Demanslı Bireye Bakım Verenlerin Cinsiyetinin Bakım Veren Öz Yeterliliği Üzerine Etkisi

Yıl 2022, , 1107 - 1113, 27.09.2022

Ecem Özgül , Burcu Akpınar Söylemez

https://doi.org/10.37989/gumussagbil.943585

Öz

Bu çalışma, demanslı bireye bakım verenlerin cinsiyetinin bakım veren öz yeterliliği üzerine etkisini değerlendirmek amacıyla yapılmıştır. Araştırmaya, iki üniversite Hastanesi Nöroloji Polikliniği ve Geriatri Bilim Dalı Yaşlanan Beyin ve Demans Polikliniği ve Türkiye Alzheimer Derneği İzmir Şubesine Nisan 2019-Aralık 2019 tarihleri arasında başvuran 275 demanslı bireyin verileri dahil edilmiştir. Retrospektif tanımlayıcı araştırma tasarımına uygun şekilde yapılan bu araştırmada “Katılımcı Bilgi Formu”, “Revize Edilmiş Bakıma Yönelik Öz Yeterlilik Ölçeği” kullanılmıştır. Verilerin değerlendirilmesinde SPSS 21.00 programı kullanılmıştır. Sosyo-demografik veriler sayı, ortalama, yüzde ve standart sapma olarak verilmiştir. Cinsiyete göre öz yeterlilik puan ortalamaları karşılaştırmasında; veri analizi yöntemi olarak Bağımsız Gruplar için T Testi kullanılmıştır. Araştırma kapsamında verileri değerlendirilen 275 demanslı bireye bakım verenin %71,3’ü kadın olup yaş ortalaması 54,58±8,51 yıl olup %.36,4’ü annesine, %29,8’i eşine bakım vermektedir. Demanslı bireylerin %46,9’u 1-5 yıl arasında bakım alan, %51,6’sını erkeklerin oluşturduğu, yaş ortalamalarının 77,58±8,81 olduğu bulunmuştur. Bakım verenlerin cinsiyetine göre öz yeterlilik toplam ölçek puanı arasında (t=-4,888; p=0,001), kendine zaman öz yeterlilik puanı arasında (t=-4,262; p=0,001), bakım hakkında üzücü düşüncelerin kontrolü öz yeterliliği puanı arasında (t=-4,487; p=0,001) istatistiksel olarak anlamlı bir fark bulunmuştur. Cinsiyete göre rahatsız edici hasta davranışlarına karşı yanıt öz yeterlilik puanı arasında (t=-1,228; p= 0,220) istatistiksel olarak anlamlı bir farklılık saptanmamıştır. Kadın bakım verenlerin öz yeterliliğinin erkeklere oranla daha düşük olduğu sonucuna varılmıştır. Bu nedenle bakım verenlerin öz yeterlilik düzeyinin artırılmasına yönelik planlanacak girişimlerde, cinsiyetin mutlaka göz önünde bulundurulması önerilmektedir.

Anahtar Kelimeler

Demans, Bakım Veren, Öz Yeterlilik, Cinsiyet

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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The Effect of Gender of Caregivers of Individuals with Dementia on Caregiver Self-Efficacy

Öz

This study was conducted to evaluate the effect of gender of caregivers of dementia on caregiver self-efficacy. The data of 275 individuals with dementia who applied to the Aging Brain and Dementia Outpatient Clinic of the Neurology Polyclinic and Geriatrics Department of the two university Hospitals and Izmir Branch of the Turkish Alzheimer Association between April 2019 and December 2019. "Participant Information Form" and "Revised Scale for Caregiver Self Efficacy" were used which was carried out in accordance with a retrospective descriptive research design. SPSS 21.00 program was used to evaluate the data. Socio-demographic data are given as number, mean, percentage and standard deviation. In comparison of self-efficacy score averages according to gender; T Test for Independent Groups was used as a data analysis method. İn this study, 71.3% of the caregivers of 275 individuals with dementia, whose data were evaluated within the scope of the study, were female and the average age was 54.58 ± 8.51 years, 36.4% care for their mothers and 29.8% for their spouses. It was found that 46.9% of individuals with dementia received care between 1-5 years, 51.6% of them were men, and their average age was 77.58 ± 8.81. Self-efficacy according to gender of caregivers between total scale score (t =-4.888; p = 0.001), Self-Efficacy for Obtaining Respite score (t =-4.262; p = 0.001), Self-Efficacy for Responding to Disruptive Patient Behaviors score (t =-4.487; p = 0.001), a statistically significant difference was found. No statistically significant difference was found between Self-Efficacy for Controlling Upsetting Thoughts about Caregiving score (t =-1.228; p = 0.220). It has been concluded that female caregivers have lower self-efficacy than men. It is recommended that gender should be taken into consideration in attempts to increase the self-efficacy level of caregivers.

Anahtar Kelimeler

Dementia, Caregiver, Self Efficacy, Gender

Proje Numarası

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Kaynakça

• 1. United Nations. (2020). “World Population Ageing 2020 Highlights”. Erişim adresi: https://www.un.org/develop ment/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf. (Erişim tarihi: 27 Nisan 2021).
• 2. Türkiye İstatistik Kurumu. (2020). “İstatistiklerle Yaşlılar 2020”. Erişim adresi: https://data.tuik.gov.tr/Bulten/ Index?p=Istatistiklerle-Yaslilar-2020-37227. (Erişim tarihi: 27 Nisan 2021).
• 3. World Health Organization. (2020). “Fact Sheets; 2020”. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/dementia. (Erişim tarihi: 27 Nisan 2021).
• 4. Alzheimer’s Association. (2021). “Alzheimer's Disease Facts And Figures [e-book]; 2021”. Erişim adresi: https://www.alz.org/media/documents/alzheimers-facts-and-figures.pdf. (Erişim tarihi: 27 Nisan 2021).
• 5. Laks, J, Goren, A, Dueñas, H, Novick, D, and Kahle-Wrobleski, K. (2016). “Caregiving For Patients With Alzheimer's Disease Or Dementia And Its Association With Psychiatric And Clinical Comorbidities And Other Health Outcomes In Brazil”. International Journal Of Geriatric Psychiatry, 31 (2), 176–185. https://doi.org/10. 1002/gps.4309
• 6. Lindeza, P, Rodrigues, M, Costa, J, Guerreiro, M, and Rosa, M.M. (2020). “Impact Of Dementia On Informal Care: A Systematic Review Of Family Caregivers' Perceptions”. BMJ Supportive & Palliative Care, https://doi.org/10.1136/bmjspcare-2020-002242
• 7. Igarashi, A, Fukuda, A, Teng, L, Ma, F.F, Dorey, J, and Onishi, Y. (2020). “Family Caregiving In Dementia And Its Impact On Quality of Life And Economic Burden In Japan-Web Based Survey”. Journal Of Market Access & Health Policy, 8 (1), 1720068. https://doi.org/10.1080/ 20016689.2020.1720068
• 8. Queluz, F, Kervin, E, Wozney, L, Fancey, P, McGrath, P. J, and Keefe, J. (2020). “Understanding The Needs Of Caregivers of Persons With Dementia: A Scoping Review”. International Psychogeriatrics, 32 (1), 35–52. https://doi.org/10.1017/S1041610219000243
• 9. Steffen, A.M, Gallagher-Thompson, D, Arenella, K.M, Au, A, Cheng, S.T, Crespo, M, Cristancho-Lacroix, V, López, J, Losada-Baltar, A, Márquez-González, M, Nogales-González, C, and Romero-Moreno, R. (2019). “Validating The Revised Scale For Caregiving Self-Efficacy: A Cross-National Review”. The Gerontologist, 59 (4), e325–e342. https://doi.org/10.1093/geront/gny004
• 10. George, N.R. and Steffen, A. (2014). “Physical And Mental Health Correlates Of Self-Efficacy In Dementia Family Caregivers”. Journal Of Women & Aging, 26 (4), 319–331. https://doi.org/10.1080/08952841.2014.906873
• 11. MacDougall, M. and Steffen, A. (2017). “Self-Efficacy For Controlling Upsetting Thoughts And Emotional Eating In Family Caregivers”. Aging & Mental Health, 21(10), 1058–1064. https://doi.org/10.1080/13607863. 2016.1196335
• 12. Bandura, A. (2002). “Social Cognitive Theory In Cultural Context”. Applied Psychology: An International Review, 51, 269–290. https://doi:10.1111/1464-0597.00092
• 13. Bandura, A. (2006). “Self-Efficacy Beliefs Of Adolescents. In F. PAJARES and T. URDAN (Ed.) Guide To Constructing Self-Efficacy Scales (307–337). United States: Information Publishing.
• 14. Bandura, A. (2012). “On The Functional Properties Of Perceived Self-Efficacy Revisited”. Journal of Management, 3, 9–44. https://doi:10.1177/014920631141 0606
• 15. Ducharme, F, Lachance, L, Kergoat, M.J, Coulombe, R, Antoine, P, and Pasquier, F. (2016). “A Comparative Descriptive Study of Characteristics of Early- and Late-Onset Dementia Family Caregivers”. American Journal Of Alzheimer's Disease And Other Dementias, 31 (1), 48–56. https://doi.org/10.1177/1533317515578255
• 16. Wawrziczny, E, Berna, G, Ducharme, F, Kergoat, M.J, Pasquier, F, and Antoine, P. (2017). “Modeling The Distress of Spousal Caregivers of People With Dementia”. Journal of Alzheimer's Disease, 55 (2), 703–716. https://doi.org/10.3233/JAD-160558 17. Au, A, Lai, M.K, Lau, K.M, Pan, P.C, Lam, L, Thompson, L, and Gallagher-Thompson, D. (2009). “Social Support And Well-Being In Dementia Family Caregivers: The Mediating Role Of Self-efficacy”. Aging & Mental Health, 13 (5), 761–768. https://doi.org/10.1080/136078 60902918223
• 18. Gilliam, C.M. and Steffen, A.M. (2006). “The Relationship Between Caregiving Self-Efficacy And Depressive Symptoms In Dementia Family Caregivers”. Aging & Mental Health, 10 (2), 79–86. https://doi.org/10.1080/13607860500310658
• 19. Grano, C, Lucidi, F, and Violani, C. (2017). “The Relationship Between Caregiving Self-Efficacy And Depressive Symptoms In Family Caregivers Of Patients With Alzheimer Disease: A Longitudinal Study”. International Psychogeriatrics, 29 (7), 1095–1103. https://doi.org/10.1017/S1041610217000059
• 20. Rabinowitz, Y.G, Saenz, E.C, Thompson, L.W, and Gallagher-Thompson, D. (2011). “Understanding Caregiver Health Behaviors: Depressive Symptoms Mediate Caregiver Self-Efficacy And Health Behavior Patterns”. American Journal of Alzheimer's Disease And Other Dementias, 26 (4), 310–316. https://doi.org/10. 1177/153331751110557
• 21. Uçkaç K. ve Bahar L. (2020). “Demanslı Yaşlı Hastaların Bakımı ve Mesleki Yeterlilikler”. Sağlık Bilimlerinde Eğitim Dergisi, 3 (1), 45-59.
• 22. Steffen, A.M, McKibbin, C, Zeiss, A.M, Gallagher-Thompson, D, and Bandura, A. (2002). “The Revised Scale For Caregiving Self-Efficacy: Reliability And Validity Studies”. The Journals Of Gerontology Series B: Psychological Sciences And Social Sciences, 57(1), P74–P86.https://doi.org/10.1093/geronb/57.1.p74
• 23. Yildiz, E, Karakaş, S.A, Güngörmüş, Z, and Cengiz, M. (2017). “Levels Of Care Burden And Self-Efficacy For Informal Caregiver Of Patients With Cancer”. Holistic Nursing Practice, 31 (1), 7–15. https://doi.org/10.1097/ HNP.0000000000000185
• 24. Nwoke, M.B, Onuigbo, E.N, and Odo, V.O. (2017). “Social Support, Self-Efficacy And Gender As Predictors Of Reported Stress Among Inpatient Caregivers”. The Social Science Journal, 54 (2), 115-119.
• 25. Lamont, R.A, Quinn, C, Nelis, S.M, Martyr, A, Rusted, J. M., Hindle, J. V., and on behalf of the IDEAL study team. (2019). “Self-Esteem, Self-Efficacy, And Optimism As Psychological Resources Among Caregivers Of People With Dementia: Findings From The IDEAL Study”. International Psychogeriatrics, 31 (9), 1259-1266.
• 26. Chang, Y.P, Seo, Y, and Von Visger, T. (2020). “Family Caregivers’ Self-Efficacy And Its Relations To Well-Being: Gender And Age Differences”. Innovation In Aging, 4 (Suppl 1), 150. https://doi.org/10.1093/geroni/ igaa057.490
• 27. Wang, S, Cheung, D, Leung, A, and Davidson, P.M. (2020). “Factors Associated With Caregiving Appraisal Of Informal Caregivers: A Systematic Review”. Journal Of Clinical Nursing, 29 (17-18), 3201–3221. https://doi.org/10.1111/jocn.15394
• 28. Akpinar, B, Küçükgüçlü, O, and Yener, G. (2011). “Effects Of Gender On Burden Among Caregivers Of Alzheimer's Patients”. Journal Of Nursing Scholarship: An Official Publication Of Sigma Theta Tau International Honor Society Of Nursing, 43 (3), 248–254. https://doi.org/10.1111/j.1547-5069.2011.01402.x
• 29. Jessup, N.M, Bakas, T, McLennon, S.M, and Weaver, M. T. (2015). “Are There Gender, Racial Or Relationship Differences In Caregiver Task Difficulty, Depressive Symptoms and Life Changes Among Stroke Family Caregivers?”. Brain Injury, 29 (1), 17–24. https://doi.org/10.3109/02699052.2014.947631
• 30. Kahn, P.V, Wishart, H.A, Randolph, J.S, and Santulli, R. B. (2016). “Caregiver Stigma And Burden In Memory Disorders: An Evaluation Of The Effects Of Caregiver Type And Gender”. Current Gerontology And Geriatrics Research, 2016, 8316045. https://doi.org/10.1155/2016/ 8316045
• 31. Pillemer, S, Davis, J, and Tremont, G. (2018). “Gender Effects On Components Of Burden And Depression Among Dementia Caregivers”. Aging & Mental Health, 22 (9), 1156–1161. https://doi.org/10.1080/13607863. 2017.1337718
• 32. Romero-Moreno, R, Márquez-González, M, Losada, A, Gillanders, D, and Fernández-Fernández, V. (2014). “Cognitive Fusion In Dementia Caregiving: Psychometric Properties Of The Spanish Version of The Cognitıve Fusion Questionnaire”. Behavioral Psychology/ Psicología Conductual, 22 (1), 1.
• 33. Washington, K.T, Pike, K.C, Demiris, G, Parker Oliver, D, Albright, D.L, and Lewis, A.M. (2015). “Gender Differences In Caregiving At End of Life: Implications For Hospice Teams”. Journal of Palliative Medicine, 18 (12), 1048–1053. https://doi.org/10.1089/jpm.2015.0214
• 34. Sharma, N, Chakrabarti, S, and Grover, S. (2016). “Gender Differences In Caregiving among Family- Caregivers of People With Mental Illnesses”. World Journal of Psychiatry, 6 (1), 7–17. https://doi.org/10. 5498/wjp.v6.i1.7