中国心理卫生杂志Issue(5)：336-342,7.DOI:10.3969/j.issn.1000-6729.2015.05.007
老年期痴呆患者家庭照顾者照顾体验的结构方程模型分析
A structural equation modeling of caregiving experiences of family caregivers caring for people with dementia
摘要
Abstract
Objective:To explore and test a caregiving experience model by Structural Equation Modeling (SEM)in the family caregivers caring for people with dementia in China. Method:Totally 349 elder patients with dementia and their family caregivers were selected and interviewed,using a battery of measures including demo-graphic data of the dyads,impairement of care recipient,caregiver's appraisal of role strain,role gain,negative and positive well-being outcomes. By using the Kramer's caregiver adaptation model as theoretical framework,a care-giving experience model were hypothesized tested by structural equation modeling (SEM). Result:A five-factor model for the caregiving experience was supported by SEM. The model demonstrated that the severity of dementia significantly influenced the caregiver's appraisal of role strain (β=0. 5 1 ,P<0. 05 ),which predicted indirectly neg-ative well-being outcomes of the caregiver (β=0. 63,P<0. 05). On the other hand the caregiver's appraisal of rolegain which was negatively influenced by the severity of parent's dementia (β=-0. 33,P<0. 05),predicted posi-tive well-being outcomes of the caregiver (β=0. 75 ,P<0. 05 ). Conclusion:It suggests that both positive and nega-tive aspects of caregiving experiences could independently impact on the well-being outcomes of adult-child care-givers,and therefore both aspects should be targeted in supportive interventions for family caregivers in China.关键词
老年期痴呆/家庭照顾者/照顾体验/结构方程模型Key words
family caregivers/dementia/caregiving experience/structural equation modeling分类
医药卫生引用本文复制引用
余华,姜红艳,赵旭东,伍力,吴雷,卢蓉..老年期痴呆患者家庭照顾者照顾体验的结构方程模型分析[J].中国心理卫生杂志,2015,(5):336-342,7.基金项目
云南省应用基础研究计划项目 （）
