对老年家庭成员的潜在有害行为:应用双ABCX模型来检查有问题的家庭护理
1School of Communication Studies, Kent State University, Kent, OH, USA.
International journal of aging & human development
|November 20, 2024
概括
更高的护理人员自我效能通过降低护理接收者问题和负面应对策略来减少有害行为. 在这项对家庭护理人员的研究中,积极的结果没有显示出类似的预测能力.
科学领域:
- 老年学是一门学科.
- 家庭研究 家庭研究
- 沟通研究 沟通研究
背景情况:
- 虐待和忽视老年人是严重的公共卫生问题.
- 家庭压力模型强调了在照顾中应对机制的重要性.
- 护理人员的自我效能和感知结果是有害行为的潜在调节者.
研究的目的:
- 检查护理人员自我效能和对潜在有害行为 (PHB) 的积极护理结果的预测作用.
- 通过护理接收者问题行为和负面应对策略来调查间接途径.
- 测试老年护理中家庭压力和沟通的理论模型.
主要方法:
- 结构方程建模用于分析来自美国339名家庭护理人员的调查数据.
- 该研究评估了护理人员的自我效能,对积极结果的看法,护理接收者的问题行为,负面应对策略和PHB.
- 理论框架包括林和吉尔斯的老年虐待模型和麦卡宾和帕特森的双ABCX模型.
主要成果:
- 负面应对策略显著调解了接受护理者问题行为和PHB之间的关系.
- 发现了一条重要的串行调解途径:更高的护理人员自我效能导致更低的护理接收者问题行为,减少负面应对,最终减少PHB.
- 在这个模型中,对积极的护理结果的感知并没有预测减少PHB.
结论:
- 护理人员的自我效能是缓解对护理接受者的有害行为的一个关键因素.
- 旨在提高照顾者自我效能和减少负面应对策略的干预措施可能会减少虐待和忽视老年人.
- 未来的研究应该探索其他影响积极护理结果的因素及其对PHB的影响.
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