认知症患者照顾者赋能与家庭抗逆力的纵向研究
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男,硕士在读,护师

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湖州师范学院研究生科研创新项目课题(2024KYCX80)


Longitudinal relationship between empowerment and family resilience in caregivers of patients with dementia
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    摘要:

    目的 探究认知症患者照顾者赋能与家庭抗逆力的发展轨迹及两者的相互预测关系,为提高家庭抗逆力提供依据。方法 2023年6月至2024年7月,采用便利抽样法选择湖州市19个社区的239名认知症患者照顾者为研究对象,采用一般资料调查表、认知症患者照顾者赋能量表、中文版家庭抗逆力量表进行3次追踪调查,每次间隔6个月,通过平行发展模式的潜变量增长模型和交叉滞后模型进行数据分析。结果 认知症患者照顾者赋能[斜率(S=0.401,P=0.021)]和家庭抗逆力(S=1.457,P=0.007)随时间推移呈线性上升趋势,照顾者赋能的初始水平能正向预测家庭抗逆力的初始水平(β=0.492,P<0.001)和发展速度(β=0.719,P<0.001),3次调查中上一时间点的照顾者赋能均能正向预测下一时间点的家庭抗逆力(β=0.496,P<0.001;β=0.230,P<0.001)。结论 认知症患者照顾者赋能和家庭抗逆力随着时间的推移逐渐增强,照顾者赋能是家庭抗逆力发展过程中的促进因素。建议医护人员通过多元途径促进认知症患者照顾者赋能,提升其家庭抗逆力。

    Abstract:

    Objective To explore the developmental trajectory of empowerment and family resilience in caregivers of patients with dementia and the mutual predictive relationship between them, in order to provide evidence for improving family resilience. Methods From June 2023 to July 2024, a total of 239 caregivers of patients with dementia from 19 communities in Huzhou City were selected by convenience sampling method, and follow-up surveys were conducted among them at three time points with an interval of 6 months,by using a general information questionnaire, the Empowerment Scale for Family Caregivers of Community-dwelling People with Dementia (EFCD) and the Family Resilience Assessment Scale-Chinese Version (FRAS-C). And data were analyzed using the parallel process latent growth model and cross-lagged model. Results Caregiver empowerment(slope value=0.401,P=0.021) and family resilience(slope value=1.457,P=0.007) in caregivers of people with dementia showed a linear increasing trend over time, and that the initial level of caregiver empowerment positively predicted the initial level of family resilience(β=0.492,P<0.001) and developmental speed(β=0.719,P<0.001), the caregiver empowerment of the previous period among the 3 periods could positively predict the family resilience in the next period(β=0.496,P<0.001;β=0.230,P<0.001). Conclusions Empowerment and family resilience in caregivers of patients with dementia gradually increase over time, and caregiver empowerment is a promoting factor in the development of family resilience. It is recommended that healthcare professionals promote empowerment incaregivers of people with dementia through multiple ways to enhance their family resilience.

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顾清昕,陈玲玲,陈美倩,周倩如,李婷,崔金鑫,张立秀.认知症患者照顾者赋能与家庭抗逆力的纵向研究[J].护理学杂志,2025,(2):80-84

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  • 收稿日期:2024-08-16
  • 最后修改日期:2024-10-12
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  • 在线发布日期: 2025-03-03