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社区痴呆症病人家庭照顾者负担及影响因素研究 被引量:21

Study on burden of family caregivers of patients with dementia in community and influencing factors
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摘要 [目的]探讨痴呆症病人家庭照顾者负担及其影响因素。[方法]采用多点横断面研究设计,应用一般资料量表、照顾者负担问卷(CBI)、中文版神经精神科问卷知情者版(NPI-Q)和社会支持量表(SSRS)对152例社区痴呆症病人主要家庭照顾者进行测评,分析影响家庭照顾者负担的因素。[结果]152例主要家庭照顾者每周花费在照顾痴呆症病人的时间平均为127.60h,超过半数(55.3%)的照顾者因为照顾痴呆症病人而承受经济压力;主观照顾负担得分38.89分±12.94分;多元逐步回归分析结果显示,影响照顾者主观负担的因素包括病人痴呆症精神行为症状严重程度、是否与病人同住、家中分担照顾任务的人数、寻求情感支持行为以及照顾者健康状况(P<0.05)。[结论]我国痴呆症病人家庭照顾者负担明显高于其他国家或地区同类人群的研究报道,病人痴呆症精神行为症状严重程度、是否与病人同住、家中分担照顾任务的人数、寻求情感支持行为以及照顾者健康状况影响照顾者的主观负担。 Objective:To investigate caregiver burden of caregivers of dementia patients and explore its influencing factors.Methods:Multi-plot cross-sectional questionnaire survey was used to collect data.General application data table,caregivers burden questionnaire(CBI),Chinese version of neural psychiatric questionnaire and social support Edition(NPI-Q)and society support scale(SSRS)were used for evaluation on community primary family caregivers of 152 cases of dementia patients,then to analyze the influence factors of the family caregivers burden.Results:152cases of primary family caregivers spent an average of 127.60 hper week in dementia patients.More than half(55.3%)of the caregivers were under pressure to take care of patients with dementia.Subjective care burden score was 38.89±12.94.Multiple stepwise regression analysis showed that the influencing factors of caregivers' subjective burden included dementia severity behavioral and psychological symptoms,patients with dementia whether or not to live with the patient and family to share number of caregiving tasks,seeking emotional support and caregivers' health status(P 〈0.05).Conclusion:The burden of family caregivers of patients with dementia in China was significantly higher than that in other countries or regions.The severity of psychiatric symptoms in patients with dementia,whether or not to live with the patient,to share the number of tasks in the home,to seek emotional support behavior and the health status of caregivers,were the main subjective burdens of caregivers.
出处 《护理研究(上旬版)》 2016年第3期786-790,共5页 Chinese Nursing Researsh
基金 中国博士后科学基金面上资助项目 编号:2015M582675 澳大利亚中国理事会基金项目 编号:ACC201200045~~
关键词 痴呆症 家庭照顾者 照顾负担 社区护理 影响因素 dementia family caregiver caregiver burden community nursing influencing factors
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