脑卒中患者及陪护者生活满意度互为影响分析  

Mutual impacts of factors of stroke inpatients and their caregivers on their life satisfaction:a cross-sectional analysis

作　　者：董恩宏 王晓飞 唐红梅 张浩 王韬[4] DONG En-hong;WANG Xiao-fei;TANG Hong-mei(Department of Health Management,School of Nursing and Health Management,Shanghai University of Medicine and Health Sciences,Shanghai 201318,China;不详)

机构地区：[1]上海健康医学院护理与健康管理学院健康管理系,上海201318 [2]山东省德州市人民医院儿科 [3]上海健康医学院教务处 [4]上海交通大学附属第六人民医院急诊部

出　　处：《中国公共卫生》2020年第11期1590-1594,共5页Chinese Journal of Public Health

基　　金：国家社科基金重大项目(18ZDA088);国家社科基金一般项目(18BGL242);上海市卫计委课题(20144Y0117);2017年上海健康医学院协同重点创新项目(SPCI-18-02-001);上海健康医学院种子基金(E3-0200-17-201118);2018年度教育教学改革专项研究课题(JG(18)02-C2-01)。

摘　　要：目的分析脑卒中患者及其陪护者的生活满意度以及相互影响机制。方法于2016年1-6月,在上海市医疗结构随机抽取脑卒中住院患者及其陪护者各600人进行问卷调查。结果最终确定575对脑卒中患者和陪护者,其中脑卒中患者以男性为主(52.9%,304人),平均年龄(67.13±14.74)岁,平均教育水平为初中文化程度,大多数为已婚(78.6%,452人)。陪护者以女性为主(59.1%,340人),平均年龄(50.38±14.89)岁,平均教育水平为初中文化,大多数已婚(92.7%,533人);在陪护者与患者的关系中,以伴侣关系为主(47.8%),其次为子女关系(35.5%),兄弟姐妹关系所占比例最小(1.6%)。患者的年龄与陪护者的文化程度分别对患者及其陪护者的生活满意度有影响(β=-0.10、0.08);患者自理程度对其自身及陪护者的生活满意度均有正向影响(β=0.11、0.07);且前者大于后者;患者住院服务满意度与陪护者的住院服务满意度均对各自生活满意度有负向影响(β=-0.33、-0.16),且前者影响大于后者。结论提高患者的生活满意度,不仅考虑患者自身个人特征、疾病特征及其住院服务满意度等因素,还要考虑其陪护者的相应影响因素。Objective To examine life satisfaction(LS)among stroke inpatients and their caregivers and to explore mutual impacts of the inpatients′and caregivers′factors on their LS.Methods We conducted a questionnaire survey among 600 stroke inpatients and their caregivers randomly selected at medical institutions(including tertiary hospitals and community health centers)in Shanghai city during January-June 2016.Results Totally 575 inpatient caregiver pairs were included in the analysis.For the inpatients,52.9%(304)were male;78.6%(452)were married;the mean age was 67.13±14.74 years and the majority of them had the education of junior high school.For the caregivers,59.1%(340)were female;92.7%(533)were married;the mean age was 50.38±14.89 years and the majority of them had the education of junior high school.Among the caregivers,47.8%,35.5%,and 9,1.6%were the inpatients′partners,children,and siblings.The inpatients′LS was influenced by their own ages(β=-0.10),while the caregivers′LS was influenced by their own education level(β=0.08).The inpatients′self care capability had positive influence on LS of the inpatients(β=0.11)and of the caregivers(β=0.07).The satisfaction of the inpatients and their caregivers to hospitalization service had negative impact on LS of both the inpatients(β=-0.33)and the caregivers(β=-0.16).Conclusion Both the inpatients′characteristics and the factors of the inpatients′caregivers should be considered to improve the life satisfaction of stroke patients.

关 键 词：脑卒中 陪护者 生活满意度 行动者-对象依存性模型(APIM) 

分 类 号：R473.74[医药卫生—护理学] R19-0[医药卫生—临床医学]