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老年常见慢性病患者自我感受负担及其影响因素研究

张蒙 李颂兵 陈茜   

  1. 四川大学华西医院老年医学中心(张蒙,陈茜);全科(李颂兵)
  • 出版日期:2017-01-25 发布日期:2017-01-25
  • 基金资助:
    四川省科技厅科技支撑项目(2015SZ0150)

The level and influencing factors of Self-Perceived Burden in elderly patients with chronic diseases in Sichuan:a multi-center survey

  • Online:2017-01-25 Published:2017-01-25

摘要: 目的:调查四川省老年常见慢性非传染性疾病(简称慢性病)患者自我感受负担现状,并分析其影响因素。方法:采用多中心、横断面调查法,纳入四川省6 家三级甲等综合性医院1056 例老年慢性病患者及其主要照顾者进行问卷调查。调查工具包括一般资料调查表、自我感受负担量表(SPBS)、Barthel 指数问卷(BI)、衰弱量表(FRAIL)、简易营养评价量表(MNA-SF)、简版老年抑郁量表(GDS-15)、Zarit 护理者负担量表(ZBI)。结果:患者自我感受负担得分为10 ~ 49(24.62±7.06) 分,大部分处于轻中度负担水平。多元回归分析显示老年患者的Barthel 评分、居住地、抑郁得分、自评健康状况、性别为老年常见慢性病患者自我感受负担的主要影响因素。结论:老年常见慢性病患者普遍经历轻度至中度的自我感受负担,应针对其主要的影响因素采取积极的措施减轻其自我感受负担。

Abstract: Objective: To investigate the level and influencing factors of Self-Perceived Burden (SPB) in elderly patients with chronic non-communicable diseases (chronic disease). Methods: A convenience sample of 1056 elderly patients with chronic diseases and their main caregivers from six centers in Sichuan province were investigated with the self-made patients' general information questionnaire, Self-perceived Burden Scale (SPBS), Barthel Index (BI), FRAIL Scale, Simple Nutritional Evaluation Method (MNA-SF), Geriatric Depression Scale (GDS-15), Zarit caregiver burden interview (ZBI). Results: The score of SPBS of elderly patients with chronic disease was (24.62±7.06), which was at mild to moderate level. The influence factors of SPB were the score of Barthel Index, the place of residence, depression, self-rated health, and gender. Conclusion: The elderly patients with common chronic diseases experience of mild to moderate levels of SPB, we should be aimed at the main influence factors of SPB and take positive measures to alleviate their SPB.