慢性心力衰竭患者照顾者的孝道价值观介导其焦虑与照顾负担的关系  

Mediating effect of filialpiety values on the relationship between anxiety and caregiving burden among caregivers of patients with chronic heart failure

作　　者：顾蓉 杨小芳[2] 汪小华[2] 胡安妮 殷荣平 顾兰[4] Gu Rong;Yang Xiaofang;Wang Xiaohua;Hu Anni;Yin Rongping;Gu Lan(School of Nursing,Medical College of Soochow University,Suzhou 215006,China;Department of Cardiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Medical Technology College of Taizhou Vocational and Technical College,Taizhou 225500,China;Boxi Medical Center,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学医学部护理学院,215006 [2]苏州大学附属第一医院心内科,215006 [3]泰州职业技术学院医学技术学院,225500 [4]苏州大学附属第一医院博习诊疗中心,215006

出　　处：《中国实用护理杂志》2019年第11期856-860,共5页Chinese Journal of Practical Nursing

摘　　要：目的了解慢性心力衰竭患者照顾者孝道价值观、焦虑与照顾负担现状,分析其孝道价值观在焦虑与照顾负担之间的中介作用。方法2017年4月至2018年4月,选取苏州、南京、昆山3家二、三级医疗机构确诊的191例慢性心力衰竭患者子女照顾者为研究对象,采用焦虑视觉模拟量表、中文版孝道价值观评分量表(FVI)及慢性心力衰竭患者照顾者客观负担量表(DOBI)测评照顾者的焦虑、孝道水平及照顾负担。结果照顾者的焦虑总分3(0,6)分,孝道价值观总分96(84,107)分,照顾负担总分1(0,9)分;相关分析显示,照顾者的焦虑与照顾负担呈正相关(r=0.328,P<0.01),孝道价值观与照顾负担呈负相关(r=-0.537,P<0.01)。中介分析显示,焦虑对孝道价值观具有负向调节作用(a=-0.61,P=0.02),对照顾负担具有正向调节作用(c=0.64,P=0.01),孝道价值观对照顾负担具有负向调节作用(b=-0.43,P<0.01),孝道价值观在焦虑和照顾负担之间发挥部分中介作用(c′=0.26,P<0.05)。结论医护人员应建立起针对性的干预措施,改善照顾者的孝道价值观,从而降低其照顾负担。Objective To understand the filialpiety values,anxiety and caregiving burden of caregivers of patients with chronic heart failure and to analyze the mediating effect of filialpiety values on the relationship between anxiety and caregiving burden.Methods During April 2017 to April 2018,191children caregivers of patients with chronic heart failure from 3 secondary and tertiary medical institutions in Suzhou,Nanjing and Kunshan were selected to complete Visual Analogue Scale for Anxiety,Chinese Filial Values Index scale(FVI)and Dutch Objective Burden Inventory(DOBI).Results The total score of caregivers'anxiety,filialpiety values and caregiving burden were 3(0,6),96(84,107)and 1(0,9)respectively.Correlation analysis showed that the caregivers'anxiety was positively correlated with the caregiving burden(r=0.328,P<0.01),while filialpiety values were negatively correlated with caregiving burden(r=-0.537,P<0.01).Mediating-effect analysis showed that anxiety had a negative effect on filialpiety values(a=-0.61,P=0.02),and had a positive effect on caregiving burden(c=0.64,P=0.01).The filialpiety values had a negative effect on caregiving burden(b=-0.43,P<0.01).Filialpiety values played a partial mediating role between anxiety and caregiving burden(c'=0.26,P<0.05).Conclusions Medical staff should establish targeted interventions to improve caregivers′filialpiety values,thereby reducing their caregiving burden.

关 键 词：慢性心力衰竭 照顾者 孝道 焦虑 负担 

分 类 号：R473.5[医药卫生—护理学]