【原】心力衰竭患者的非正式照顾者和心理弹性：混合研究（#SCI文献）

Durante, A., Ahtisham, Y., Cuoco, A., Boyne, J., Brawner, B., Juarez-Vela, R., & Vellone, E. (2021). Informal caregivers of people with heart failure and resilience: A convergent mixed methods study. Journal of Advanced Nursing, 00, 1– 12. https:///10.1111/jan.15078

心力衰竭患者的非正式照顾者和心理弹性：混合研究

Aim 研究目的

To develop a comprehensive understanding of resilience and its associated factors among informal caregivers of people with heart failure.

本研究旨在全面了解心力衰竭患者非正式照顾者的心理弹性及影响因素

Design 研究设计

Transnational multicentre convergent mixed methods approach.

多中心混合研究

Methods 研究方法

This study was conducted in three European countries: Italy, Spain and the Netherlands; during February 2017 and December 2018. In total, 195 caregivers completed the Connor–Davidson Resilience Scale, Caregiver Burden Inventory and Hospital Anxiety and Depression Scale. From a nested sample 50 caregivers participated in semi-structured face-to-face interviews. Data were analysed using qualitative content analysis, multiple regression and joint displays.

本项研究在三个欧洲国家进行：意大利、西班牙和荷兰；时间为2017.02-2018.12；采用心理弹性量表（Connor-Davidson resilience scale）、照顾者负担量表、医院焦虑抑郁量表进行调查。并从中选取50名照顾者采用半结构式访谈。数据分析采用：定性分析、多元回归等。

Results 研究结果

The caregivers’ mean age was over 60 years. The quantitative results showed that caregivers experienced anxiety and depression regardless of a good score of resilience and moderate level of burden. Regression analysis showed that the resilience was associated with caregiver depression. From qualitative findings three resilience inhibiting (psychological outlook, physical weariness and affective state) and two promoting factors (community interconnectedness and self-comforting activities) were generated. Mixed analysis confirmed that depression decreased caregivers’ resilience.

（1）照顾者的平均年龄超过60岁；（2）量性结果显示，无论照顾者的心理弹性和照顾负担如何，都会经历焦虑和抑郁。（3）回归分析显示，心理弹性与照顾者抑郁相关；（4）定性研究结果显示，提炼出三个心理弹性的阻碍因素（心理面貌，身体疲劳和情感状态）和两个促进因素（社区互联和自我安慰）。混合研究证实了抑郁可以降低了照顾者心理弹性。

Conclusions 研究结论

Caregivers of people with heart failure experience continuous stress and anxiety resulting in reduced resilience. Collaborative efforts are needed to build multifaceted interventions and programs to enhance caregivers’ resilience by targeting the factors identified in this study.

心力衰竭患者的照顾者会经历持续的压力和焦虑，从而降低心理弹性。需要合作努力，通过针对本研究中确定的因素，建立多方面的干预和项目，以提高照顾者的心理弹性。

Impact 意义

The quality of informal caregiving is affected by the resilience of caregivers. No research has explored the resilience levels and its factors in this population. Depression, psychological outlook, physical weariness and affective state are negative factors of caregivers’ resilience. Personal strategies combined with social and community support and belongingness enhance caregivers’ resilience. Community care organizations and hospitals could establish alliances to develop programs for enhancing caregivers’ resilience.

非正规照护的质量受到照护者心理弹性的影响。目前还没有研究探讨这一群体的心理弹性水平及其影响因素。抑郁、心理面貌、身体疲劳和情感状态是照顾者恢复力的阻碍因素。个人策略与社会和社区支持以及归属感相结合，可以增强照顾者的心理弹性。社区护理组织和医院可以建立联盟，制定提高照顾者心理弹性的方案。

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