老年痴呆家庭照护者照护能力现状及影响因素研究  

Status and the influencing factors of care ability of family caregivers of dementia patients

作　　者：朱榕[1] 张莉[2] 李娟[3] 张爱英[4] ZHU Rong;ZHANG Li;LI Juan;ZHANG Ai-ying(General Ward of Geriatrics,People’s Hospital of Guizhou Province,Guiyang 550002,China;Affliliated Hospital of Zunyi Medical College,Zunyi 563003,China;Department of Nursing,People’s Hospital of Guizhou Province,Guiyang 550002,China;Department of Radiology,People’s Hospital of Guizhou Province,Guiyang 550002,China)

机构地区：[1]贵州省人民医院老年综合病房,贵州省贵阳市550002 [2]遵义医学院附属医院纪委,贵州省遵义市563003 [3]贵州省人民医院护理部,贵州省贵阳市550002 [4]贵州省人民医院放射科,贵州省贵阳市550002

出　　处：《实用老年医学》2019年第1期90-93,共4页Practical Geriatrics

摘　　要：目的了解老年痴呆病人家庭照护者的照护能力并分析其影响因素。方法抽取贵阳市6所三甲医院住院或门诊就诊的老年痴呆病人的家庭照护者122例进行照护能力问卷调查。结果家庭照护者照护能力总得分为(25. 40±4. 11)分;照护者悲伤程度总得分为(64. 10±8. 71)分;应对方式各维度得分分别为积极问题关注(9. 61±4. 99)分,积极情绪关注(5. 48±2. 82)分,消极问题关注(2. 81±2. 62)分,消极情绪关注(5. 24±2. 31)分,心理疏导(1. 18±0. 70)分。单因素分析显示,年龄、文化程度、健康状况、疾病了解程度及病人病情严重程度与照护者的照护能力得分有关(P<0. 05)。悲伤程度总分与照护能力总分呈负相关(r=-0. 190,P<0. 05),应对方式为积极问题关注、积极情绪关注及心理疏导与照护能力各维度均呈正相关(P<0. 01)。多元线性回归分析显示,文化程度、健康状况、疾病了解程度、积极问题关注、积极情绪关注、忧虑及被孤立感是影响照护者照护能力的因素。结论老年痴呆家庭照护者照护能力水平整体较低,照护者文化程度、健康状况、疾病了解程度、应对方式、悲伤程度是其照护能力的影响因素。Objective To evaluate the care ability of family caregivers of dementia patients and to analyze the influencing factors. Methods A total of 122 caregivers of hospitalized patients or outpatients in 6 hospitals in Guiyang were surveyed by general situation questionnaire,Family Care-giving Competence Scale for the Elderly(FCCSE),Marwit-Meuser Caregivers Grief Inventory-Short Form(MMCGI-SF) and Simplified Coping Style Questionnaire(SCSQ). Results The score of care ability was25. 40±4. 11,the score of sadness was 64. 10 ± 8. 71,and the score of coping style was 24. 32 ± 8. 50 in caregivers of dementia patients. The care ability scores of caregivers with different ages,degree of education,health status,recognition of the disease and severity of the disease of the patients were significantly different(P<0. 05). The scores of sadness were negatively correlated with the scores of care ability and its domains(r =-0. 190,P< 0. 01),while the scores of positive issues concern,positive emotional attention and psychological counseling were positively correlated with the scores of care ability(P<0. 01). Multivariate regression showed that education,physical condition,recognition of the disease,positive coping style,anxious and sense of isolation were influencing factors of care ability. Conclusions Family caregivers of patients with dementia have a lower level of care ability. The influencing factors of care-giving competence of caregivers are their degree of education,physical condition,recognition of the disease,positive coping style,anxious and sense of isolation.

关 键 词：痴呆 照护者 照护能力 悲伤程度 应对方式 

分 类 号：R473.5[医药卫生—护理学]