社区失能老人家庭照顾者创伤后成长与生命意义感的相关性分析

Correlation between post-traumatic growth and meaning in life among family caregivers of the disabled elderly in the community

目的探讨社区失能老人家庭照顾者创伤后成长和生命意义感的现状,分析两者间的关系。方法采用便利抽样法,于2019年8月—2020年8月选取广州市社区560名失能老人的家庭照顾者为研究对象,采用一般资料调查表、创伤后成长评定量表和中文人生意义问卷进行调查。采用Pearson相关分析和分层回归分析对失能老人家庭照顾者创伤后成长与生命意义感的关系进行分析。共发放问卷560份,剔除不完整问卷及按某一规律作答问卷,回收有效问卷526份。结果526名失能老人家庭照顾者的创伤后成长总分为(49.43±20.43)分,生命意义感总分为(42.96±7.61)分;创伤后成长总分及各维度得分与生命意义感总分及意义体验和意义追寻2个维度得分均呈正相关(均P<0.01);分层回归结果显示,在控制一般资料后,意义体验和意义追寻均可正向预测创伤后成长。结论失能老人家庭照顾者创伤后成长处于较低水平,家庭照顾者生命意义感对创伤后成长具有正向影响作用,社区工作者应加强生命意义感教育,帮助照顾者有效应对创伤事件,提高创伤后成长水平,促进心理健康。

Objective To explore the status of post-traumatic growth and meaning in life among family caregivers of the disabled elderly in the community,and to analyze the correlation between the two.Methods From August 2019 to August 2020,convenience sampling was used to select 560 family caregivers of the disabled elderly in the community of Guangzhou as the research object.The General Information Questionnaire,Posttraumatic Growth Inventory(PTGI)and the Chinese Meaning in Life Questionnaire(C-MLQ)were used for the investigation.Pearson correlation and hierarchical regression were used to analyze the correlation between post-traumatic growth and meaning in life in family caregivers of the disabled elderly.A total of 560 questionnaires were distributed,and 526 valid questionnaires were recovered after excluding incomplete questionnaires and answering questionnaires according to a certain rule.Results The total scores of PTGI and C-MLQ of 526 family caregivers of the disabled elderly were(49.43±20.43)and(42.96±7.61),respectively.The total score of PTGI and the scores of each dimension were positively correlated with the total score of C-MLQ and the two dimensions of meaning experience and meaning pursuit(P<0.01).The hierarchical regression showed that,after controlling for general data,both meaning experience and meaning pursuit could positively predict post-traumatic growth.Conclusions Post-traumatic growth of family caregivers of disabled elderly is at low level.Family caregivers'meaning in life has a positive effect on post-traumatic growth.Community workers should strengthen the meaning in life education,help caregivers to effectively cope with traumatic events,improve the level of post-traumatic growth,and promote mental health.