摘要
目的观察压力性损伤高危患者照顾者压力性损伤认知、行为与照顾负担的现状,分析其影响因素,并探讨Teach-back法的干预效果。方法选取2017年2月至2018年8月在商丘市第一人民医院接受治疗的压力性损伤高危患者主要照顾者100名为研究对象,通过发放调查问卷了解其对压力性损伤认知、行为与照顾负担的现状,采用回归分析法分析其影响因素,并观察采用Teach-back法干预前后照顾者压力性损伤认知、行为与照顾负担的变化。结果压力性损伤高危患者照顾者压力性损伤认知总分为(47.56±2.15)分,行为总分为(38.34±3.18)分,照顾负担总分为(9.78±1.25)分;性别为女性、婚姻状况为已婚、接受过相关知识教育、人均月收入≥3000元的压力性损伤高危患者照顾者认知行为得分较高,照顾负担得分较低,差异有统计学意义(P<0.05);年龄、是否接受过相关教育是影响照顾者压力性损伤认知和行为的因素,性别、婚姻状况和是否接受过相关教育是影响照顾者照顾负担的因素;采用Teach-back法干预后,100名压力性损伤高危患者照顾者的压力性损伤认知和行为总分均较干预前增高,照顾负担总分较干预前降低,差异有统计学意义(P<0.05)。结论压力性损伤高危患者照顾者压力性损伤认知、行为水平较低,照顾负担较重,且受照顾者年龄、性别、婚姻状况和是否接受过相关教育的影响,通过Teach-back法干预后,照顾者的压力性损伤认知、行为和照顾负担均能得到改善,具有良好的应用价值。
Objective To observe the status quo of stress injury cognition,behavior and care burden of caregivers of high-risk patients with stress injury,analyze the influencing factors,and explore the intervention effect of Teache-back method.Methods A total of 100 primary caregivers of high-risk patients with stress injury who were treated in the First People's Hospital of Shangqiu City from February 2017 to August 2018 were selected as research subjects.Questionnaires were distributed to understand the status quo of their cognition,behavior and care burden of stress injury,and regression analysis was used to analyze the influencing factors.The cognition,behavior and care burden of caregivers with stress injury were observed before and after Teach-back intervention.Results The carers of high-risk patients with stress injury scored(47.56±2.15)points in cognition of stress injury,(38.34±3.18)points in behavior and(9.78±1.25)points in burden of care.The caregivers of high-risk patients with stress injury who were female in gender,married in marital status,received relevant education,and had a per capita monthly income of more than or equal to 3000 yuan had a higher cognitive behavior score and a lower score of care burden,and the difference was statistically significant(P<0.05).Age and whether the caregivers have received related education are the factors that affect the cognition and behavior of the caregivers with stress injury,while gender,marital status and whether the caregivers have received related education are the factors that affect the caregivers'care burden.After using Teach-back intervention,the total cognitive and behavioral scores of 100 caregivers of high-risk patients with stress injury were all higher than those before the intervention,and the total scores of care burden were lower than those before the intervention,with statistical significance(P<0.05).Conclusions Stress in patients at high risk of injury after caregiver stress injury cognitive and behavioral level is low,to take care of the burden is h
作者
苏萍
张元元
高新颖
Su Ping;Zhang Yuanyuan;Gao Xinying(Department of Urology,First People's Hospital of Shangqiu,476000,China;Department of Gastrointestinal Hepatobiliary Surgery,First People's Hospital of Shangqiu,476000,China)
出处
《国际护理学杂志》
2021年第9期1562-1566,共5页
international journal of nursing
基金
河南省医学科技攻关计划项目(201706113)。
