老年慢性病患者家庭照顾者虐待倾向与心理弹性的相关性分析

发布时间：2018-08-05 19:16

【摘要】：目的:探讨老年慢性病患者家庭照顾者虐待倾向与心理弹性的相关性,为后续虐待干预提供参考。方法:以中文版照顾者虐待老年人评估量表和中文版心理弹性量表为调查工具,对川渝地区部分医院的402名老年慢性病患者的家庭照顾者进行横断面调查,并对结果进行统计分析。结果:63.70%的老年慢性病患者家庭照顾者存在虐待倾向;照顾者心理弹性得分中位数为53分,低于国内常模(z=-10.106,P=0.000);家庭照顾者虐待倾向在社会人口学方面的影响因素有:老年慢性病患者性别、文化程度、生活自理能力和照顾者年龄、受教育程度、照顾时长、与老人同住;照顾者虐待倾向得分与心理弹性得分呈显著负相关(r=-0.480,P=0.000);在控制人口学变量的情况下,照顾者心理弹性水平是虐待倾向的影响因素,可独立解释虐待倾向总变异的34.1%,且照顾者心理弹性水平高是虐待倾向的保护因素。结论:护理人员应注意激发老年慢性病患者家庭照顾者个体适应良好的心理潜能,提高心理弹性水平,以发挥心理弹性对虐待老人倾向的保护作用,从而减少虐待风险。
[Abstract]:Objective: to explore the relationship between family carers' abuse tendency and psychological elasticity in elderly patients with chronic diseases, and to provide reference for subsequent abuse intervention. Methods: a cross-sectional survey was carried out on 402 family caregivers of elderly patients with chronic diseases in some hospitals in Sichuan and Chongqing using the Chinese version of the elderly abuse Assessment scale and the Chinese version of the scale of Psychoelasticity as the investigation tools. The results were statistically analyzed. Results: 63.70% of the family caregivers of the elderly patients with chronic diseases had a tendency to abuse, and the median score of the caregivers' psychological elasticity was 53 points. The influencing factors of family carers' abuse tendency in social demography are gender, education level, living ability and carer's age, education level, care time, and living with the old people with chronic diseases, which are lower than the domestic norm (zhi-10.106), and the influence factors of family carers' maltreatment tendency in the social demography are: the gender, the education ability and the carer's age of the elderly chronic disease patients; There was a significant negative correlation between the scores of abusive tendency of caregivers and the scores of psychological elasticity (r-0.480 P0. 000), and the level of psychological elasticity of caregivers was the influencing factor of abuse tendency under the condition of controlling demographic variables. 34.1% of the total variation of abuse tendency can be explained independently, and the high level of psychological elasticity of caregivers is the protective factor of abuse tendency. Conclusion: the nursing staff should pay attention to stimulate the family carers of the elderly patients with chronic diseases to adapt to the good psychological potential, improve the level of psychological resilience, in order to play the role of psychological elasticity to protect the tendency of elder abuse, so as to reduce the risk of abuse.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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