老年期痴呆患者主要照顾者心理弹性与自我效能、应对方式、社会支持的相关性分析OA
Correlation analysis of psychological resilience with self-efficacy,coping styles,and social support among primary caregivers of patients with senile dementia
目的 分析老年期痴呆患者主要照顾者心理弹性与自我效能、应对方式、社会支持的相关性.方法 选取2022年4月至2025年4月九江学院附属医院收治的80例老年期痴呆患者及其主要照顾者作为研究对象,以一般资料调查表、心理弹性量表(CD-RISC)、一般自我效能感量表(GSES)、简易应对方式问卷(SCSQ)、领悟社会支持量表(PSSS)开展横断面调查,采用Pearson相关性分析法进行相关性分析,并采用多元线性回归模型分析主要照顾者心理弹性的影响因素.结果 80例主要照顾者的CD-RISC评分为(58.95±3.42)分,GSES评分为(24.59±3.21)分,SCSQ积极应对维度评分为(14.72±2.30)分,SCSQ消极应对维度评分为(12.51±1.68)分,PSSS评分为(50.32±3.49)分.单因素分析结果显示,主要照顾者的CD-RISC评分与照顾者文化水平、照顾者每日照顾时间、家庭月收入有关,差异有统计学意义(P<0.05).Pearson相关性分析结果显示,主要照顾者的CD-RISC评分与GSES评分、SCSQ积极应对维度评分、PSSS评分呈正相关(r>0,P<0.05),与SCSQ消极应对维度评分呈负相关(r<0,P<0.05).多因素分析结果显示,照顾者文化水平(B=-2.461,t=-4.761,95%CI:-3.493~-1.429)、照顾者每日照顾时间(B=-2.873,t=-5.035,95%CI:-4.036~-1.710)、家庭月收入(B=-2.239,t=-4.049,95%CI:-3.187~-1.291)、GSES 评分(B=2.506,t=4.753,95%CI:1.432~3.580)、SCSQ 积极应对维度评分(B=2.976,t=5.483,95%CI:1.748~4.204)、SCSQ 消极应对维度评分(B=-2.178,t=-3.879,95%CI:-3.082~-1.274)、PSSS 评分(B=2.913,t=5.276,95%CI:1.699~4.127)是主要照顾者心理弹性的独立影响因素(P<0.05).结论 照顾者文化水平、照顾者每日照顾时间、家庭月收入是老年期痴呆患者主要照顾者心理弹性水平的影响因素,且老年期痴呆患者主要照顾者的心理弹性与自我效能、应对方式、社会支持之间存在紧密的相关性.
Objective To analyze the correlation between psychological resilience and self-efficacy,coping styles,and so-cial support among primary caregivers of patients with senile dementia.Methods A total of 80 patients with senile dementia and their primary caregivers admitted to the Affiliated Hospital of Jiujiang University from April 2022 to April 2025 were selected as the research objects.The general information questionnaire,Connor-Davidson resilience scale(CD-RISC),general self-efficacy scale(GSES),simple coping style questionnaire(SCSQ)and perceived social support scale(PSSS)were used to conduct a cross-sectional survey.Pearson correlation analysis was used for correlation analysis.Multiple linear re-gression model was used to analyze the influencing factors of psychological resilience of primary caregivers.Results The CD-RISC score of 80 primary caregivers was(58.95±3.42)points,the GSES score was(24.59±3.21)points,the score of positive coping dimension in SCSQ was(14.72±2.30)points,the score of negative coping dimension in SCSQ was(12.51±1.68)points,and the PSSS score was(50.32±3.49)points.The results of univariate analysis showed that the CD-RISC score of the primary caregivers was related to the educa-tional level of the caregivers,the daily care time of the caregivers and the monthly family income,and the differ-ences were statistically significant(P<0.05).Pearson correlation analysis showed that the CD-RISC score of the primary caregivers was positively correlated with the GSES score,the positive coping dimension score of SCSQ and the PSSS score(r>0,P<0.05),and negatively correlated with the negative coping dimension score of SCSQ(r<0,P<0.05).The results of multivariate analysis showed that the educational level of caregivers(B=-2.461,t=-4.761,95%CI:-3.493--1.429)and the daily care time of caregivers(B=-2.873,t=-5.035,95%CI:-4.036--1.710),monthly family income(B=-2.239,t=-4.049,95%CI:-3.187--1.291),GSES score(B=2.506,t=4.753,95%CI:1.432-3.580),SCSQ positive coping dimension score(B=2.976,t=5.483,95%CI:1.748-4.204),SCSQ negative coping dimension score(B=-2.178,t=-3.879,95%CI:-3.082--1.274)and PSSS score(B=2.913,t=5.276,95%CI:1.699-4.127)were independent influencing factors of psychological resilience of primary caregivers(P<0.05).Conclusion The educational level of caregivers,daily care time of caregivers and monthly family income are the influencing factors of psychological resilience of primary caregivers of patients with senile dementia,and there is a close correlation between psychological resilience and self-efficacy,coping style and social support of primary caregivers of patients with senile dementia.
饶远;方艳霞;张俐玲
九江学院附属医院体检中心,江西九江 332000九江学院附属医院体检中心,江西九江 332000九江学院附属医院护理部,江西九江 332000
医药卫生
老年期痴呆主要照顾者心理弹性自我效能应对方式社会支持
Senile dementiaPrimary caregiverPsychological resilienceSelf-efficacyCoping styleSocial support
《中国当代医药》 2026 (20)
89-93,5
江西省卫生健康委科技计划项目(202311163).
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