痴呆症护理研究和心理社会因素
Frank Puga1, Natashia Bibriescas1, Loreli Alvarez1
1University of Alabama at Birmingham, Birmingham, AL, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
西班牙裔和拉丁裔护理人员因痴呆症 (BSD) 的行为症状,特别是耐护行为而经历更高的压力. 社会隔离和功能限制显著加剧了这种日常压力,突出了需要有针对性的支持.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 西班牙裔和拉丁裔 (H&L) 人口面临着阿尔茨海默病和相关痴呆症 (ADRD) 的不成比例负担.
- 在H&L社区的非正式照顾者经常经历严重的压力,痴呆症 (BSD) 的行为症状是主要的贡献者.
- 关于BSD相关压力的日常波动和影响H&L护理人员的因素的理解有限.
研究的目的:
- 检查护理人员的特征,护理受理者的功能限制和感知到的社会隔离如何影响H&L护理人员的日常BSD相关压力.
- 确定导致最多压力的特定BSD,并分析压力水平的日常变化.
- 调查护理人员感知到的社会隔离,功能限制和BSD相关压力之间的相互作用.
主要方法:
- 168名H&L护理人员参与了21天的日常日记调查,获得了3,054条观察结果.
- 调查测量了BSD相关的整体日常压力和个人BSD的压力.
- 多层次模型分析了人与人之间的压力变化,考虑照顾者的年龄/性别,照顾者的功能状态和日常感知到的社会隔离.
主要成果:
- 耐护性行为 (CRB) 与最高的平均每日压力有关.
- 由于接受护理的人的功能限制和护理人员感知到的社会隔离,预测CRB和身体攻击的更高压力.
- 随着时间的推移,来自身体攻击和财产破坏的压力显示出最大的增加,与社会隔离显著相关,以及功能限制和社会隔离之间的相互作用.
结论:
- 由于CRBs的日常压力,身体攻击和财产破坏,H&L护理人员感受到的社会隔离和护理接受者的功能限制加剧了这种压力.
- 当社会孤立度高,功能限制较低时,报告的压力更高.
- 解决社会隔离和加强BSD管理的文化响应干预措施对于H&L护理人员的福祉和ADRD护理至关重要.
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