Analysis and predictive factors of resilience of caregivers for patients with Parkinson disease

doi:10.16138/j.1673-6087.2021.05.008

Abstract

Abstract:

Objective To study the level of resilience of caregivers for the patients with Parkinson disease (PD) and its predictive factors. Methods A total of 149 caregivers for the patients with PD were investigated by general information questionnaire, Connor-Davidson resilience scale, Hoehn and Yahr scale, general self-efficacy scale and simplified coping style questionnaire. Results The total resilience score of caregivers for PD patients was 50.99±18.87. The scores of three dimensions including tenacity dimension, strength dimension, and optimism dimension were 26.10±10.65, 17.22±5.94, and 7.66±3.17, respectively. In multiple linear regression model(adjusted R²=0.654), the predictive factors of caregivers’ resilience for PD patients were self-efficacy, positive coping, average monthly income, and the relationship with family members (influence ranking from large to small). Conclusions The caregivers’ resilience of PD patients need to be improved. Combined with the predictive factors, caregivers’ resilience could be improved by providing counseling for PD patients’ families.

Key words: Parkinson disease, Caregiver, Resilience

CLC Number:

R742

DONG Zhengchuan, WANG Gang. Analysis and predictive factors of resilience of caregivers for patients with Parkinson disease[J]. Journal of Internal Medicine Concepts & Practice, 2021, 16(05): 325-330.

Figures/Tables 4

References 35

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H-Y分级	例数
0级：无症状	2（1.3）
1级：单侧受累	6（4.0）
1.5级：单侧+躯干受累	32（21.5）
2级：双侧受累,无平衡障碍	22（14.8）
2.5级：轻微双侧疾病,后拉实验可恢复	12（8.1）
3级：轻度至中度双侧疾病,平衡受影响,仍可独立生活	40（26.8）
4级：严重残疾,仍可独立行走或站立	22（14.8）
5级：无帮助时只能坐轮椅或卧床	13（8.7）

项目	坚韧性维度	力量性维度	乐观性维度	心理弹性总分
性别
男性(n=55)	24.35±12.22	16.44±7.23	7.35±3.41	48.13±22.17
女性(n=94)	27.13±9.54	17.68±5.02	7.85±3.03	52.66±16.54
t	-1.545	-1.236	-0.939	-1.420
P	0.124	0.218	0.350	0.158
学历
初中及以下(n=47)	23.89±11.65	15.83±6.61	6.94±3.61	46.66±21.05
高中（中专）(n=30)	25.53±10.718	16.67±5.73	8.13±3.21	50.33±18.41
大专及以上(n=72)	27.78±9.77	18.36±5.39	7.94±2.79	54.08±17.16
Welch	1.882	2.689	1.565	2.099
P	0.160	0.075	0.216	0.130
与患者的亲属关系
配偶(n=63)	25.76±12.12	17.05±6.56	7.33±3.36	50.14±20.99
其他(n=86)	26.35±9.51	17.35±5.47	7.91±3.02	51.60±17.25
t	-0.319	-0.305	-1.091	-0.466
P	0.750	0.761	0.277	0.642
婚姻状况
已婚(n=135)	26.33±10.80	17.47±5.99	7.66±3.20	51.46±19.11
未婚(n=14)	23.86±9.12	14.86±4.98	7.71±3.02	46.43±16.33
t	0.827	1.572	-0.062	0.949
P	0.410	0.118	0.951	0.344
平均月收入
<1 000元(n=20)	18.30±9.40	14.10±5.40	6.30±3.44	38.70±17.28
1 000~2 999元(n=34)	25.12±10.68	17.18±6.79	7.59±2.98	49.88±19.68
3 000~4 999元(n=36)	24.39±9.44	15.72±4.89	6.61±3.19	46.72±16.60
≥5 000元(n=59)	30.36±10.01	19.22±5.57	8.81±2.82	58.39±17.45
t	8.148	5.250	5.626	7.341
P	0.000	0.002	0.001	0.000
和家庭成员相处关系
良好(n=121)	27.03±10.86	17.60±6.14	7.85±3.17	52.49±19.28
一般(n=28)	22.07±8.79	15.57±4.73	6.86±3.12	44.50±15.70
t	2.251	1.640	1.501	2.040
P	0.026	0.103	0.136	0.043
是否感受到经济压力
是(n=111)	29.00±10.12	19.00±5.92	8.32±3.35	56.32±18.58
否(n=38)	25.11±10.70	16.61±5.85	7.44±3.09	49.16±18.70
t	1.962	2.165	1.472	2.038
P	0.052	0.032	0.143	0.043

	变量	坚韧性维度	力量性维度	乐观性维度	心理弹性总分
照顾对象H-Y分级^a	r	-0.118	-0.077	-0.084	-0.104
	P	0.150	0.354	0.311	0.207
积极应对维度^b	r	0.612	0.723	0.692	0.690
	P	0.000	0.000	0.000	0.000
消极应对维度^b	r	0.372	0.384	0.417	0.401
	P	0.000	0.000	0.000	0.000
GSES总分^b	r	0.675	0.724	0.778	0.740
	P	0.000	0.000	0.000	0.000

自变量	非标准化系数	S	标准化系数	t	P	VIF
常数项	-14.127	5.375		-2.629	0.010
积极应对	0.890	0.213	0.314	4.170	0.000	2.422
消极应对	0.441	0.245	0.112	1.802	0.074	1.648
自我效能感	1.269	0.199	0.432	6.361	0.000	1.974
和家庭成员相处关系	4.918	2.459	0.102	2.000	0.047	1.115
是否感受到经济压力	-1.389	2.370	-0.032	-.586	0.559	1.290
平均月收入	3.510	0.975	0.200	3.599	0.000	1.323