Zheng Yao;Zhong Yilu;Liu Caixia;Zheng Huiling;Li Feifei;Hu Rongrong(Department of Health Care for Cadres,Zhejiang Hospital,Hangzhou 310013,China;Nursing Department,Zhejiang Hospital,Hangzhou 310013,China;Graduate School,Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《中华老年病研究电子杂志》
2024年第1期45-50,共6页
Chinese Journal of Geriatrics Research(Electronic Edition)
基金
浙江省基础公益研究计划项目(LGF22H250002)
关键词
虐待倾向
老年痴呆
照顾者
护理能力
人际关系
社会支持
Abuse tendency
Dementia
Caregivers
Nursing ability
Interpersonal relationship
Social support
作者简介
通信作者:刘彩霞,Email:zjyylcx@126.com
