失能老人抑郁对照顾者负担的二元传递：照护能力和心理弹性的多重中介作用

熊脂瑶; 张静平; 邹洁; 高赛钰; 王安妮; 钟其霞

doi:10.11817/j.issn.1672-7347.2023.220324

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论著 | 更新时间：2023-10-24

失能老人抑郁对照顾者负担的二元传递：照护能力和心理弹性的多重中介作用
Dyadic transmission of depression in the elderly people with disabilities to caregiver burden: Multiple mediating roles of caring ability and resilience
中南大学学报(医学版) 中南大学学报(医学版) 2023年48卷第8期页码：1243-1251
作者机构：

1.中南大学湘雅护理学院护理心理学研究中心，长沙 410013
2.复旦大学护理学院基础护理教研室，上海 200032
3.成都中医药大学附属医院老年病科，成都 610083
作者简介：

熊脂瑶，Email: 1924916426@qq.com, ORCID: 0000-0002-5544-2725
王安妮，Email: wanganni1990@163.com, ORCID: 0000-0003-3109-7514
基金信息：

国家社会科学基金(20CSH016)
DOI：10.11817/j.issn.1672-7347.2023.220324
中图分类号：
CSTR：

熊脂瑶, 张静平, 邹洁, 等. 失能老人抑郁对照顾者负担的二元传递：照护能力和心理弹性的多重中介作用[J]. 中南大学学报(医学版), 2023,48(8):1243-1251.

XIONG Zhiyao, ZHANG Jingping, ZOU Jie, et al. Dyadic transmission of depression in the elderly people with disabilities to caregiver burden: Multiple mediating roles of caring ability and resilience[J]. Journal of Central South University. Medical Science, 2023,48(8):1243-1251.
熊脂瑶, 张静平, 邹洁, 等. 失能老人抑郁对照顾者负担的二元传递：照护能力和心理弹性的多重中介作用[J]. 中南大学学报(医学版), 2023,48(8):1243-1251. DOI： 10.11817/j.issn.1672-7347.2023.220324.

XIONG Zhiyao, ZHANG Jingping, ZOU Jie, et al. Dyadic transmission of depression in the elderly people with disabilities to caregiver burden: Multiple mediating roles of caring ability and resilience[J]. Journal of Central South University. Medical Science, 2023,48(8):1243-1251. DOI： 10.11817/j.issn.1672-7347.2023.220324.

摘要

目的,2,失能老人与其照顾者相互影响，改善照顾者负担对失能老人及其照顾者具有重要意义。本研究旨在探讨照顾者照护能力和心理弹性在失能老人抑郁对照顾者负担影响机制中的多重中介作用。,方法,2,采用一般资料问卷、患者健康问卷、家庭照顾者照护能力量表、照顾者心理弹性量表、照顾者负担量表对5个地区共246对居家失能老人及其家庭照顾者进行问卷调查，构建并检验多重中介模型。,结果,2,单因素分析结果显示：男性失能老人的照顾者的负担比女性高；失能老人自理程度越低，其照顾者的负担越重(均,P,<,0.05)。相关分析结果显示：失能老人抑郁与照顾者负担显著正相关(,P,<,0.01)；照顾者照护能力与照顾者心理弹性显著正相关(,P,<,0.01)，两者均与照顾者负担显著负相关(均,P,<,0.01)。照顾者照护能力和心理弹性在失能老人抑郁和照顾者负担间的多重中介效应显著，且照顾者照护能力和心理弹性的中介效应分别占总效应的68.9%和26.2%。,结论,2,失能老人抑郁可通过影响照顾者照护能力和照顾者心理弹性间接影响照顾者负担。针对失能老人家庭需要同时关注老人及其照顾者，可以通过赋能照顾者的照护能力和心理弹性，减轻照护负担、改善二元身心健康。

Abstract

Objective,2,The interaction between elderly people with disabilities and their caregivers and the improvement of caregiver burden is important for elderly people with disabilities and their caregivers. This study aims to explore the multiple mediating roles of caregiver’s caring ability and resilience in depression in the elderly people with disabilities on caregiver burden.,Methods,2,A total of 246 elderly people with disabilities at home and their family caregivers from 5 regions were investigated by questionnaires, including the General Information Questionnaire, the Patient Health Questionnaire, the Family Caregiver Task Inventory, the Resilience Scale， and the Caregiver Burden Interview. A multiple mediation model was constructed and tested.,Results,2,Univariate analysis showed that the caregiver burden of disabled elderly men is higher than that of women; the lower the level of self-care of disabled elderly individuals, the greater the burden on their caregivers (both ,P,<,0.05). Correlation analysis showed that depression of the disabled elderly people was positively correlated with the caregiver burden (,P,<,0.01). Caregiver’s caring ability was positively correlated with caregiver’s resilience (,P,<,0.01), and both were negatively correlated with caregiver burden (both ,P,<,0.01). The multiple mediating effects of caregiver caring capacity and resilience between depression of the disabled elderly people and caregiver burden were significant, with the mediating effects of caregiver caring capacity and resilience accounting for 68.9% and 26.2% of the total effect, respectively.,Conclusion,2,Depression in the elderly people with disabilities can indirectly affect caregiver burden through the caregiver’s caring ability and resilience. Families of older people with disabilities need to focus on both the elderly and their caregivers. It is possible to reduce the caregiver burden and improve the physical and mental health of the dyads by empowering the caregiver’s caring ability and resilience.

关键词

失能老人抑郁照顾者照护能力心理弹性照顾负担

Keywords

disabled elderlydepressioncaregivercaring abilityresiliencecaregiver burden

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