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家庭照顧者壓力感受與壓力生理指標相關性之探討

Relationships between Stress Perception and Stress Biomarkers in Family Caregivers

摘要


Background: Family caregivers (FCGs) of persons with dementia (PWDs) face chronic stress. However, their stress has often been assessed by their distress in the absence of physiological indicators. Studies to date have rarely documented the relationships between distress and various stress biomarkers.Purpose: The aim of this study was to explore the relationships between distress and stress biomarkers in FCGs.Methods: This was a secondary data analysis study that used data collected by two projects funded by the National Science Council. Samples included 113 dyads of PWDs and their FCGs willing to donate blood samples. Original study data sites comprised two teaching hospitals (memory clinics and psychiatric outpatients), two regional hospitals (neurology clinics), and two dementia daycare centers for community-dwelling PWDs in northern Taiwan. FCG distress was assessed using the Chinese Neuropsychological Inventory-Caregiver Distress Scale (CNPI-CD); Stress biomarkers included interleukin (IL)-1β, IL-6, IL-10, cortisol, and C-reactive protein (CRP).Results: Stress biomarker levels did not correlate with overall FCG distress related to PWD neuropsychological problems. However, IL-1ß, IL-6, and IL-10 levels did correlate with specific FCG distress toward specific PWD neuropsychological symptoms.Conclusions: This study found certain stress biomarkers (IL-1ß, IL-6, IL-10) associated with specific PWDs' neuropsychological symptoms (p<.05). Further longitudinal research is needed to clarify causal relationships between subjective distress and objective stress biomarkers to evaluate FCG stress levels more comprehensively.

並列摘要


Background: Family caregivers (FCGs) of persons with dementia (PWDs) face chronic stress. However, their stress has often been assessed by their distress in the absence of physiological indicators. Studies to date have rarely documented the relationships between distress and various stress biomarkers.Purpose: The aim of this study was to explore the relationships between distress and stress biomarkers in FCGs.Methods: This was a secondary data analysis study that used data collected by two projects funded by the National Science Council. Samples included 113 dyads of PWDs and their FCGs willing to donate blood samples. Original study data sites comprised two teaching hospitals (memory clinics and psychiatric outpatients), two regional hospitals (neurology clinics), and two dementia daycare centers for community-dwelling PWDs in northern Taiwan. FCG distress was assessed using the Chinese Neuropsychological Inventory-Caregiver Distress Scale (CNPI-CD); Stress biomarkers included interleukin (IL)-1β, IL-6, IL-10, cortisol, and C-reactive protein (CRP).Results: Stress biomarker levels did not correlate with overall FCG distress related to PWD neuropsychological problems. However, IL-1ß, IL-6, and IL-10 levels did correlate with specific FCG distress toward specific PWD neuropsychological symptoms.Conclusions: This study found certain stress biomarkers (IL-1ß, IL-6, IL-10) associated with specific PWDs' neuropsychological symptoms (p<.05). Further longitudinal research is needed to clarify causal relationships between subjective distress and objective stress biomarkers to evaluate FCG stress levels more comprehensively.

被引用紀錄


曾珮玲(2014)。失智症家庭照顧者之照顧負荷研究〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2014.00143
洪晨碩(2013)。協商失智經驗:診斷裝配、生活秩序與身份認同〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2013.10424
黃筠婷(2012)。誰說久病無孝子嗎?影響高齡者選擇老年照顧模式之探討〔碩士論文,元智大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0009-2801201415012436
柯又文(2016)。居家護理失能者之主要照顧者照顧負荷和憂鬱及其相關因素探討〔碩士論文,長榮大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0015-0407201618534900
邱璟惠(2020)。重病家屬照顧者運用佛法自我調適之初探〔碩士論文,法鼓文理學院〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0119-3108202010270700

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