在宅認知症者の介護者がうつ状態に至る要因における性差  [in Japanese] A Study of Differences between the Sexes on the Caregiver's Depression Factors for People with Dementia at Home  [in Japanese]

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Author(s)

    • 齋藤 嘉宏 Saito Yoshihiro
    • 国際医療福祉大学福岡看護学部精神看護学分野 Development of Nursing, School of Nursing at Fukuoka, International University of Health and Welfare
    • 鳩野 洋子 Hatono Yoko
    • 九州大学大学院医学研究院保健学部門 Department of Health Sciences, Faculty of Medical Sciences, Kyushu University

Abstract

<p>目的:本研究ではPearlinの「認知症介護ストレスモデル」に基づいた概念モデルを作成し,在宅認知症者の介護者がうつ状態に至る要因を明らかにすることを目的とした。<br>方法・結果:質問紙調査を行い,男性103名,女性124名を分析対象とした。介護者の64.8%にうつ状態がみられたが,性差はみられなかった。介護負担感,自己効力感,自尊感情の得点も性差はなかった。介護者の背景要因の因子分析を行い,抽出した因子をモデルに投入して性差による多母集団同時分析を実施し,良好な適合度を得た。介護者は,背景要因が最もうつ状態に影響していた。男性介護者は,介護負担感,自己効力感のパス係数が女性と比較して大きかったが,女性介護者は自尊感情が大きかった。<br>結論:介護者の背景要因に加え,男性介護者では自己効力感,女性では自尊感情の維持に働きかけることが,うつ状態の予防において重要な要因となることが考えられた。</p>

<p>Purpose: This study aimed to investigate depression factors of home caregivers for people suffering from dementia. <br>Method•Results: A conceptual model based on Pearlin's caregiver stress model for people with dementia was used for this purpose. A questionnaire was conducted, and the responses of 103 males and 124 females were analyzed. Depressive conditions were seen in 64.8% of all caregivers surveyed, though no significant difference between the sexes was found. There were no differences between the sexes in the scores for caregivers' burden, self-efficacy and self-esteem. After descriptive analysis, factor analysis was conducted to extract latent factors from caregivers' backgrounds, after which such factors were introduced into the model. Multiple-group analysis owing to gender difference was performed, and good conformity was obtained. For caregivers, the background factors had a strong effect on the depressed state. Pass coefficients of caregivers' burden and self-efficacy of males were also larger than those of females. But self- esteem of females was larger than those of males. <br>Discussion: In addition to the background factors of the caregiver, it was suggested that proactively maintaining male's self-efficacy and female's self- esteem are an important factor in preventing depression.</p>

Journal

  • Journal of Japan Society of Nursing Research

    Journal of Japan Society of Nursing Research 42(1), 1_87-1_98, 2019

    Japan Society of Nursing Research

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