| Caregiver self-efficacy for managing behavioural problems of older people with dementia in Taiwan correlates with care receivers' behavioural problems. | |
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MedLine Citation:
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PMID: 19207803 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS AND OBJECTIVE: To investigate the relationship between family caregivers' self-efficacy for managing behavioural problems of older people with dementia and their behavioural problems in Taiwan. BACKGROUND: Older people with dementia commonly have at least one behavioural problem, which caregivers complain is difficult to handle. To provide interventions that can help caregivers more effectively manage the behavioural problems of care receivers with dementia, caregivers' self-efficacy on managing behavioural problems must be assessed. However, it is not clear yet how these behavioural problems of older people with dementia may influence caregivers' self-efficacy for managing behavioural problems. DESIGN: A prospective, correlational study. METHOD: Eighty dyads of older people with dementia and their family caregivers were recruited from neurological clinics of a medical centre in Taiwan. Care receivers were assessed for behavioural problems using the Chinese version of Cohen-Mansfield Agitation Inventory, community form. Caregivers' self-efficacy for managing care receivers' agitation was measured by the research team-developed Agitation Management Self-Efficacy Scale. RESULTS: Caregiver self-efficacy for managing behavioural problems was significantly and positively associated with more caregiver education, greater duration of caregiving and with care receivers' less physically non-aggressive behaviours. When caregiver characteristics were controlled for in hierarchical regression analysis, physically non-aggressive behaviours explained 6% of the variance in caregiver self-efficacy. CONCLUSIONS: Results of this study contradict the general belief that physically aggressive behaviours of elders with dementia are more difficult for family caregivers to handle than other behavioural problems. Clinicians need to address physically non-aggressive problem behaviours. RELEVANCE TO CLINICAL PRACTICE: Nurses could assess older patients with dementia for physically non-aggressive behaviours and train less educated caregivers to improve their self-efficacy for managing problem behaviours, thus enhancing the quality of life for both caregivers and care receivers. |
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Authors:
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Huei-Ling Huang; Yea-Ing Lotus Shyu; Sien-Tsong Chen; Wen-Chuin Hsu |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-01-07 |
Journal Detail:
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Title: Journal of clinical nursing Volume: 18 ISSN: 1365-2702 ISO Abbreviation: - Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-21 Completed Date: 2009-11-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207302 Medline TA: J Clin Nurs Country: England |
Other Details:
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Languages: eng Pagination: 2588-95 Citation Subset: N |
Affiliation:
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School of Nursing, Chang Gung University, Taoyuan, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Caregivers* Dementia / physiopathology, psychology* Female Home Care Services Humans Male Mental Disorders / nursing* Middle Aged Prospective Studies Self Efficacy* Taiwan |
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