痴呆症护理伙伴在住院后过渡期间的护理伙伴负担的中介作用。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-06-25 DOI:10.1080/13607863.2024.2370441
Ashley Kuzmik, Irene Best, Azza Mubarak Al Harrasi, Marie Boltz
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引用次数: 0

摘要

研究目的本研究探讨了痴呆症患者出院时,护理伙伴的负担对患者临床因素(即认知、身体功能以及痴呆症的行为和心理症状 [BPSD])与护理伙伴心理健康(即焦虑和抑郁)之间关系的中介作用:样本包括参加以家庭为中心、以功能为重点的护理(Fam-FFC)研究(ClinicalTrials.gov identifier NCT03046121)的 431 个患者和护理伙伴组合。我们进行了中介分析,以检验护理伙伴负担对患者临床因素、护理伙伴焦虑和抑郁之间关联的作用:结果:中介模型显示,护理伙伴负担部分中介了患者身体功能与护理伙伴焦虑和抑郁之间的关系,以及患者BPSD与护理伙伴焦虑和抑郁之间的关系:研究结果凸显了临床医生和服务提供者实施综合策略的必要性,这些策略既要解决患者的临床因素(即身体功能和BPSD),也要解决护理伙伴的负担,以优化住院后过渡期间护理伙伴的心理健康结果。
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Mediating role of care partner burden among dementia care partners during post-hospital transition.

Objectives: This study examined the mediating role of care partner burden on the relationship between patient clinical factors (i.e. cognition, physical function, and behavioral and psychological symptoms of dementia [BPSD]) and care partner mental health (i.e. anxiety and depression) among dementia care partners at hospital discharge.

Method: The sample consisted of 431 patient and care partner dyads enrolled in the Family centered Function-focused Care (Fam-FFC) study; ClinicalTrials.gov identifier NCT03046121. Mediation analyses were conducted to test the role of care partner burden on the associations between patient clinical factors, and care partner anxiety and depression.

Results: Mediation models demonstrated that care partner burden partially mediated the relationship between patient physical function and care partner anxiety and depression, as well as patient BPSD and care partner anxiety and depression.

Conclusion: Findings highlight the need for clinicians and service providers to implement comprehensive strategies that address both patient clinical factors (i.e. physical function and BPSD) and care partner burden, to optimize care partner mental health outcomes during post-hospital transition.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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