喉癌喉切除患者出院后家庭照顾者负担及其影响因素调查  

Investigation on the burden of family caregivers and its influencing factors after laryngectomy of patients with laryngeal cancer

作　　者：辜德英[1] 赵会玲[1] 顾琴[1] 余蓉[1] GU De-ying;ZHAO Hui-ling;GU Qin;YJJ Rong(Department of Otolaryngology,Head and Neck Surgery,West China Hospital of Sichuan University,Chengdu 610041,Sichuan)

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041

出　　处：《中药与临床》2020年第4期47-49,72,共4页Pharmacy and Clinics of Chinese Materia Medica

基　　金：四川省科技厅计划项目(2018ZR0342)。

摘　　要：目的:调查喉癌喉切除术后患者出院后家庭照顾者负担现状,分析家庭照顾者负担影响因素,为相关护理干预提供依据。方法:选择四川大学华西医院2018年1月~2019年12月住院的喉癌喉部分切除术患者和喉癌全喉切除患者家庭照顾者各50名,采用自行设计的一般资料调查表和照顾负担量表(ZBI)进行问卷调查,结果采用SPSS软件进行统计分析。结果:照顾者负担量表平均得分为24.03±11.86分,处于中度负担水平;单因素及多因素分析结果示:患者有无合并症(t=-5.487,P=0.000),照顾者的文化程度(F=8.200,P=0.042)、对疾病的认识(F=15.270,P=0.002)、与患者的关系(t=-3.565,P=0.000)是影响家庭照顾者负担量表得分的因素。结论:在临床护理工作中我们应该针对不同特征的患者及家庭照顾者提供个性化的支持,强化住院期间的健康指导及加强出院后的电话随访工作,以提高自护技能、降低其家庭照顾负担水平,提高患者及照顾者的生活质量。Objective:To investigate the current burden of family caregivers of patients discharged from hospital after laryngectomy for laryngeal cancer,analyze the influencing factors of the burden of family caregivers,and provide basis for relevant nursing intervention.Method:50 family caregivers of patients with partial laryngectomy and 50 family caregivers of patients of total laryngectomy in West China Hospital of Sichuan University from January 2018 to December 2019 were selected.Questionnaires were conducted with self-designed general data questionnaire and care burden scale(ZBI),and the results were statistically analyzed with SPSS software.Result:The average score of caregiver burden scale was 24.03±11.86,which was at the level of moderate burden.Univariate and multivariate analysis showed that the presence or lack of complications(t=-5.487,P=0.000),the educational level of caregivers(F=8.200,P=0.042),the awareness of diseases(F=15.270,P=0.002),and the relationship with the caregivers(t=-3.565,P=0.000)were the factors influencing the score of the family caregiver burden scale.Conclusion:In clinical nursing work,we should provide personalized support for patients with different characteristics and family caregivers,strengthen health guidance during hospitalization and strengthen telephone follow-up after discharge,in order to improve self-care skills,reduce the burden of family care,and improve the quality of life of patients and caregivers.

关 键 词：喉癌 喉切除 照顾者负担 

分 类 号：R473.73[医药卫生—护理学]