Predictors of Perceived Social Support for Patients with Dementia: A Mixed-Methods Study.


Journal

Clinical interventions in aging
ISSN: 1178-1998
Titre abrégé: Clin Interv Aging
Pays: New Zealand
ID NLM: 101273480

Informations de publication

Date de publication:
2020
Historique:
received: 11 02 2020
accepted: 11 04 2020
entrez: 21 5 2020
pubmed: 21 5 2020
medline: 24 10 2020
Statut: epublish

Résumé

Perceived social support (PSS) is closely linked to health outcomes in dementia patients. However, its continuous benefits are unclear. This mixed-methods study examined the impact of social support perceptions and differentiation among patients and carers during disease progression. Persons with dementia (PWDs), family caregivers, and community family physicians were recruited from nine community health centers. Semi-structured interviews conducted with 12 PWDs (7 PWDs in mild dementia and 5 in moderate dementia), 12 family caregivers, and 6 community family physicians and conventional content analysis were used to explore social support perspectives at different dementia stages. A total of 470 PWDs were divided into mild (n=224), moderate (n=190), and severe (n=56) groups. Demographic, physical, and psychological factors related to PSS were examined by the group using multiple regression analysis. The group-based characteristics were entered into three prediction models. In the qualitative study, three themes of social support were identified: two viewpoints refer to social support; different needs and preferences in each stage; non-personalized support services. Quantitatively, the mild group scored lowest in perceived social support, while the severe group scored highest (χ This study provided comprehensive insight into PSS from PWDs' perspective at different stages of the disease. Results indicated the need for a stratified care approach and direction for further research on intervention.

Identifiants

pubmed: 32431493
doi: 10.2147/CIA.S249223
pii: 249223
pmc: PMC7201008
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

595-607

Informations de copyright

© 2020 Yang et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

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Auteurs

Siyuan Yang (S)

Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Yunmei Zhang (Y)

School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Shiqi Xie (S)

School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Yanhan Chen (Y)

School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Dengbi Jiang (D)

Community Health Center of Daxigou, Chongqing, Yuzhong District, People's Republic of China.

Yetao Luo (Y)

Department of Biostatistics, School of Public Health and Management, Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Qinghua Zhao (Q)

Nursing Department, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

Bing Yang (B)

School of Nursing, Chongqing Medical University, Chongqing, Yuzhong District, People's Republic of China.

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