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Détresse chez les préposés aux bénéficiaires en centre d’hébergement exposés à des symptômes comportementaux

Published online by Cambridge University Press:  23 March 2018

Véronique Angers  and
Jean Vézina
Véronique Angers
Affiliation:
École de psychologie, Université Laval, Québec, Canada
Jean Vézina*
Affiliation:
École de psychologie, Université Laval, Québec, Canada
*
*Toute correspondance concernant cet article doit être adressée à Jean Vézina, Ph.D., École de psychologie, Université Laval, Pavillon Félix-Antoine-Savard, 2325, rue des Bibliothèques, Québec, QC, G1V 0A6, Canada. Numéro de téléphone : 418 656-2131, poste 6240. Télécopieur: 418 656-3646. Courrier électronique: jean.vezina@psy.ulaval.ca
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Abstract

Care aides working in nursing homes are often exposed to responsive behaviours in older adults living with Alzheimer’s disease. As these behaviors may induce psychological distress, the current research aims to estimate the contribution of a set of variables on the psychological distress reported by care aides. Variables include perceived frequency of responsive behaviours, primary and secondary cognitive appraisal, and coping strategies. A total of ninety-two day care aides were recruited in nursing homes in the Quebec City area. Standard multiple regression was completed and findings show that frequency of responsive behaviours, primary appraisal of threat, secondary appraisal (feeling incapable of changing the situation) and seeking emotional support contribute to care aides’ psychological distress. This study highlights the importance of responsive behaviours on the units and discusses the psychological mechanisms used by care aides.

Résumé

Les préposés aux bénéficiaires (PAB), qui travaillent dans les centres d’hébergement avec des personnes atteintes de la maladie d’Alzheimer, sont à risque d’être exposés à des symptômes comportementaux. Étant donné que ces comportements peuvent constituer une source de stress, la présente étude vise à estimer la contribution d’un ensemble de variables sur le niveau de détresse psychologique des PAB. Ces variables comprennent la fréquence d’exposition perçue aux symptômes comportementaux, les évaluations cognitives primaires et secondaires et les stratégies de coping. Au total, 92 PAB détenant des postes de jour ont été recrutés dans les centres de la région de Québec. Une analyse de régression multiple révèle que la fréquence des symptômes comportementaux, l’évaluation cognitive « menace », l’évaluation cognitive secondaire « ne pas être capable de changer la situation » et la recherche de soutien émotionnel contribuent à la détresse psychologique. Les résultats mettent en lumière de considérer les symptômes comportementaux dans le travail des PAB et proposent une réflexion sur certains mécanismes psychologiques utilisés par les PAB.

Keywords

care aidespsychological distressresponsive behavioursnursing homestransactional theoryAlzheimer’s diseasepréposés aux bénéficiairesdétresse psychologiquesymptômes comportementauxcentre d’hébergementthéorie transactionnellemaladie d’Alzheimer
Type
Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 37 , Issue 2 , June 2018 , pp. 99 - 109
Copyright
Copyright © Canadian Association on Gerontology 2018 

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Footnotes

Cette étude a été rendue possible par le soutien financier du laboratoire de psychologie gérontologique de l’Université Laval. Nous remercions Laurie Martel pour sa contribution lors de la collecte de données.

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