家庭功能、社会支持对失能老人照顾者护理负担的影响

发布时间：2018-06-18 01:06

  本文选题：失能老人 + 家庭照顾者　； 参考：《南昌大学》2014年硕士论文

【摘要】：目的： 描述失能老人照顾者的护理负担、社会支持、家庭功能，分析它们之间关系，探讨如何减轻失能老人照顾者护理负担，从而为提高失能老人及其照顾者的生存质量提供科学依据。 方法： 采用横断面调查研究设计，，从江西省南昌市三个行政区(东湖区、西湖区和青云谱区)分别抽取10个社区服务中心，对符合本课题纳入标准的社区失能老人照顾者进行面对面调查，利用Zarit护理负担量表(ZBI)、社会支持评定量表（SSRS）、家庭功能评定量表(FAD)分别测定失能老人的护理负担、社会支持、家庭功能情况，将收集的资料利用统计软件spss17.0进行描述性统计分析和推断性统计分析。 结果： ⑴男性失能老人照顾者的护理负担得分高于女性（p0.05）;有反常行为的失能老人照顾者护理负担高于无反常行为者（p 0.01）；自理能力完全受限的老人照顾者护理负担得分高于部分受限者（p 0.01）；失能老人患病时间≤1年和照顾者护理时间≤1年的护理负担得分高于其他组（p 0.05）；患脑卒中的失能老人照顾者护理负担得分高于其他组（p 0.05）。 ⑵失能老人照顾者护理负担与失能老人的自理程度、照顾者家庭的问题解决、沟通、角色、情感反应、行为控制功能以及家庭总体功能呈正相关；与社会支持呈负相关。 ⑶失能老人照顾者获得的社会支持处于中等水平，所占比例为62.6%；获得高水平社会支持的照顾者护理负担得分低于其他组（p＜0.05）。 ⑷失能老人照顾者家庭的总体功能未见不良；家庭情感反应和行为控制功能不良，情感介入功能出现弱化。 ⑸多因素回归分析影响失能老人照顾者护理负担总分、角色负担的关键因素为：失能老人自理程度、性别；影响失能老人照顾者个人负担的关键因素为：失能老人自理程度、性别、反常行为和家庭角色功能。 结论： (1)失能老人照顾者护理负担，社会支持水平分别处于低、中水平，家庭总体功能未见不良，情感反应与行为控制功能出现不良，情感介入功能弱化。 (2)失能老人自理程度越高、无反常行为、家庭角色适应良好、社会支持利用度越高，照顾者的护理负担越低。 (3)对于男性患有脑卒中的失能老人、有反常行为、自理程度低、患病时间和被护理时间≤1年、家庭功能不良、社会支持水平低的照顾者，应给与更多干预和支持。
[Abstract]:Objective: to describe the nursing burden, social support, family function, analyze the relationship between them, and discuss how to reduce the nursing burden of the disabled elderly caregivers. It provides scientific basis for improving the quality of life of the disabled elderly and their caregivers. Methods: ten community service centers were selected from three administrative regions of Nanchang City, Jiangxi Province (Donghu District, Xihu District and Qingyun Spectrum region) by cross-sectional investigation and design. A face to face investigation was carried out on the elderly caregivers who met the criteria included in this study. The care burden and social support of the disabled elderly were measured by the Zarit Nursing burden scale, the Social support rating scale (SSRSN), the Family function Assessment scale (FAD), respectively, and the nursing burden and social support of the disabled elderly were measured by the Zarit Nursing burden scale, the Social support scale and the Family function Assessment scale respectively. The data collected were analyzed by descriptive statistical analysis and inferential statistical analysis using statistical software spss17.0. Results: (1) the nursing burden of male elderly caregivers with disability was higher than that of women (p 0.05), and the nursing burden of disabled elderly caregivers with abnormal behavior was higher than that of those without abnormal behaviors (P 0.01). The scores of nursing burden of elderly carers with complete limitation of self-care ability were higher than those of some restricted persons (P < 0.01), and those of disabled elderly patients with illness time 鈮

本文编号：2033292