淋巴瘤患者照顾者心理症状与照顾负荷的相关性研究  

Correlation between Psychological Symptom and Caregiver Burden among Caregivers of Patients with Lymphoma

作　　者：冯娅婷 陈长英[2] 高月乔[1] 王坤[1] 

机构地区：[1]郑州大学第一附属医院肿瘤科,河南郑州450000 [2]郑州大学第一附属医院门诊部,河南郑州450000

出　　处：《护理学报》2016年第4期22-26,共5页Journal of Nursing（China）

基　　金：河南省科技厅资助项目(142002310056)

摘　　要：目的了解淋巴瘤患者照顾者的心理症状水平,探讨其与照顾负荷的相关性。方法采用一般资料问卷、症状自评量表和照顾者负荷问卷对149名淋巴瘤患者照顾者进行问卷调查。结果 149名淋巴瘤患者照顾者心理症状总分为(146.02±48.25)分,高于国内常模(t=4.063,P=0.000)。因子阳性率排在前3位是:焦虑82名(55.0%),抑郁58名(38.9%),睡眠和饮食43名(28.9%)。淋巴瘤患者照顾者的照顾负荷总分为(23.65±5.84)分,照顾负荷维度得分指标排在前3位是时间依赖性负荷、发展受限性负荷和生理性负荷。照顾者心理症状总分与照顾负荷总分呈正相关(r=0.527,P=0.000)。结论淋巴瘤患者照顾者心理症状水平高于常模,照顾者照顾负荷较重。医护人员需充分关注照顾者心理症状水平,给予针对性的护理干预,减轻照顾者照顾负荷,改善其心理状况。Objective To investigate the correlation between psychological symptom and caregiver ＇s burden among the caregivers of patients with lymphoma. Methods Totally 149 caregivers of patients with lymphoma were investigated with Symptom Checklist 90（SCL-90） and Caregiver Burden Inventory（CBI）. Results The total score of SCL-90 among 149 caregivers of patients with lymphoma was 146.02 ±48.25, and the total score was higher than domestic norm（t =4.063, P =0.000）. The first three psychological symptom＇s positive factors were anxiety in 82 cases（55.0 %）, depression in 58 cases（38.9%）, and sleeping and eating in 43cases（28.9%）. The total score of CBI among caregivers was 23.65±5.84. The first three indicators of caregiver＇s burden were time dependent burden, limited development burden and physiological burden. Scores of the total scale and the factors of SCL-90 and CBI were positively correlated（r =0.527, P =0.000）. Conclusion The caregivers of patients with lymphoma present poor psychological symptom and the heavier caregiver＇s burden, the poorer their mental health. It is important to focus on caregiver ＇s psychological health and give corresponding nursing intervention to reduce caregiver ＇s burden and improve their mental health.

关 键 词：淋巴瘤 主要照顾者 SCL-90 照顾负荷 

分 类 号：R471[医药卫生—护理学]