使用探索性结构方程建模来检查护理人员痛苦及其贡献者
Wenshan Li1, Douglas G Manuel2, Sarina R Isenberg3
1Ottawa Hospital Research Institute, Clinical Epidemiology, Ottawa, Ontario, Canada; ICES uOttawa, Ottawa, Ontario, Canada.
Journal of the American Medical Directors Association
|February 10, 2024
概括
家庭生活中断大多会增加照顾者的痛苦,而积极的经历会减少它. 了解这些因素是制定有效的护理人员支持策略的关键.
科学领域:
- 老年学是指老年学的学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 护理人员的痛苦是影响许多个人的重要问题.
- 识别导致护理人员痛苦的因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 调查护理人员苦难及其促成因素之间的直接和间接关联.
- 开发和测试影响护理人员痛苦的因素的结构模型.
主要方法:
- 利用了6502名加拿大护理人员 (2012年一般社会调查-照顾和接受护理) 的全国性,跨部门调查的数据.
- 采用探索性结构方程建模 (ESEM) 和探索性因子分析 (EFA) 来分析假设因素:照顾负担,网络/支持,生活中断,积极经验和历史.
- 对照护理人员和护理接收者的社会人口统计特征进行控制.
主要成果:
- 埃塞姆证实了一种非常适合的护理人员痛苦模型及其五个促成因素.
- 家庭和社会生活中断对痛苦的影响最大 (β = 0.462).
- 积极的情绪体验显著降低了痛苦 (β = -0.310),而照顾者的负担也起到了作用 (β = 0.162).
结论:
- 护理人员的痛苦是多方面的,受负担,支持,生活中断和积极经历的影响.
- 尽量减少对家庭生活的干扰,并加强积极的护理方面,对于减少痛苦至关重要.
- 政策和资源开发应侧重于灵活的工作,家庭支持,教育和护理人员的咨询.
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