Melo Graça, Maroco João, Lima-Basto Marta, de Mendonça Alexandre
Escola Superior de Enfermagem de Lisboa, Universidade de Lisboa, Portugal.
ISPA - Instituto Universitário, Portugal.
Geriatr Nurs. 2017 Jan-Feb;38(1):63-69. doi: 10.1016/j.gerinurse.2016.08.001. Epub 2016 Aug 31.
Personality of family caregiver is an important factor influencing the caregiver's burden, depression and distress. We now hypothesized that the personality is associated with specific strategies used by family caregivers to deal with the behavioral and psychological symptoms of demented relatives (BPSD). Participants were 98 consecutive persons with dementia and their family caregivers. Assessments included: Personality (NEO-FFI), Burden (ZBI), Depression (CES-D), Cognitive Function (MMSE), BPSD (NPI), Distress (NPI-D), and an open question to identify the strategies used by caregivers when faced with BPSD. Caregivers used different strategies to cope with their relatives' behavior: avoiding conflict; confronting; reassuring; orienting; responding coercively; distracting; colluding; medicating and restricting the movements. Extraversion was the only dimension of caregiver's personality that determined the use of caregiver strategies to deal with BPSD. Extroverted caregivers used the "confronting" strategy less often. Caregiver's personality should be taken into account when designing adapted intervention programs.
家庭照顾者的性格是影响照顾者负担、抑郁和痛苦的重要因素。我们现在假设,性格与家庭照顾者处理痴呆亲属行为和心理症状(BPSD)所采用的特定策略有关。研究对象为98名连续入选的痴呆患者及其家庭照顾者。评估内容包括:性格(NEO-FFI)、负担(ZBI)、抑郁(CES-D)、认知功能(MMSE)、BPSD(NPI)、痛苦(NPI-D),以及一个开放性问题,以确定照顾者在面对BPSD时所采用的策略。照顾者采用不同策略应对亲属的行为:避免冲突;对抗;安抚;引导;强制回应;分散注意力;串通;药物治疗和限制行动。外向性是照顾者性格中唯一决定其处理BPSD所采用策略的维度。外向的照顾者较少使用“对抗”策略。在设计适应性干预项目时,应考虑照顾者的性格。