1型糖尿病患者主要照顾者负担水平与其社会支持状况的相关性研究  

The relationship between social support and caregiver burden among main family caregivers of Type 1 diabetes mellitus children

作　　者：刘晓鑫[1] 李乐之[1,2] 杨玲凤[3] 刘芳[3] 陈一川[4] 

机构地区：[1]中南大学护理学院,长沙市410011 [2]中南大学湘雅二医院护理部 [3]中南大学湘雅二医院内分泌科 [4]中南大学湘雅二医院胸心外科

出　　处：《中国护理管理》2014年第10期1037-1040,共4页Chinese Nursing Management

摘　　要：目的:调查1型糖尿病(T1DM)患者照顾者负担水平与社会支持状况及两者相关性。方法:采用一般资料问卷、照顾者负担量表及社会支持评定量表对65例T1DM患者照顾者进行问卷调查。结果:T1DM患者照顾者负担总分为(33.0±14.9)分,仅13.8%的照顾者无照顾负担;社会支持总分为(35.6±6.6)分,绝大多数(95.4%)照顾者社会支持尚未达到高水平。总社会支持水平与总负担及负担各维度呈显著负相关(P<0.05);主观支持维度与总负担及负担各维度呈显著负相关(P<0.05);客观支持维度与总负担及角色负担维度呈显著负相关(P<0.05)。结论:T1DM患者照顾者普遍存在不同程度的照顾负担,社会支持多处于中低水平;所获社会支持程度越高,感知的照顾者负担越轻。护理人员应给予照顾者恰当的社会家庭支持及相关知识的指导,减轻其身心负担,使其能更有效地承担照顾患者的责任,优化患者疾病控制情况。Objective： To investigate the relationship between social support and caregiver burden among main family caregivers of Type 1 Diabetes Mellitus（T1DM） Patients. Methods： Totally 65 main family caregivers of T1 DM patients were recruited by convenience sampling method and investigated by demographic questionnaire, Zarit Burden Interview（ZBI） and Social Support Rating Scale（SSRS）. Results： The total score of ZBI was（33.0±14.9） and only 13.8% caregivers felt no caregivers burden. The total score of SSRS was（35.6±6.6） and most of them（95.4%） didn＇t reach a high level. The total score and each dimension of SSRS were negatively related to the score of ZBI（P〈0.05）. Dimension of subjective support was negatively related to the total score and each dimension of ZBI（P〈0.05） and dimension of objective support was negatively related to ZBI and dimension of role burden（P〈0.05）. Conclusion： There are different levels of caregiver burden among main family caregivers of T1 DM patients. Social support is mostly in the low to medium level. The higher level of social support they obtain the lighter caregiver burden they perceive. We should provide the family caregivers with proper social and family support and related cognitive guidance to reduce their caregiver burden, to make it efficient to take care of the patients, and to optimize disease control of the patients.

关 键 词：1型糖尿病 照顾者 社会支持 照顾者负担 相关性 

分 类 号：R47[医药卫生—护理学]