Study on potential category characteristics and influencing factors of social alienation in family caregivers of people with dementia
10.3760/cma.j.cn211501-20240817-02233
- VernacularTitle:基于潜在剖面分析的痴呆患者家庭照顾者社会疏离分型及其影响因素研究
- Author:
Xinyu ZHOU
1
;
Chongqing SHI
1
;
Ni ZOU
1
;
Shunian CHEN
1
;
Jiabi SHI
1
Author Information
1. 武汉科技大学医学部护理学研究所，武汉 430065
- Publication Type:Journal Article
- Keywords:
Dementia;
Caregiver burden;
Social alienation;
Latent profile analysis
- From:
Chinese Journal of Practical Nursing
2025;41(20):1573-1580
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the potential categories and characteristics of social alienation among family caregivers of patients with dementia, and to analyze the related influencing factors, providing reference for healthcare professionals to develop targeted intervention programs and improve the quality of care.Methods:A cross-sectional survey method was used to conveniently select family caregivers of dementia patients who were hospitalized or attended outpatient clinics at Tianyou Hospital Affiliated to Wuhan University of Science and Technology and the Central Theater General Hospital from December 2023 to July 2024 as survey objects. The general demographic information questionnaire, General Alienation Scale, Role Overload Scale, Adaptation, Partnership, Growth, Affection and Resolve, Type D Personality Scale-14, and Barthel Index were conducted for investigation. Latent profile analysis was used to explore potential categories of social alienation among family caregivers of people with dementia, and influential factors were explored through Logistic regression.Results:A total of 226 questionnaires were distributed and 220 valid questionnaires were collected, including 67 males and 153 females, with an age of (61.39 ± 9.42) years. The potential categories of social alienation of family caregivers of patients with dementia were categorized into low social alienation-low skepticism group (111 cases, 50.5%) and high social alienation-meaninglessness group (109cases, 49.5%). Patients′ age, self-care ability, dementia type, caregiver′s literacy, place of residence, occupational status, perceived health status, Length of care, per capita monthly family income, type D personality, role overload, and family caring were statistically different in the potential profile of social alienation ( t = 2.04, -16.48, 15.53; χ2 values were 3.84 - 109.23, all P< 0.05). Logistic regression analysis showed that the caregiver′s length of caregiving years (>5 years), role overload, family caring, type D personality (no), patient′s dementia type (mixed dementia), and self-care ability (mild dependence) were influential factors in the category of social alienation of family caregivers of patients with dementia ( OR values were 0.000 - 70.970, all P<0.05). Conclusions:There is group heterogeneity in the social alienation of family caregivers of patients with dementia, and healthcare professionals should focus on the differences in the type of disease, self-care ability, and years of caregiving experience of caregivers, and formulate personalized and precise interventions from caregiver personality traits, role overload, and family care to reduce the level of their social alienation.
