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首页> 外文期刊>Nursing research >Mutuality and preparedness moderate the effects of caregiving demand on cancer family caregiver outcomes.
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Mutuality and preparedness moderate the effects of caregiving demand on cancer family caregiver outcomes.

机译：互助互助和适度准备照顾了照料需求对癌症家庭照料者结局的影响。

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BACKGROUND: Family caregiving researchers have explored the moderating or stress-buffering effects of variables such as coping and social support. However, the quality of the family caregiver-patient relationship and preparedness for caregiving have received little attention as potential moderators. OBJECTIVE: To explore whether relationship quality and preparedness moderate the effects of caregiving demand on caregiver outcomes during cancer treatment. METHODS: Eighty-seven family caregivers of patients receiving treatment for cancer completed the Demand and Difficulty subscales of the Caregiving Burden Scale, Mutuality and Preparedness Scales of the Family Care Inventory, and the short form of the Profile of Mood States. Using hierarchical multiple regression analyses, caregiving difficulty and total mood disturbance were regressed on two- and three-way interaction terms for demand, mutuality, and preparedness, controlling for caregiver age and gender, and the simple effect of each independent variable. RESULTS: Negligible effects for two-way interactions were found. However, the three-way interaction between demand, mutuality, and preparedness explained statistically significant variance in both perceived difficulty of caregiving and total mood disturbance. High mutuality in combination with high preparedness protected caregivers from adverse outcomes when demand was high. When either mutuality or preparedness was low, caregivers were at greater risk for negative outcomes when demand was high, but not when demand was low. When both mutuality and preparedness were low, caregivers were at risk for mood disturbance even when demand was low. DISCUSSION: Analysis of three-way interactions provided new theoretical insights into the protective effects of mutuality and preparedness and demonstrated conditions under which caregivers are at increased risk for negative outcomes.
机译：背景：家庭护理研究人员已经探索了诸如应对和社会支持等变量的调节或缓解压力作用。但是，家庭看护人与病人之间的关系质量以及对照护的准备作为潜在的主持人很少受到关注。目的：探讨在癌症治疗过程中，关系质量和准备状况是否能缓和护理需求对护理人员结局的影响。方法：八十七名接受癌症治疗的家庭护理人员完成了家庭护理清单的护理负担量表，共同性和准备量表的需求量和难度量表，以及情绪状态简介的简短形式。使用分层多元回归分析，在需求，相互和准备情况的两向和三向交互条件，控制照料者的年龄和性别以及每个独立变量的简单影响方面，对照料困难和总情绪障碍进行了回归。结果：发现双向相互作用的影响可忽略不计。然而，需求，互助和准备之间的三向互动解释了在看护上的困难和整体情绪障碍方面的统计学差异。当需求量很大时，高度的互助性和高度的防范能力可以使护理人员避免不良后果。当互助或准备不足时，看护人在需求高时有更大的负面结果风险，而在需求低时则没有。当共同性和准备性都较低时，即使需求量很低，护理人员也有遭受情绪困扰的风险。讨论：三向相互作用的分析为互助和准备的保护作用提供了新的理论见解，并证明了照料者在增加不良结果风险方面所处的条件。

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