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老年痴呆患者家属照顾者的虐待倾向与连带病耻感的相关性分析 |
Abuse tendency and the stigma among family caregivers of patients with dementia |
投稿时间:2022-01-04 修订日期:2022-03-14 |
DOI: |
中文关键词: 痴呆;老年人;照顾者;病耻感;虐待倾向 |
英文关键词: Dementia;Aged;Caregiver; Stigma Attached;Abuse |
基金项目:2019年安徽省高校优秀青年人才支持项目(gxyqZD2019039) 2020年度皖南医学院中青年科研基金(WKS202002) |
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中文摘要: |
目的:调查老年痴呆患者家属照顾者的虐待倾向水平及其与连带病耻感的关系。方法:选取老年痴呆患者家属照顾者148例,采用照顾者虐待倾向评分表(CASE)和连带病耻感量表(ASS)进行调查。结果:痴呆患者家属照顾者的虐待倾向得分中位数为3分,四分位间距为4分;105例(70.9%)照顾者存在虐待倾向。Logistic回归分析结果显示,患者无精神行为症状、照顾者为患者配偶是虐待倾向的保护性因素(OR=0.189、0.123),生活不能自理、总照顾时间>3年、连带病耻感是虐待倾向的危险因素(OR=1.452、1.851、5.223)。结论:老年痴呆患者家属照顾者的虐待倾向较普遍,应为家属照顾者提供认知引导和社会支持,降低照顾者连带病耻感水平,以减少痴呆老人受虐风险。 |
英文摘要: |
Objective: To investigate the level of abuse tendency of family caregivers of dementia patients and its relationship with the stigma attached of associated diseases.Methods: 148 family caregivers of patients with Alzheimer's disease were investigated by Caregiver Abuse Screening(CASE) and Affiliate Stigma Scale (ASS). Results: the median score of abuse tendency of caregivers of family members of dementia patients was 3, and the interquartile interval was 4; 105 (70.9%) caregivers had abuse tendency. The results of logistic regression analysis showed that patients with no mental and behavioral symptoms and caregivers as patients' spouses were the protective factors of abuse tendency (or = 0.189, 0.123), inability to take care of themselves, total care time > 3 years and associated shame were the risk factors of abuse tendency (or = 1.452, 1.851, 5.223).Conclusion: the abuse tendency of family caregivers of dementia patients is common. Cognitive guidance and social support should be provided for family caregivers to reduce the level of stigma of caregivers, so as to reduce the risk of abuse in the aged with dementia. |
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