Health-Promoting Self-Care in Family Caregivers

Gayle J. Acton

Western Journal of Nursing Research · 2002 · 185 citations · 25 references

Concepts

TL;DR

Caregiving for family members with cognitive impairment is stressful, time‑consuming, and leaves caregivers with little time for their own health, yet most research has focused on stress‑illness rather than health‑promotion. The study compared health‑promoting self‑care behaviors between family caregivers and matched noncaregivers and examined whether such behaviors mediate the link between caregiver stress and well‑being. The authors compared self‑care behavior scores of caregivers and matched noncaregivers and tested a mediation model linking stress, self‑care, and well‑being. Caregivers scored lower on most health‑promotion measures and higher on barriers, and self‑care behavior mediated the negative impact of stress on general well‑being.

Abstract

Caregiving for family members with cognitive impairment is stressful and time consuming. Because of the attention needed to manage the memory and behavior problems of the care receiver, family caregivers have little time to attend to their own health needs. Most research related to the health of family caregivers has been conducted within a stress-illness framework. Fewer researchers have studied caregiver health from a health-promotion paradigm. The purpose of this study was to compare health-promoting self-care behavior in family caregivers with demographically matched noncaregivers and to investigate the mediational effect of health-promoting self-care behavior on the relationship between stress and well-being. Findings revealed that family caregivers scored significantly lower on all measures of health promotion, with the exception of Nutrition and Number of Medications, and significantly higher on Barriers to Health-Promoting Actions. Health-promoting self-care behavior acted as a mediator to reduce the effect of caregiver stress on general well-being.

References

25