脑卒中患者非正式照顾者负担和心理健康相关因素研究
发布时间：2018-12-23 11:31
【摘要】： 目的:探讨脑卒中患者非正式照顾者负担和心理健康状况及相关因素分析,为实施干预,减轻脑卒中患者非正式照顾者的负担,提高患者及其非正式照顾者生活质量提供依据。 方法:采用问卷调查和访谈相结合的方式对患者及其非正式照顾者进行调查,照顾者负担量表(CBS)用于评价非正式照顾者的负担水平,综合医院抑郁自评表和焦虑自评表用于评价(HADS)非正式照顾者的心理健康状况。 结果:(1)非正式照顾者负担分值为分56.42±11.77分,负担的严重程度:无负担7例(11.7%),轻度27例(45.0%),中度26例(43.3%),重度0例。非正式照顾者平均HAD-A得分为6.37±2.06,HAD-D为6.38±2.06,存在有抑郁症状的有26例(43.3%),存在有焦虑症状有22例(36.7%)。(2)影响非正式照顾者负担的相关因素有患者的日常生活能力,患者的MMSE评分,以及非正式照顾者的性别(均P＜0.05);与非正式照顾者焦虑有关的因素有患者的日常生活能力,患者的MMSE评分,以及患者的家庭经济情况(均P＜0.05);与非正式照顾者抑郁有关的因素有患者的MMSE评分(P＜0.01) 结论:非正式照顾者大多有轻到中度负担,其中,患者日常生活能力较差、认知功能受损较重的患者,其非正式照顾者负担较重,女性的非正式照顾者负担重于男性。患者日常生活能力较差、认知功能受损较重,以及家庭经济情况是影响非正式照顾者焦虑情绪的重要因素,而与非正式照顾者抑郁情绪相关的因素主要是患者的认知受损情况。
[Abstract]:Objective: to explore the burden of informal caregivers and mental health status of stroke patients and the analysis of related factors, so as to provide the basis for intervention, lighten the burden of informal caregivers of stroke patients and improve the quality of life of patients and their informal caregivers. Methods: the patients and their informal caregivers were investigated by questionnaires and interviews. The caregivers burden scale (CBS) was used to evaluate the burden level of informal caregivers. Self-rating Depression scale and self-rating anxiety scale were used to evaluate the mental health status of (HADS) informal caregivers. Results: (1) the score of burden of informal caregivers was 56.42 卤11.77. The severity of burden was 7 cases (11.7%) without burden, 27 cases (45.0%) with mild burden, 26 cases (43.3%) with moderate burden, and 0 cases with severe burden. The average HAD-A score of informal caretakers was 6.37 卤2.06HAD-D 6.38 卤2.06.The depression was found in 26 patients (43.3%). There were 22 cases (36.7%). (2) with anxiety symptoms. The factors related to the burden of informal caregivers were the ability of daily living, the MMSE score of the patients and the sex of the informal caregivers (all P < 0. 05). The factors related to the anxiety of the informal caregivers were the ability of daily living, the MMSE score of the patients, and the family economic situation of the patients (all P < 0. 05). The factors related to depression of informal caregivers were MMSE score of patients (P < 0. 01) conclusion: most of informal caregivers had mild to moderate burden, among them, patients with poor ability of daily living and severely impaired cognitive function, The burden of informal caregivers is heavy, and that of women is heavier than that of men. The poor ability of daily life, the severe impairment of cognitive function, and the family economic condition are the important factors to affect the anxiety of informal caregivers, while the main factors related to the depression of informal caregivers are cognitive impairment.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R743.3;R395
本文编号：2389925
[Abstract]:Objective: to explore the burden of informal caregivers and mental health status of stroke patients and the analysis of related factors, so as to provide the basis for intervention, lighten the burden of informal caregivers of stroke patients and improve the quality of life of patients and their informal caregivers. Methods: the patients and their informal caregivers were investigated by questionnaires and interviews. The caregivers burden scale (CBS) was used to evaluate the burden level of informal caregivers. Self-rating Depression scale and self-rating anxiety scale were used to evaluate the mental health status of (HADS) informal caregivers. Results: (1) the score of burden of informal caregivers was 56.42 卤11.77. The severity of burden was 7 cases (11.7%) without burden, 27 cases (45.0%) with mild burden, 26 cases (43.3%) with moderate burden, and 0 cases with severe burden. The average HAD-A score of informal caretakers was 6.37 卤2.06HAD-D 6.38 卤2.06.The depression was found in 26 patients (43.3%). There were 22 cases (36.7%). (2) with anxiety symptoms. The factors related to the burden of informal caregivers were the ability of daily living, the MMSE score of the patients and the sex of the informal caregivers (all P < 0. 05). The factors related to the anxiety of the informal caregivers were the ability of daily living, the MMSE score of the patients, and the family economic situation of the patients (all P < 0. 05). The factors related to depression of informal caregivers were MMSE score of patients (P < 0. 01) conclusion: most of informal caregivers had mild to moderate burden, among them, patients with poor ability of daily living and severely impaired cognitive function, The burden of informal caregivers is heavy, and that of women is heavier than that of men. The poor ability of daily life, the severe impairment of cognitive function, and the family economic condition are the important factors to affect the anxiety of informal caregivers, while the main factors related to the depression of informal caregivers are cognitive impairment.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R743.3;R395
【引证文献】
相关硕士学位论文 前2条
1 王晓峰;脑卒中患者的家属照顾者抑郁焦虑状况及影响因素分析[D];中南大学;2011年
2 赵雪萍;协同护理对提高脑卒中家属照顾者照顾能力及生活质量的研究[D];苏州大学;2011年
，本文编号：2389925
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