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失能老人家庭照顾者照顾负担及影响因素研究

汤娟娟 王俊杰 余兰仙   

  1. 浙江中医药大学护理学院
  • 出版日期:2015-12-25 发布日期:2015-12-25
  • 基金资助:
    2015 年度浙江省民政政策理论研究规划课题(ZMYB201549)

The level and influencing factors of care burden among the family caregivers of the disabled elderly

  • Online:2015-12-25 Published:2015-12-25

摘要: 目的:调查失能老人家庭照顾者的照顾负担,并分析其影响因素。方法:采用护理负担量表(ZBI)、社会支持量表(SSRS)、一般自我效能感量表(GSES),对杭州市2 所三级甲等医院135 名失能老人及其家庭照顾者进行调查。结果:失能老人家庭照顾者的照顾负担总分为(39.56±12.88) 分,回归分析表明主要影响因素为照顾者的主观支持、是否自觉抑郁或焦虑、照顾期限、自我效能状况、客观支持和老人的Barthel 指数得分、患慢性病数量(R 2=0.539,F =20.206,P <0.001)。结论:失能老人家庭照顾者存在中度照顾负担,影响因素来自照顾者和老人多方面。医护人员应同步评估失能老人及其家庭照顾者,了解照顾者的负担状况和影响因素,采取针对性的措施以减少家庭照顾者的负担,提高家庭照顾功能和他们的生活质量。

Abstract: Objective: To investigate the care burden level and influencing factors among the family caregivers of the disabled elderly. Methods: A total of 135 family caregivers from 2 tertiary level first class hospitals were investigated using the Zarit Burden Interview (ZBI), Social Support Ratings Scale (SSRS) and General Self-Efficacy Scale (GSES). Results: The total score of family caregivers' burden was (39.56±12.88). Regression analysis (R2=0.539, F=20.206, P<0.001) showed that the main influencing factors of caregivers burden including subjective support, depression or anxiety symptom, the total care time, objective support level and self-efficacy level of the caregivers, Barthel index score and the number of chronic diseases of the disabled elderly. Conclusion: The care burden among family caregivers of the disabled elderly was in a moderate level and was influenced by diverse care receiver and caregiver characteristics. The medical staff should comprehensive assess the disabled elderly and their family caregivers, to understand the status of the caregiver's burden and influencing factors, to take corresponding measures to reduce the burden of caregivers, and improve the quality of family care function and their life.