摘要
目的 了解中青年缺血性脑卒中患者的自我感受负担（self-perceived burden,SPB）情况,分析SPB的影响因素以及与生存质量的相关性.方法 采用自制患者一般资料问卷、SPB自评量表、生存质量精简量表（QOL-BREF）,对中青年缺血性脑卒中住院患者进行调查分析.结果 共纳入100例患者,其中男66例,女34例,年龄19.4～59.0岁,平均年龄（50.80±7.98）岁;总体SPB得分为（24.21±7.39）分,处于中等水平.其中,无明显SPB者31例占31％,轻中度SPB者65例占65％,重度SPB者4例占4％; SPB与生存质量存在负相关性;经多因素分析显示,性别、对疾病的了解情况、照顾者健康状况是患者SPB的影响因素.结论 自我感受负担在中青年缺血性脑卒中住院患者中普遍存在,临床护理人员应及时评估患者自我感受负担情况,提供有针对性的护理措施与健康教育,从而减轻患者自我感受负担,提高其身心健康水平.
Objective To know the self-perceived burden （SPB） of young and middle-aged patients with first-attack of ischemic stroke and to analyze the influential factors of SPB as well as its relevance to the quality of life.Methods The patients＇ general information questionnaire,SPB Self-evaluation Scale,QOL-BREF were adopted to investigate young and middle-aged patients with first-attack of ischemic stroke.Results 100 patients were included,66 were male,34 were female.The Minimum age was 19.4 years old.The maximum age was 59 years old.The mean age was （50.80 ± 7.98） years old.The average SPB score was （24.21 ± 7.39） points,which was in the medium level.31 cases （31％） didn＇t have obvious SPB; 65 cases （65％） suffered mild-to-moderate SPB; 4 cases （4％） claimed they had severe SPB.There was negative correlation between the SPB and their quality of life.The multi-factor analysis showed that gender,the patients＇ understanding of disease,and caregivers＇ health situation were the influential factors of SPB.Conclusions Since self-perceived burden is common in young and middle-aged patients with ischemic stroke,clinical nurses should assess patients＇ self-perceived burden so as to provide targeted nursing intervention and health education,thereby to ease the burden on patients＇ self feeling,eventually to improve the level of their mental and physical health.
出处
《中国实用护理杂志》
北大核心
2014年第4期32-35,共4页
Chinese Journal of Practical Nursing
关键词
中青年
缺血性脑卒中
自我感受负担
生活质量
Young and middle-aged patients
Ischemic stroke
Self-perceived burden
Quality of life
