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A psychological study of burden on Chinese family caregivers of people with type 2 diabetes
Author(s)
Date Issued
2016
Publisher
Hong Kong: Hong Kong Shue Yan University
Description
Hong Kong Shue Yan University. Dept. of Counselling and Psychology.
Thesis (M.Soc.Sc.) -- Hong Kong Shue Yan University, 2016.
Includes bibliographical references (p. 49-60).
xi, 76 p.
Type
Thesis
Programme
Master of Social Sciences in Counselling Psychology
Abstract
Diabetes is one of the most common public health problems worldwide. People with diabetes who have developed some serious physical and mental complications may increase care burden on family caregivers. The aims of the study was to investigate the burden in Chinese family caregivers of people with T2DM, and how filial piety, coping styles, caregiving difficulty and self-efficacy played role on influence of the care burden based on the concept of Pearline’s Stress Process Model (SPM) (1990). A total number of 150 Chinese patients and their family caregivers dyads participated in the survey by completion of self-report. The present study found that the caregivers of people with T2DM showed higher level care burden than those with physical or mental illness but lower than both co-morbid conditions in a previous study. Moreover, they showed the highest level of time-dependence burden but lowest of emotional burden significantly. In contrast, female caregivers expressed higher care burden than male caregivers. Care burden had negative and positive correlation among observed variables. The analysis of interaction effects in stepwise regression indicated that caregivers’ age, gender, maladaptive coping, caregiving difficulty and self-efficacy were predictors of care burden, and filial piety and other observed variables could predict social burden and emotion burden. Coping and self-efficacy were indicated as a moderator between care burden and observed variables by the Fisher-to-Z transformation. The Pearline’s SPM for family caregivers is a valid and reliable model used in clinical research as it reflects the components of filial piety, coping styles, caregiving difficulty and self-efficacy on the effect of care-related burden. Females are still identified as caregivers who are expected to take the caring role in elderly care and they suffer distress than male caregivers. It is concluded that diabetes does not only affect patients’ health but also their family caregivers, providing stress management with the context in increasing filial value, active coping skills and confidence to these caregivers may help them minimize the distress. Female caregivers are more likely to experience care burden need more support from other family members and health professionals.
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