مطالعه جامعه شناختی رابطه مراقبت از سالمند در خانواده و افسردگی و اضطراب فرد مراقب (مطالعه موردی زنان متاهل مراقب سالمند در شهر لار)

فصلنامه زن و جامعه

مقاله 8، دوره 13، شماره 52، بهمن 1401، صفحه 117-132   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.30495/jzvj.2022.30074.3798

نویسندگان

مجید موحدمجد¹؛ مریم فلامرزی^{* 2}؛ صدیقه شعاع³

¹استاد بخش جامعه شناسی و برنامه‌ریزی اجتماعی دانشکده‌ اقتصاد، مدیریت و علوم اجتماعی دانشگاه شیراز، شیراز. ایران.

²کارشناس ارشد مطالعات زنان، زن وخانواده، دانشگاه شیراز، شیراز. ایران.

³دکتری جامعه شناسی دانشگاه کاشان، کاشان. ایران.

تاریخ دریافت: 08 اسفند 1400،  تاریخ بازنگری: 23 مهر 1401،  تاریخ پذیرش: 01 بهمن 1401 

چکیده

با افزایش جمعیت سالمندان و وابستگی و نیاز آنها به مراقبت ،توجه و سلامت آنها از اهمیت ویژه ای برخوردار است. در این مطالعه تاثیر مراقبت از سالمندان بر افسردگی و اضطراب زنان مراقب سالمند و عوامل مرتبط با استفاده از نظریه تضاد نقش بررسی شده است. این مطالعه توصیفی تحلیلی، به روش پیمایش در بین 377 نفر از زنان متاهل مراقب سالمند در سال 1400 انجام شد. تعداد نمونه فرمول کوکران با ضریب خطای 5 درصد، تعداد 377 نفر، نمونه ها تصادفی انتخاب و با ابزار پرسشنامه مورد مصاحبه قرار گرفتند. در این مطالعه میزان اضطراب و افسردگی با مقیاس استاندارد داس سنجیده و داده‌ها، به وسیله نرم افزار‌ اس پی اس اس و ایموس تحلیل شد.
این مطالعه نشان داد به ترتیب 5/33 و 7/44 درصد از مراقبین از افسردگی و اضطراب خفیف تا بسیار شدید رنج می برند. نتایج حاصل از تحلیل عامل تاییدی نشان داد متغیر های سن، تعداد فرزند، نوع مذهب، وضعیت جسمانی و داشتن همراه و کمک در مراقبت از سالمند از مهمترین متغیر های تاثیر گذار بر افسردگی مراقبین و متغیر های سن، تحصیلات، تعداد فرزند، نوع مذهب و وضعیت جسمانی سالمند از مهمترین متغیر های موثر بر اضطراب مراقبین می باشد. با توجه به افزایش جمعیت سالمند و اهمیت سلامت زنان مراقب در انسجام خانواده و سلامت جامعه لازم است توجه بیشتری به این گروه صورت گیرد و حمایت های مادی و معنوی لازم جهت حمایت از این گروه انجام شود.

کلمات کلیدی: سالمند، زنان، افسردگی، اضطراب، خانواده، مراقبین غیر رسمی

کلیدواژه‌ها

سالمند؛ زنان؛ افسردگی؛ اضطراب؛ مراقبین غیر رسمی

عنوان مقاله [English]

Sociological Study of the Relationship between Elderly Care in the Family and the Depression and Anxiety among Caregiver (Case Study of Women Married Elderly Caregivers in Lar City)

نویسندگان [English]

Majid Movahed Majd¹؛ Maryam Falamarzi²؛ sedigheh shoaa³

¹Professor of Sociology, Faculty of Economics, Management and Social Sciences, Shiraz University, Shiraz. Iran.

²MA. Woman Studies, Woman and Family, Shiraz University. Shiraz. Iran.

³Ph.D. in Sociology-university of Kashan, Kashan. Iran.

چکیده [English]

According to the United Nations Population the number of elderly people is steadily increasing. Women are the major source of informal healthcare. Majority of women might face depression and anxiety. The purpose of this study was to study the level of anxiety and depression and their relationship with some cultural and social factors among caregivers.
Data were collected from 377 married elderly caregivers by stratified proportional sampling method and analyzed by SPSS and Amos software.
Depression and anxiety rates of the caregivers were assessed by short form of Depression Anxiety Stress Scale. The validity had measured by previous studies. Also, in this study, we used face validity and its reliability has been obtained to be 85% by Cronbach's alpha in two parts.
The results of this study showed that 33.5% and 44.7% of women caregivers endured mild to very severe depression and anxiety, respectively. Regarding depression, the significant variables were: Age, Family support, religion, number of children, elderly physical condition and also, about anxiety, the significant variables was contained, education, Age, Family support, religion, number of children and elderly physical condition (P <0.005).
more attention and support should be paid to this group and appropriate policies should be adopted regarding them.

Key word: Informal caring, Anxiety, Depression, Elderly Population, Women Caregivers

کلیدواژه‌ها [English]

Informal caring. Anxiety, Depression, Elderly Population, Women Caregivers

مراجع

1. Taghaghavy N. Fundamentals of Demography. Tabriz: Jameh Pahooh publications; 2007. 166 p.
2. Kalaria RN, Maestre GE, Arizaga R, Friedland RP, Galasko D, Hall K, et al. Alzheimer’s disease and vascular dementia in developing countries: Prevalence, management, and risk factors. Lancet Neurol. 2008 Sep;7(9):812–26.
3. Clark A. The Sociology of Healthcare. 2nd ed. Aberystwyth University; 2010.
4. Rha SY, Park Y, Song SK, Lee CE, Lee J. Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs. 2015 Aug;19(4):376–82.
5. Dalley G. Ideologies of Caring: Rethinking Community and Collectivism. , London: Macmillan; 1988.
6. Ungerson C, Finch J, Groves D. Why do women care? A Labour of Love:Women, Work and caring. London: Routlege & Kegan paul; 1983.
7. Habibreza A. Ethical responsibility of children towards their parents in the quran and the bible. Ethics. 2014;3(4).
8. Hequembourg A, Brallier S. Gendered stories of parental caregiving among siblings. J Aging Stud. 2005 Feb;19(1):53–71.
9. Mohammadi F, Dbaghe F, Nik ravesh M. Facilitators and Inhibitors of Family Care for Vulnerable Elderly at Home: The Experience of Caring Women. Salmand Iran J Ageing. 2008;2(4):445–53.
10. Khosravi Z. Fundamentals of Gender Psychology. Tehran: Sahab Publishing; 2003.
11. Lynn Feinberg SC, Houser A, Choula R. Valuing the Invaluable: 2011 Update The Growing Contributions and Costs of Family Caregiving. Washington, DC; 2011.
12. Giddens A. Globalization and the family perspective. Jalaeipour, editor. Tehran; 2004. 3–29 p.
13. Tennstedt S, Cafferata GL, Sullivan L. Depression among Caregivers of Impaired Elders. J Aging Health. 1992 Feb;4(1):58–76.
14. Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJL, et al. Burden of Depressive Disorders by Country, Sex, Age, and Year: Findings from the Global Burden of Disease Study 2010. PLoS Med. 2013 Nov 5;10(11):e1001547.
15. Tari Moradi A, Ahadi H. Survey of Depression, Anxiety and Physical Health of Caregivers to Elders with Aged and Brain Stroke. Alborz Univ Med J. 2014 Dec 1;3(4):199–204.
16. Goodarzi N, Shahboulaghi FM, Rahgoi A, Biglarian A. Family functioning and depression in family caregivers of people with Dementia. 2017.
17. Safaeian Z, Sadat Hejazi S, Delavar E, Hoseini Azizi T, HaresAbadi M. The Relationship between Caregiver Burden, and Depression, Anxiety and Stress in Family Caregivers of Cancer Patients Referred to Imam Reza Hospital in Bojnurd City. Iran J Psychiatr Nurs. 2017 Aug 10;5(3):7–14.
18. Omranifard V, Haghighizadeh E, Akoochakian S. Depression, Anxiety and Burden in Main Caregivers of Dementia Patients. J Res Behav Sci. 2019 Jan 1;16(3):379–88.
19. Bastani f. N, Nazari  n. Quality of life related to care in women caring for the elderly with pelvic fractures. J Nurs Res. 2020;15(3):24–36.
20. Shafizadeh Kholanjani, Mirzaei A, Heravi Karimovi M, Parade N, Sharifi S, Montazeri A. The Relationship between caregiver burden and anxiety and depression in caregivers of Alzheimer’s elderly. Inf J Nurs Res. 2020;15(2):67–75.
21. Cuellar N, Butts JB. Caregiver Distress: What Nurses in Rural Settings Can Do to Help. Nurs Forum. 1999 Sep;34(3):24–30.
22. Stephens MAP, Townsend AL, Martire LM, Druley JA. Balancing Parent Care With Other Roles: Interrole Conflict of Adult Daughter Caregivers. Journals Gerontol Ser B Psychol Sci Soc Sci. 2001 Jan 1;56(1):P24–34.
23. Greenlee J, Mills-Dick K, Chow JC, Giunt N, Scharlach A, Dal Santo T, et al. Family Caregivers In California: Needs, Interventions And Model Programs Communit y-Based Long-Term Care: Pot ent ial Consequences of California’s 2009 Budget Cut s Leo Villa Racial and Et hnic Variat ions in Caregiver Service Use Family Caregivers In Cal. Berkeley; 2001.
24. Séoud J, Nehmé C, Atallah R, Zablit C, Yérétzian J, Lévesque L, et al. The health of family caregivers of older impaired persons in Lebanon: An interview survey. Int J Nurs Stud. 2007 Feb;44(2):259–72.
25. Schoenmakers B, Buntinx F, De Lepeleire J. The relation between care giving and the mental health of caregivers of demented relatives: A cross-sectional study. Eur J Gen Pract. 2009 Jan 18;15(2):99–106.
26. Adashek JJ, Subbiah IM. Caring for the caregiver: A systematic review characterising the experience of caregivers of older adults with advanced cancers. Vol. 5, ESMO Open. BMJ Publishing Group; 2020.
27. Zhong Y, Wang J, Nicholas S. Social support and depressive symptoms among family caregivers of older people with disabilities in four provinces of urban China: the mediating role of caregiver burden. BMC Geriatr. 2020 Dec 2;20(1):3.
28. Skidmore W. Theoretical Thinking in Sociology. translate, Mohammad Hazari and et al, editor. Qom: Institute of Islamic Sciences and Culture; 2006. 200 p.
29. Ezzazi S. Sociology of the family. Tehran, Iran: Roshangaran publications and Women Studies; 1997. 120 p.
30. Chalabi M. Sociology of Order. Tehran: Ney Publishing; 1996.
31. Carter EA, McGoldreck M. The Expanded Family Life Cycle: Individual, family and social perspe ctivespanded Family Life Cycle: Individual, Family, and Social Perspectives. 3rd ed. Boston, MA:Allyn & Bacon ; 1999.
32. Labiby M. the family in the 21st century from the perspective of Iranian and Western sociologists. Tehran: Elm Publishing.; 2014.
33. Fathi Ashtiani A. Psychological tests - evaluation of personality and mental health. Besat Publications; 2009.
34. Lovibond S., Lovibond P. Manual for the Depression Anxiety Stress Scales . 2nd ed. Sydney: Psychology Foundation; 1995.
35. Nik Azin A, Nainian M. Psychometric properties of the Depression, Anxiety and Stress Syndrome Questionnaire in a sample of Iranian students. Tabriz Univ Med Sci Heal Serv. 2013.