心力衰竭患者照顾者生活质量影响因素的路径分析  

Path analysis of factors influencing quality of life of caregivers for heart failure patients

作　　者：闫琳[1] 陈先华[1] 

机构地区：[1]华中科技大学同济医学院护理学系,湖北武汉430030

出　　处：《护理学杂志》2013年第3期21-23,共3页

摘　　要：目的探讨压力源对心力衰竭患者照顾者生活质量的负面影响,以及社会心理资源的保护作用。方法采用中文版Zarit护理负担量表、社会支持评定量表、一般自我效能感量表、36条目简明量表对200名心力衰竭患者的家庭照顾者进行调查,根据压力过程理论和相关性分析结果提出假设,使用AMOS软件进行结构方程模型分析。结果照顾负担是照顾者生活质量的最强预测因子(路径系数为-0.58),社会支持和自我效能在压力源和照顾者健康之间起中介作用。结论采取干预措施降低照顾者的照顾负担、提高照顾者的社会支持水平和增强自我效能感,可提高照顾者的生活质量。Objective To test the negative impact of stressor on quality of life （QOL） of caregivers for heart failure patients, and to test the protective effect of psychosocial resources. Methods A total of 200 family caregivers for heart failure patients were investi- gated with the Zarit Caregiver Burden Interview, the Social Support Rating Scale, the General Self-efficacy Scale, and the 36-item Short Form Health Survey. A hypothesis was proposed based on the stress process theory and the results of correlation analysis, then the data were analyzed with structure equation model by using AMOS software. Results Caregiver burden was the strongest predictor of caregiversr QOL （path coefficient was -0.58）. Social support and self-efficacy respectively mediated the relationship between stressors and caregivers＇ health. Conclusion Nurses should take actions to reduce caregiver burden,enhance social support as well as strengthen caregiversr self-efficacy,in order to improve caregiversr QOL.

关 键 词：心力衰竭 住院患者 照顾者 生活质量 影响因素 路径分析 

分 类 号：R473.5[医药卫生—护理学] R473.74[医药卫生—临床医学]