A mixed-methods study on the current status of post-traumatic growth and influencing factors among family caregivers of older adults with dementia
10.3761/j.issn.0254-1769.2025.17.007
- VernacularTitle:老年痴呆患者家庭照顾者创伤后成长现状及影响因素的混合研究
- Author:
Yang WANG
1
;
Yanhong GU
;
Dechao LONG
;
Junqiao WANG
Author Information
1. 200240 上海市 复旦大学附属上海市第五人民医院护理教研室
- Publication Type:Journal Article
- Keywords:
Aged;
Dementia;
Family Caregivers;
Post-Traumatic Growth;
Mixed Methods Study;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(17):2087-2094
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the current status of post-traumatic growth among family caregivers of dementia and analyze its influencing factors to provide a reference for the development of post-traumatic growth interventions.Methods A convergent mixed-methods study was adopted.Family caregivers of older adults with dementia who were outpatients at a tertiary hospital and a mental health center in Shanghai from May to December 2024 were conveniently selected for the study.A general information questionnaire,the Chinese-Posttraumatic Growth Inventory,the Simplified Coping Style Questionnaire,the Simplified Chinese Event Related Rumination Inventory,the Connor-Davidson Resilience Scale,and the Social Support Rating Scale were used for data collection.The survey was conducted,and the data were analyzed using multivariate stepwise linear regression.19 family caregivers of dementia patients were interviewed in a semi-structured manner using purposive sampling,and the interview data were analyzed using directed content analysis.Results The dementia family caregivers' post-traumatic growth score was(64.73±11.43).The regression results showed that patients' dementia type,types of comorbid chronic diseases,knowledge of the disease,deliberate rumination,positive coping styles,psychological resilience,and social support were the influencing factors of post-traumatic growth(P＜0.05).Qualitative results:interviews refined 8 themes based on 3 dimensions,including individual factors,family and social factors,and cultural and environmental factors.The integration results indicate that both quantitative and qualitative findings were validated and complemented.Conclusion Dementia family caregivers' post-traumatic growth is low to moderate,and the influencing factors are associated with 3 aspects,namely patient factors,caregiver factors,and socio-cultural factors.Healthcare professionals should pay attention to caregivers' post-traumatic growth and develop personalized interventions based on influencing factors,enhancing their level of post-traumatic growth.
