[Factors Influencing Psychosocial Well-Being in Family Caregivers of People with Amyotrophic Lateral Sclerosis]

J Korean Acad Nurs. 2018 Aug;48(4):454-464. doi: 10.4040/jkan.2018.48.4.454.
[Article in Korean]

Abstract

Purpose: The purpose of this study was to identify factors influencing psychosocial well-being in family caregivers of patients with amyotrophic lateral sclerosis (ALS).

Methods: A descriptive correlational design was used. The transactional model of stress and coping was used to investigate the psychosocial well-being of 137 family caregivers of patients with ALS. Data were collected through self-reported questionnaires from January to November 2016. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis with the SPSS WIN 21.0 program.

Results: The regression model had an adjusted R² of .49, which indicated that meaning-focused coping, social support, ALS patient-family caregiver relationship (especially a spousal relationship), and tracheostomy were significant predictors of caregivers' psychosocial well-being.

Conclusion: Meaning-focused coping and social support significantly influenced caregivers' psychosocial well-being. Therefore, interventions to improve caregivers' psychosocial well-being must focus on increasing meaning-focused coping and social support resources.

Keywords: Amyotrophic lateral sclerosis; Family caregivers; Psychological adaptation; Social adjustment.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Amyotrophic Lateral Sclerosis / pathology*
  • Caregivers / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Regression Analysis
  • Self Report
  • Social Support
  • Stress, Psychological
  • Surveys and Questionnaires