摘要
目的探讨脑卒中病人主要照顾者照顾负荷水平对创伤后成长水平的影响。方法采用便利抽样法,抽取2014年12月至2016年12月首都医科大学附属北京友谊医院收治脑卒中病人的主要照顾者170名作为研究对象,收集其一般资料,采用Zarit负荷量表(ZBI)和创伤后成长评定量表(PTGI)评价照顾负荷和创伤后成长水平。以Pearson相关性分析主要照顾者创伤后成长与负荷水平的相关性。并多元线性回归分析脑卒中病人主要照顾者创伤后成长的影响因素。结果ZBI总分为(43.87±6.12)分,个人负担和责任负担两个维度得分为(27.76±4.30)分和(16.38±4.26)分,PTGI总分为(61.08±9.66)分,5个维度条目平均分最高的为新的可能性(3.40±0.73)分;Pearson相关分析显示,主要照顾者照顾负荷总分及2个维度评分与创伤后成长水平总分及新的可能性、个人力量及欣赏人生3个维度评分呈正相关(P<0.05);不同性别、年龄、文化程度、家庭人均月收入、与病人关系、医保报销比例及照顾时长的主要照顾者创伤后成长水平比较,差异有统计学意义(P<0.05);多元线性回归分析显示,年龄、文化程度、照顾时长,及照顾负担、个人负担是脑卒中病人主要照顾者创伤后成长水平的影响因素(P<0.05)。结论脑卒中病人主要照顾者创伤后成长水平与照顾负荷存在明显的相关性,同时创伤后成长水平会受负荷水平、年龄、文化程度和照顾时长所影响。
Objective To explore the influence of burden on post⁃traumatic growth of the primary caregivers of stroke patients.Methods A total of 170 the primary caregivers of stroke patients in Beijing Friendship Hospital,Capital Medical University from December 2014 to December 2016 were selected by convenient sampling method,the general date were collected,and the levels of burden and post⁃traumatic growth were evaluated by ZBI and PTGI.The correlation between post⁃traumatic growth and burden were analyzed by Pearson correlation analysis and the influence factors were analyzed by multiple linear regression analysis.Results In this study,the ZBI total score was(43.87±6.12),the score of individual burden and responsibility were(27.76±4.30)and(16.38±4.26),PIGI total score was(61.08±9.66),the highest item average score in 5 dimension was new possibility score(3.40±0.73);Pearson correlation analysis showed that the total and each dimension score of ZBI was positively correlated with PTGI total score and three dimension score as new possibilities,personal power and enjoy the life(P<0.05);there were statistically significant dif⁃ferences on gender,age,education,family income per month,relationships with patients,reimbursement rate of health insurance and the time of take care(P<0.05);multiple linear regression analysis showed age,education,the time of take care,and burden,indi⁃vidual burden were influence factors for the post⁃traumatic growth of the primary caregivers of patients with strock(P<0.05).Conclusion The post⁃traumatic growth is positively correlated with burden,and is affected by burden,age,education and the time of care giving.
作者
姚蒂
王一
陈飞
赵乐妍
YAO Di;WANG Yi;CHEN Fei;ZHAO Leyan(Department of Neurology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《安徽医药》
CAS
2020年第1期124-127,共4页
Anhui Medical and Pharmaceutical Journal
