失能老人主要居家照顾者的照顾评价、社会支持与心理健康的关系

目的探讨主要居家照顾者社会支持、照顾评价与心理健康的关系。方法利用社会支持量表、照顾评价量表和症状自评量(SCL-90)表对133名主要居家照顾者施测。结果①感情关系、每天照顾时间、自觉身体状况、医疗保险情况不同的主要居家照顾者的心理健康水平存在显著差异(t=-3.132、3.272-、4.430-、3.907,P<0.05或P<0.01),社会支持的需要程度、足够程度、照顾评价与心理健康水平相关显著(r=0.573-、0.688-、0.758,P<0.01);②自觉身体状况、社会支持的足够程度、照顾评价对心理健康水平具有良好预测能力(B eta=-0.266-、0.281-、0.507,P<0.05或P<0.01);③照顾评价在社会支持对心理健康的影响上起到了中介作用(△R2=0.132,P<0.01)。结论主要居家照顾者自觉身体状况、社会支持通过照顾评价影响心理健康,照顾评价对心理健康有直接影响作用。

Study on Caregiving Apprasial, Social Support, and Mental Health of Main Home Caregivers for the Disabled Aged

Objective To explore the relationships among caregiving apprasial,social support and mental health of main home caregivers.Methods A total of 133 main home caregivers were responded to the revised Caregiving Apprasial Scale,Social Support Scale and SCL-90.Results ①People with different caregiver-old relation,time to take care,physical condition,medical insurance had significantly different SCL-90 score（t=-3.132,3.272,-4.430,-3.907,P〈0.05 or P〈0.01）.There were significant correlations among social support,caregiving appraisal and mental health（r=0.573,-0.688,-0.758,P〈0.01）.②Physical condition,the adequacy of social support and caregiving appraisal played significantly predictive roles in mental health（Beta=-0.266,-0.281,-0.507,P〈0.05 or P〈0.01）.③Caregiving appraisal played a mediator role in social support affecting caregivers＇ mental health（△R2=0.132,P〈0.01）.Conclusion Physical condition and social support influence mental health by the mediator of caregiving appraisal.Caregiving appraisal influences mental health directly.