老年痴呆患者家属照顾者的虐待倾向与连带病耻感的关联性  

Correlation analysis of abuse aendency and the affiliate stigma among family caregivers of dementia patients

作　　者：潘庆 汪苗 吴秀梅[2] 关春兰[2] 王丽丽 PAN Qing;WANG Miao;WU Xiumei;GUAN Chunlan;WANG Lili(College of Nursing,Wannan Medical College Wuhu 241002,China;The Fourth People’s Hospital of Wuhu,WuHu,241000,China;Department of Oncology,Affiliated Anqing Hospital of Anhui Medical University,Anqing 246000,China)

机构地区：[1]皖南医学院护理学院,芜湖241002 [2]芜湖市第四人民医院,芜湖241000 [3]安徽医科大学附属安庆医院,安庆246000

出　　处：《济宁医学院学报》2022年第5期371-375,共5页Journal of Jining Medical University

基　　金：2019年安徽省高校优秀青年人才支持项目(gxyqZD2019039);2020年度皖南医学院中青年科研基金(WKS202002)。

摘　　要：目的 调查老年痴呆患者家属照顾者的虐待倾向水平及其与连带病耻感的关系。方法 选取老年痴呆患者家属照顾者235例,采用照顾者虐待倾向评分表(CASE)和连带病耻感量表(ASS)进行调查。结果 痴呆患者家属照顾者的虐待倾向得分3(1.7,5.7);146名(62.1%)照顾者存在虐待倾向。Logistic回归分析结果显示,患者无精神行为症状、照顾者为患者配偶是虐待倾向的保护性因素(OR=0.439、0.209),生活不能自理、总照顾时间>3年、连带病耻感中的认知、行为和情绪维度是虐待倾向的危险因素(OR=1.877、2.074、2.646、3.212、5.401)。结论 老年痴呆患者家属照顾者的虐待倾向较普遍,未来可帮助照顾者做好病耻感相关的情绪管理、认知支持和行为引导,尽早识别和降低照顾者的虐待倾向。Objective To investigate the level of abuse tendency of family caregivers of dementia patients and its relationship with the affiliate stigma.Methods 235 family caregivers of patients with Alzheimer’s disease were investigated by Caregiver Abuse Screening(CASE) and Affiliate Stigma Scale(ASS).Results The scores of abuse tendency of family caregivers of dementia patients were 3(1.7,5.7).146 caregivers(62.1%) had abuse tendency.The results of logistic regression analysis showed that patients with no mental and behavioral symptoms and patients’ spouses as caregiverswere the protective factors of abuse tendency(OR=0.439、0.209).Inability to take care of themselves,total care time >3 years and the cognitive,behavioral and emotional dimensions of affiliate stigma were the risk factors of abuse tendency(OR=1.877、2.074、2.646、3.212、5.401).Conclusion The abuse tendency of family caregivers of dementia patients is common.In the future,we can help caregivers do a good job in emotional management,behavior guidance and cognitive support related to affiliate stigma,and identify and reduce the abuse tendency of caregivers as soon as possible.

关 键 词：痴呆 老年人 照顾者 病耻感 虐待倾向 

分 类 号：R473.5[医药卫生—护理学]