背景:在2015年至2020年期间,美国的护理患病率从16.6%增加到19.2%。看护者在大流行后以及随着人口老龄化而发挥着至关重要的公共卫生作用。然而,照顾可能不利于照顾者的健康。许多研究表明,沟通和联系是照顾者健康干预的有效形式,但是如何实现这一点需要进一步的调查。
目的:本研究旨在探讨护理对心理困扰导致的饮酒问题的间接影响。此外,本研究旨在提供初步证据,证明线上和线下沟通和联系对护理人员幸福感的不同影响.
方法:通过检查对2020年健康信息国家趋势调查(n=3,865)的响应来评估预测。进行了中介分析,以测试心理困扰对护理与饮酒之间关系的中介作用。进行了二级适度分析。在线交流和联系,社交媒体用于健康,和离线类型,婚姻或浪漫的伙伴关系,被测试为主持人,以减轻护理的心理困扰。
结果:确定了竞争性调解。我们发现护理对心理困扰介导的饮酒有积极的间接影响(bp=.0017,p<.05),但护理对饮酒有消极的直接影响(bp=-.0340,p<.05)。此外,该研究报告了适度适度对护理与心理困扰之间的联系产生了强烈的积极影响。在较少使用社交媒体的人中,护理对精神困扰的负面影响更大,特别是那些没有浪漫或婚姻伴侣的人。
结论:研究结果表明,照顾者经历更多的精神困扰,这导致了危险的行为。这项研究强调了在线和离线联系在减轻护理不利后果方面的关键作用。
BACKGROUND: The prevalence of
caregiving in the United States has increased from 16.6% to 19.2% during the period between 2015 and 2020. Caregivers play a critical public health role post-pandemic and as the population ages. However,
caregiving can be detrimental to the health of caregivers. Many studies have shown that communication and connectedness are effective forms of health intervention for caregivers, but how this can be achieved requires further investigation.
OBJECTIVE: This study aimed to investigate the indirect effect of
caregiving on problems of alcohol drinking through psychological distress. Moreover, this study aimed to provide initial evidence of the distinct effects of online and offline communication and connectedness on caregivers\' well-being.
METHODS: The predictions were evaluated by examining responses to the Health Information National Trends Survey 2020 (n = 3,865). A mediation analysis was conducted to test the mediating effect of psychological distress on the association between caregiving and alcohol drinking. A second-level moderation analysis was performed. The online communication and connectedness, social media use for health, and the offline type, marital or romantic partnership, were tested as moderators to lessen the psychological distress of caregiving.
RESULTS: A competitive mediation was identified. We found a positive indirect effect from caregiving to alcohol drinking mediated by psychological distress (bp = .0017, p < .05) but a negative direct effect from
caregiving to alcohol drinking (bp = -.0340, p < .05). Furthermore, the study reported a strongly positive effect of moderated moderation on the linkage from caregiving to psychological distress. The negative impact of
caregiving on mental distress was greater among those who used social media less, particularly those without a romantic or marital partner.
CONCLUSIONS: The findings indicate that caregivers experience more mental distress, which leads to risky behavior. This study highlights the crucial role of both online and offline connectedness in mitigating the adverse consequences of caregiving.