Is There a Difference Between Family Caregiving of Institutionalized Elders With or Without Dementia?

Is There a Difference Between Family Caregiving of Institutionalized Elders With or Without Dementia?

Is There a Difference Between Family Caregiving of Institutionalized Elders With or Without Dementia?

Is There a Difference Between Family Caregiving of Institutionalized Elders With or Without Dementia?s

| Ajouter

Référence bibliographique [6646]

Lévesque, Louise, Ducharme, Francine et Lachance, Lise. 1999. «Is There a Difference Between Family Caregiving of Institutionalized Elders With or Without Dementia? ». Western Journal of Nursing Research, vol. 21, no 4, p. 472-497.

Fiche synthèse

1. Objectifs


Intentions :
« At the practical level, findings from such a study should provide some guidelines to nurses in their role with caregivers after institutionalization, a nursing domain relatively undeveloped. A more complete understanding of the caregiving experience across these two groups of caregivers should provide an indication of their needs, commune or specific, that should be target of nursing interventions. » (p. 474)

2. Méthode


Échantillon/Matériau :
« The sample consisted of 220 French-speaking primary caregivers of a demented relative living in a nursing home and 88 caregivers whose relative was not demented. » (p. 477) Dans ces deux groupes, de 60 à 70 % des aidants naturels étaient les enfants et environ dans 75% des cas, pour les deux groupes, ces aidants étaient féminins.

Instruments :
- Échelle développée expressément pour cette étude par Gendron et Lévesque (1993) pour mesurer l’incapacité du bénéficiaire de l’aide à accomplir 8 activités de soin personnel;
- Revised Memory and Behavior Problems Checklist, dans sa version française validée par Hébert Bravo et Girouard, (1993);
- Échelle de Oberst, Thomas, Grass et Ward (1989) pour la mesure des tâches des aidants.

Type de traitement des données :
Analyse statistique

3. Résumé


« Based on the stress and coping model of R. S. Lazarus and S. Folkman (1984) the aim of this comparative study was to determine whether the caregiving experience of the caregivers of an institutionalized demented relative is different from the one of the caregivers whose relative does not suffer from dementia. Five dimensions of the caregiving experience were considered: stressors, cognitive appraisal of the stressor, social support, coping strategies and well-being. The sample consisted of 220 French-speaking primary caregivers of a demented relative living in a nursing home and 88 caregivers whose relative was not demented. Results revealed that the caregivers of a demented relative were exposed to more stressors than the caregivers of a nondemented relative. According to multivariate analysis of covariance analysis (MANCOVA), formal and informal social support seems to play a protective role in psychological distress of the caregivers of a demented relative. Overall, the caregivers of a demented relative seemed to experience some dimensions of caregiving in a different way compared with their counterparts, and the nature of dementia in itself helps explain this difference. » (résumé)