一项基于社区的横断面研究,探讨印度首都新德里心血管疾病初级护理人员应对策略的压力源和性别差异

Prabhjeet Kaur, Manish Kumar Goel, J. G Prasuna
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摘要

除了对死亡率的影响外,心血管疾病往往以慢性病的形式出现,增加了照顾者的压力。一般来说,男性和女性应对压力的方式不同。在本研究中,我们旨在调查心血管疾病患者主要照顾者应对策略的性别差异。:采用系统随机抽样方法,以住户为主要抽样单位,样本量为384户。收集了主要照顾者应对不同压力源的信息和应对策略。在384名照顾者中,347名照顾者中发现了压力源,然后研究了他们的应对策略。在主要照顾者中,女性所占比例(58%)高于男性(42%)。有计划地解决问题(85.9%)是男女最普遍的首选应对策略,但无显著相关性。在其他以问题为导向的应对策略中,男性照顾者报告说他们更频繁地使用对抗性应对。在评估以情绪为中心的应对策略时,女性更倾向于采用承担责任(77.5%)、自我控制(68.9%)、积极评价策略(61.4%)和保持距离(36.3%)。寻求社会支持(69%)、以问题为中心和以情绪为中心的应对策略在女性照顾者中更为常见。通过实施对性别问题敏感的方法,我们可以更好地支持护理人员,帮助他们应对照顾心血管疾病患者的挑战。
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A community-based cross-sectional study on stressors and gender differences in coping strategies among primary caregivers of cardiovascular disease in the capital city of India, New Delhi
Apart from the impact on mortality rates, CVDs often present as chronic conditions, adding to the stress of caregiving to their caregivers. Males and females cope differently with the stressors in general. In this study, we aim to investigate the gender-based variations in coping strategies among primary caregivers of individuals with CVD. : A sample size of 384 households was selected using systematic random sampling for the study and household was the primary sampling unit. The information was collected regarding the stressors and various coping strategies utilized by primary caregivers to navigate different stressors. Out of the total 384 caregivers, stressors were found in 347 caregivers who were then studied for coping strategies. Among primary caregivers, the proportion of women (58%) was more than men (42%)Planful problem-solving (85.9%) was found to be the most commonly preferred coping strategy among both genders, with no significant association. Among other problem-oriented coping strategies, men caregivers reported using confrontive coping more frequently. While assessing emotion-focused coping strategies, Accepting responsibility (77.5%), Self-controlling (68.9%), Positive appraisal strategy (61.4%) and Distancing (36.3%) were found more likely to be adopted by women. Seeking social support (69%), both problem-focused and emotion-focused coping strategies were found more among women caregivers. By implementing gender-sensitive approaches, we can better support caregivers and help them navigate the challenges of caregiving for individuals with cardiovascular diseases.
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