摘要
目的探讨脑卒中患者配偶照顾者心理困扰的潜在类别及不同类别间生命质量的差异,以期为临床早期识别和提供个体化、针对性的脑卒中患者配偶照顾者心理困扰干预措施、改善其生命质量提供理论依据。方法于2020年12月至2021年7月采用便利抽样法选取宁夏回族自治区银川市3所三级甲等医院住院的符合纳入和排除标准的脑卒中患者配偶照顾者207名作为研究对象。采用一般资料调查表、凯斯勒心理困扰量表、简明健康调查问卷进行横断面调查。结果最终共调查203名脑卒中患者配偶照顾者,男46名,女157名,年龄为(58.65±9.66)岁。脑卒中患者配偶照顾者心理困扰分为3个潜在类别:无困扰组占40%(81/203)、无精打采组占45%(91/203)、无助不安组占15%(31/203)。不同心理困扰亚组是影响脑卒中患者配偶照顾者生命质量的因素(t=-10.03,均P<0.05),共解释生命质量变异程度的33.0%。结论脑卒中患者配偶照顾者心理困扰具有明显的异质性,无助不安组的人群是生命质量最低的人群,应给予重点关注和早期干预。
Objective To explore the potential categories of psychological distress in spousal caregivers of stroke patients and differences in quality of life between categories,in order to provide a theoretical basis for early clinical identification and provision of individualized and targeted interventions for psychological distress in spousal caregivers of stroke patients and improvement of their quality of life.Methods A total of 207 spouse caregivers of stroke patients hospitalized in three class 1-Grade A hospitals in Yinchuan city of Ningxia Hui Autonomous Region,who met the inclusion and exclusion criteria were selected from December 2020 to July 2021 by convenience sampling method as study subjects.The general information questionnaire,Kessler Psychological Distress Scale,and the Mos 36-Item Short from Health Survey were used for a cross-sectional survey.Results A total of 203 spousal caregivers of stroke patients were finally investigated,46 males and 157 females with a age of(58.65±9.66)years.Psychological distress among spousal caregivers of stroke patients was categorized into 3 potential categories:no distress group(40%,81/203),listlessness group(45%,91/203)and helplessness and restlessness group(15%,31/203).The psychological distress subgroup was a factor influencing the quality of life of spousal caregivers of stroke patients(t=-10.03,P<0.05),explaining 33.0%of the variance in quality of life.Conclusions Psychological distress in spousal caregivers of stroke patients is significantly heterogeneous.Those in the helplessness and restlessness group have the lowest quality of life and should be given focused attention and early intervention.
作者
王慧娟
梁娜娜
刘晓慧
杨玲玲
杜瑄
甘茹
高海花
杨小萍
袁佳琳
Wang Huijuan;Liang Nana;Liu Xiaohui;Yang Lingling;Du Xuan;Gan Ru;Gao Haihua;Yang Xiaoping;Yuan Jialing(School of Nursing,Ningxia Medical University,Yinchuan 750004,China;Department of General Internal Medicine,the Fourth People′s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750021,China;Nursing Department,Gansu Medical College,Pingliang 744000,China;Department of Surgical Oncology,General Hospital of Ningxia Medical University,Yinchuan 750004,China)
出处
《中国实用护理杂志》
2024年第30期2358-2365,共8页
Chinese Journal of Practical Nursing
基金
宁夏回族自治区卫生健康系统科研课题(2021-NW-004)
宁夏高校一流学科建设二期重点培育学科项目(NYHLZD08)
宁夏回族自治区教育厅高等学校科学研究项目(NYG2022038)。
关键词
卒中
生活质量
配偶照顾者
心理困扰
潜在剖面
Stroke
Quality of life
Spousal caregiver
Psychological distress
Potential profile
