摘要
目的探讨失智患者照护者赋能的潜在类别及其与家庭抗逆力的关系。方法选取2023年6月至2024年4月以湖州市3所养老机构和1所三级甲等医院失智患者照护者418例作为研究对象开展调查研究。通过潜在剖面分析识别照护者赋能潜在类别,采用逐步线性回归分析探讨不同类别照护者赋能水平对家庭抗逆力的影响。结果失智患者照护者赋能被识别为3个潜在类别,分别为赋能稳定组273例(65.3%)、低理解本质组67例(16.0%)、高理解本质组78例(18.7%),失智患者照护者赋能类别中高理解本质组对家庭抗逆力有显著影响(P<0.05);照护者自觉健康状况、有无其他照护者、失智症分级同样对照护者家庭抗逆力产生影响(P<0.05)。结论失智患者照护者赋能具有异质性,照护者赋能类别是家庭抗逆力的影响因素,医护人员应针对不同类别照护者赋能采取针对性干预措施,提高其家庭抗逆力。
Objective To explore the potential categories of empowerment for caregiver of people with dementia and their relationship to family resilience.Methods A total of 418 cases of caregivers of dementia patients in three nursing institutions and one tertiary hospital in Huzhou City were selected from June 2023 to April 2024 as the research subjects for the study.Latent profile analysis was used to identify the potential categories of caregivers'empowerment,and stepwise linear regression analysis was used to explore the effects of different categories of caregiver empowerment levels on family resilience.Results Dementia patient caregiver empowerment was identified into 3 potential categories,273 cases(65.3%)in the empowerment stable group,67 cases(16.0%)in the low comprehension essential group,and 78 cases(18.7%)in the high comprehension essential group,and the high comprehension essential group in the dementia patient caregiver empowerment category had a significant effect on family resilience(P<0.05);caregiver's self-perceived health status,and the presence of other caregivers,dementia classification likewise had an effect on caregiver family resilience(P<0.05).Conclusion Caregiver empowerment of dementia patients is heterogeneous,and the category of caregiver empowerment is an influencing factor of family resilience;healthcare professionals should adopt targeted interventions for different category of caregiver empowerment in order to improve their family resilience.
作者
李婷
顾清昕
陈美倩
胡中华
陈玲玲
周倩如
崔金鑫
张立秀
LI Ting;GU Qingxin;CHEN Meiqian;HU Zhonghua;CHEN Lingling;ZHOU Qianru;CUI Jinxin;ZHANG Lixiu(School of Nursing&Medicine,Huzhou University,Huzhou,Zhejiang 313000,China;Cixi Vocational High School,Ningbo,Zhejiang 315399,China)
出处
《现代医药卫生》
2025年第8期1876-1881,共6页
Journal of Modern Medicine & Health
基金
湖州师范学院研究生科研创新项目(2024KYCX80)。
关键词
失智
照护者
赋能
抗逆力
潜在剖面分析
Dementia
Caregivers
Empowerment
Resilience
Latent profile analysis
