阿尔茨海默病患者家庭照料者益处发现与虐待倾向的相关性分析

潘建波; 谢渭根; 成灵英; 唐志仙; 潘逸群

doi:10.16766/j.cnki.issn.1674-4152.003116

阿尔茨海默病患者家庭照料者益处发现与虐待倾向的相关性分析

doi: 10.16766/j.cnki.issn.1674-4152.003116

1.
绍兴市第七人民医院老年二科，浙江绍兴 312000
2.
绍兴市第七人民医院老年一科
3.
绍兴市第七人民医院神经内科
4.
绍兴市第七人民医院党政办

基金项目:

浙江省医药卫生科技计划项目 2019ZH011

详细信息

通讯作者:
潘建波，E-mail: panjo5854@163.com

中图分类号: R749.16 R395.6
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- 文章访问数: 334
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- PDF下载量: 8
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-16
- 网络出版日期: 2023-09-13

Correlation analysis between benefit finding and abuse tendency of family caregivers of patients with Alzheimer's disease

1.
The Second Department of Geriatrics, the Seventh People's Hospital of Shaoxing, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的探讨阿尔茨海默病患者家庭照料者益处发现水平与虐待倾向之间的相关性。方法采用中文版益处发现评定量表(benefit finding scale，BFS)和中文版虐待老年人评估量表(the caregiver abuse screen for the elderly，CASE)对绍兴市第七人民医院2020年3月—2021年10月120名阿尔茨海默病患者家庭照料者进行益处发现与虐待倾向水平调查，采用Spearman相关系数分析阿尔茨海默病患者家庭照料者益处发现水平与虐待倾向之间的相关性。结果阿尔茨海默病家庭照料者益处发现总得分为(36.58±3.27)分，总均分为(1.95±0.30)分。照料者虐待倾向得分为0~8分，平均分为(4.72±1.33)分，得分≤2分的22人(占18.33%)，得分≥3分的98人(占81.67%)。Spearman相关系数分析显示阿尔茨海默病家庭照料者益处发现水平与虐待倾向得分存在显著负相关关系(r=-0.594，P < 0.05)。结论阿尔茨海默病患者家庭照料者益处发现处于较低水平，虐待倾向普遍存在。照料者益处发现水平越低，发生虐待行为的可能就越大。护理人员应采取有效措施提高阿尔茨海默病家庭照料者的益处发现水平，有助于改善其心理状况，减少虐待发生。
- 阿尔茨海默病 /
- 照料者 /
- 益处发现 /
- 虐待倾向
Abstract: Objective To explore the correlation between the benefit finding level and abuse tendency of family caregivers of Alzheimer's disease patients. Methods A total of 120 family caregivers of patients with Alzheimer's disease from March 2020 to October 2021 in the Seventh People's Hospital of Shaoxing City were included, and the Chinese version of the benefit finding scale (BFS) and the Chinese version of the caregiver abuse screen for the elderly (CASE) were used to investigate the level of benefit finding and abuse tendency of family caregivers of Alzheimer's disease patients. Spearman's correlation coefficient was used to analyze the correlation between the level of benefit finding and abuse tendency of family caregivers of Alzheimer's disease patients. Results The total score of benefit finding of family caregivers was (36.58±3.27) points, and the total average score was (1.95±0.30) points. The scores of caregivers ' abuse tendency ranged from 0 to 8, with an average score of 4.72±1.33, there were 22 (18.33%) scored ≤2, and 98 (81.67%) scored ≥3. Spearman correlation coefficient analysis showed that there was a significant negative correlation between the benefit finding level and the abuse tendency score of family caregivers with Alzheimer's disease (r=-0.594, P < 0.05). Conclusion The benefit finding of family caregivers is found at a low level, and abuse tendency is widespread. The lower the level of caregiver benefit finding, the greater the likelihood of abuse. Nursing staff should take effective measures to improve the level of benefit finding of family caregivers of Alzheimer's disease, which will help improve their psychological conditions and reduce the occurrence of abuse.
- Alzheimer's disease /
- Caregiver /
- Benefit finding /
- Abuse tendency

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表 1 阿尔茨海默病患者家庭照料者益处发现得分情况(n=120)

Table 1. Benefit discovery scores of family caregivers of patients with senile dementia(n=120)

条目	得分(x±s, 分)
让我明白每个人都有爱与被爱的需要	2.29±0.23
让我更关注家庭事务	2.21±0.29
让我变得更容易接受事情	1.82±0.30
让我明白每个人都有自己的人生目标	1.88±0.33
让我明白作为家庭成员，应该更好地承担自己的责任	2.09±0.29
让我更加关注和关心家人的未来	2.08±0.31
教会我如何去适应我所不能改变的事情	2.01±0.30
让我变得更有责任感	2.25±0.29
让我意识到规划家庭未来的重要性	1.81±0.25
让我的生活安排得井井有条	1.87±0.34
让我的家庭变得更加亲密团结	1.99±0.32
让我有更高的效率	1.90±0.31
让我能够坦然面对一切事情	1.79±0.27
让我更好地安排自己的时间	1.97±0.37
让我对每一天都充满感激	1.78±0.23
让我变得更有耐心	1.81±0.30
让我学会控制自己的脾气	1.92±0.37
重新唤起我参加各种活动的兴趣	1.78±0.28
让我更好地应对压力和困难	1.84±0.30
总均分	1.95±0.30

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表 2 阿尔茨海默病患者家庭照料者照顾经历各条目得分情况(n=120)

Table 2. Scores of caregiving experiences of family caregivers with Alzheimer's disease(n=120)

条目	是[人(%)]	否[人(%)]
你有时在控制他/她的脾气或攻击时会有困难吗？	82(68.33)	38(31.67)
你会经常感觉自己被迫违背本人个性行事或做你感觉很糟糕的事情吗	35(29.17)	85(70.83)
你会发现很难控制他/她的行为吗	93(77.50)	27(22.50)
你有时会感觉自己被迫对他/她粗鲁吗	48(40.00)	72(60.00)
你有时会感觉你不能为他/她做真正必要的事情或应该做的事情吗	77(64.17)	43(35.83)
你经常会感到你不得不拒绝或不理睬他/她吗	54(45.00)	66(55.00)
你会经常感觉很疲倦或精疲力竭以致不能满足他/她的需要吗	68(56.67)	52(43.33)
你会经常感到你不得不对他/她大声叫嚷吗	86(71.67)	34(28.33)

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