中国精神障碍患者家庭照顾者的照顾任务与照顾者负担:疾病知觉为中介,社会支持为调节因子。

IF 2.6 4区 医学 Q1 NURSING
Zhuoer Huang, Qifeng Yi, Hao Yao, Kunmei Li, Chuan Li, Yimeng Shi, Shuang Hu, Jianhua Chen, Yifeng Xu
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引用次数: 0

摘要

导语:照顾患有精神障碍的家庭成员是一项繁重的工作,这不仅会损害照顾者的幸福和健康,也会阻碍患者的康复。研究照顾者负担的潜在机制至关重要。目的:探讨疾病知觉在照顾任务与照顾者负担关系中的中介作用和社会支持的调节作用。方法:采用方便抽样的方法,在全国范围内抽取1169名精神障碍患者的家庭照顾者。采用可接受信度量表(Cronbach's α > 0.6)收集数据。在SPSS PROCESS宏中检验护理任务、疾病感知、社会支持和照顾者负担之间的关系。结果:疾病知觉在照顾任务与照顾者总体负担、个人压力和角色压力之间起部分中介作用,而社会支持仅缓解照顾任务对个人压力的影响,对角色压力没有作用。讨论:护理任务可以正向预测照顾者负担。疾病知觉和社会支持作为中介调节机制可以进一步解释护理任务对照顾者负担的影响。对实践的启示:精神科护士应该对精神疾病患者的家庭照顾者进行心理教育,提高他们对疾病的负面认知,增加他们的社会支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Care Tasks and Caregiver Burden Among Family Caregivers of Patients With Mental Disorders in China: Illness Perception as a Mediator and Social Support as a Moderator.

Introduction: Caring for a family member with mental disorders is burdensome, which may not only damage the caregivers' well-being and health, but also hinder patients' recovery. It is critical to investigate the underlying mechanisms for caregiver burden.

Aim: To examine the mediating effect of illness perception and the moderating function of social support on the association between care tasks and caregiver burden.

Method: A total of 1169 family caregivers of patients with mental disorders were recruited via convenience sampling across China. Data were collected using acceptable reliability scales (Cronbach's α > 0.6). The relationships among care tasks, illness perception, social support and caregiver burden were examined in the SPSS PROCESS macro.

Results: Illness perception partially mediates the relationship between care tasks and overall caregiver burden, personal strain and role strain, while social support only alleviates the impact of care tasks on personal strain but not on role strain.

Discussion: Care tasks could positively predict caregiver burden. As a mediating moderating mechanism, illness perception and social support could further explain how care tasks affect caregiver burden.

Implications for practice: Psychiatric nurses should provide psychoeducation for family caregivers of patients with mental illness to improve their negative illness perception, as well as increase their social support.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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