维持性血液透析患者家庭照顾者照顾负担与生活质量的相关性研究  

Relationship between burden and quality of life in caregivers of maintenance hemodialysis patients

作　　者：付闯 汪佳丽 陈传波[2] 李秀珍 徐霞 Fu Chuang;Wang Jiali;Chen Chuanbo;Li Xiuzhen;Xu Xia(Operation Roo;Nursing Departmen;Huaihe Hospital,Henan University,Kaifeng 475000,Chin;Nursing College,Henan University,Kaifeng 475004,China)

机构地区：[1]河南大学淮河医院手术室,开封475000 [2]河南大学护理学院,开封475004 [3]河南大学淮河医院护理部,开封475000

出　　处：《国际医药卫生导报》2018年第20期3064-3068,共5页International Medicine and Health Guidance News

基　　金：2017年度河南省医学科技攻关计划项目（20170218）

摘　　要：目的 探究影响血液透析患者家庭负担的因素,明确照顾者负担和生活质量之间关系.方法 采用自行设计的一般情况调查表、疾病家庭负担量（FBS）和简明健康状况量表（SF-36）对本院血液透析中心204例血液透析患者及其照顾者进行调查.结果 多元线性逐步回归分析结果显示,照顾者的年龄、照顾年限、每天照顾时间、家庭月收入、血液透析时间和患者的自我照顾状况等对照顾者负担有显著影响,构建回归方程,方差分析的结果显示,F=12.137,P=0.000,线性回归方程的拟合度较高,回归方程存在意义;R=0.744,调整R2=0.539,说明了回归方程因变量对于自变量的解释性较高,为53.9％;维持性血液透析居家照顾者的照顾负担与生活质量呈负相关（P＜0.01）.结论 对维持性血液透析患者家庭照顾者产生负担的影响因素包括了照顾者的年龄、照顾年限、每天照顾时间、家庭月收入、血液透析时间和患者的自我照顾状况等,二者呈负相关,照顾负担越大,生活负担越重,生活质量越差.Objective To explore the factors influencing the family burden of patients taking maintenance hemodialysis and the reationship between the burden and quality of life in caregivers.Methods 204 patients taking maintenance hemodialysis and their primary caregivers were investigated with general information questionnaire,family burden scale of disease（FBS） and Mos 36-item Short Form Health Survey（SF-36）.Results The caregivers＇ age,caregiving time,daily care time,monthly family income,hemodialysis time,and the patients＇ self-care status influenced the caregivers＇ burden.A regression equation was built,and the variance analysis results showed that F=12.137 and P=0.000,and the fitting degree of linear regression equation was high;the R=0.744 and regulation R2=0.539,indicating that the dependent variables could explain the independent variables well （53.9%）.The caregivers＇ burden quality of life negatively correlated with their burde （P 〈 0.01）.Conclusions The factors influencing the caregivers＇ burden of patients taking maintenance hemodialysis include their age,caregiving time,daily care time,monthly family income,hemodialysis time,and the patients＇ self care ability.The caregivers＇ quality of life negatively correlates with their burden.

关 键 词：维挣陛血液透析 主要照顾者 照顾负担 生活质量 

分 类 号：R473.5[医药卫生—护理学]