长期透析患者主要照顾者照顾性行为现状的调查  

Investigation of the caregiving activities of the main caregivers of long-term hemodialysis patients

作　　者：罗世香[1] 陈彬[2] 高弼虎[3] 杨丽华[1] 柏兴华[4] 

机构地区：[1]大连大学附属中山医院血液净化科,116001 [2]大连大学附属中山医院护理部,116001 [3]大连大学附属中山医院医务部,116001 [4]中国医科大学第一临床学院放射科,,110001

出　　处：《中华现代护理杂志》2012年第7期772-774,共3页Chinese Journal of Modern Nursing

基　　金：2010年大连市医学卫生科学研究计划项目（大卫科发[2010]153号）

摘　　要：目的调查血液透析患者的主要照顾者的照顾性行为现状。方法选择2010年4—9月期间任意1周，在大连市三级医院血液透析室进行血液透析患者的主要照顾者为研究对象，应用血液透析患者主要照顾者照顾性行为评估量表（LC—GADs）中文版对300名血液透析患者主要照顾者进行调查。结果300名血液透析患者主要照顾者在抽象行为分量表（Think—LC—GADs）平均得分为（3．05±0．52）分，其中评估方面得分最高为（3．28±0．35）分，指导方面得分最低为（2．65±0．36）分；在可见行为分量表（Task．LC．GADs）平均得分为（3．65±0．45）分，其中协助饮食和症状缓解两方面得分最高，分别为（3．88±0．28）分和（3．86±0．27）分；在提供交通设施方面的得分相对较低为（3．32±0．38）分。照顾性行为与主要照顾者的年龄、职业状况、婚姻状况、与患者的关系、照顾年限及每天照顾时间、是否利用收费性护理服务及家庭月收入相关（P〈0．05）。结论血液透析患者的主要照顾者承担的照顾活动较多，该群体应引起社会的广泛关注。Objective To investigate the caregiving activities of the main caregivers of long-term hemodialysis patients. Methods Three hundred patients caregivers from April to September in 2010 in Grade A Hospitals of Dalian city with long-term hemodialysis were investigated with the Chinese version of Caregiving to Adults on Dialysis （CLC-GADs）. Results The average score of the Think-LC-GADs was 3.05 ± 0.52, among them, the highest sub-scale score was Assessment （ 3.28 ± 0.35）, and the lowest score was Coaching （2.65 ± 0.36）. The average score of the whole Task-LC-GADs was 3.65 ± 0.45, among which, the sub-scale score of Diet Assist and Symptom Relief was higher, with 3.88 ± 0.28 and 3.86± 0.27 respectively, and the lowest score was providing transportation （ 3.32 ± 0.43 ）. Caregiving activities of the main caregivers was correlated with their age , employment, marital status, relationship to patients, care time , charges of nursing, family income（ P 〈 0. 05 ）. Conclusions The main caregivers of long-term hemodialysis patients take too many caregiving acvitities , and they should be given attention from the society.

关 键 词：肾透析 照顾者 照顾性行为 

分 类 号：R473.5[医药卫生—护理学]