阿尔茨海默病患者照顾者照料负担与心理韧性、接纳程度的相关性研究  

Correlations between caregiving burden,psychological resilience and acceptance of caregivers of patients with Alzheimer disease

作　　者：孟令瑶 刘明明 张燕[1,3] 宋莉莉 罗贞[1,2] 彭伶丽 Meng Lingyao;Liu Mingming;Zhang Yan;Song Lili;Luo Zhen;Peng Lingli(Clinical Nursing Teaching and Research Office,Xiangya Hospital,Central South University,Changsha 410008,China;Xiangya Nursing School,Central South University,Changsha 410013,China;Hand Microsurgery,74th Ward of Orthopedics,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,长沙410008 [2]中南大学湘雅护理学院,长沙410013 [3]中南大学湘雅医院骨科74病区手显微外科,长沙410008

出　　处：《中华现代护理杂志》2021年第18期2425-2430,共6页Chinese Journal of Modern Nursing

基　　金：教育部人文社会科学项目(18YJC630065);湖南社会科学成果课题(X5P18YBC122)。

摘　　要：目的探讨阿尔茨海默病患者照顾者照料负担、心理韧性、接纳程度的相关性。方法采取便利抽样法,选取2019年2月—2020年8月于中南大学湘雅医院老年医学神经内科门诊就诊的140名阿尔茨海默病患者的照顾者作为研究对象,应用照顾者负担量表(CBI)、心理韧性量表(CD-RISC)、接纳与行动问卷(AAQ-Ⅱ)对阿尔茨海默病患者照顾者的照料负担、心理韧性水平及接纳程度进行调查。采用Pearson相关分析探讨照顾者照料负担与心理韧性、接纳程度的相关性,采用多重线性回归分析探讨照顾者照料负担的影响因素。结果发放问卷140份,回收132份。照料负担、心理韧性以及接纳程度得分分别为(48.62±10.22)、(64.32±13.25)、(16.25±5.62)分;阿尔茨海默病照顾者照料负担各维度得分与心理韧性各维度得分均呈负相关(P<0.05),与接纳程度得分呈正相关(P<0.05);多重线性回归分析结果显示,婚姻关系、文化程度、家庭收入、心理韧性、接纳程度是阿尔茨海默病照顾者照料负担的影响因素(P<0.05)。结论阿尔茨海默病患者主要照顾者存在一定程度的照料负担,照料负担与心理韧性呈负相关,与接纳程度呈正相关。医护人员应提供专业支持提高照顾者心理韧性水平和接纳程度,降低照顾者照料负担。Objective To explore the correlations between caregiving burden,psychological resilience and acceptance of caregivers of patients with Alzheimer disease.Methods Using the convenient sampling method,a total of 140 caregivers of patients with Alzheimer disease who visited outpatient department of Department of Geriatrics and Neurology of Xiangya Hospital of Central South University were selected as research objects from February 2019 to August 2020.Caregivers Burden Inventory(CBI),Connor-Davidson Resilience Scale(CD-RISC)and Acceptance and Action Questionnaire-second edition(AAQ-Ⅱ)were used to investigate the caregiving burden,psychological resilience level and acceptance level of caregivers of patients with Alzheimer disease.Pearson correlation analysis was used to explore the relationship between the caring burden of caregivers and psychological resilience and acceptance,and multiple linear regression analysis was used to explore the factors affecting the caregiving burdens of caregivers.Results A total of 140 questionnaires were sent out and 132 were recovered.The scores of caregiving burden,psychological resilience and acceptance were respectively(48.62±10.22),(64.32±13.25)and(16.25±5.62).The scores of various dimensions of caregiving burdens of caregivers of patients with Alzheimer disease were negatively correlated with scores of various dimensions of psychological resilience(P<0.05),and positively correlated with the acceptance score(P<0.05).The results of multiple linear regression analysis showed that marital relationship,education level,family income,psychological resilience and acceptance were the influencing factors of caregiving burden of caregivers of patients with Alzheimer disease(P<0.05).Conclusions The primary caregivers of patients with Alzheimer disease have a certain degree of caregiving burden,which is negatively correlated with psychological resilience and positively correlated with acceptance.Medical staff should provide professional support to improve the level of psychological resilie

关 键 词：阿尔茨海默病 照顾者 照料负担 心理韧性 相关性 

分 类 号：R473.74[医药卫生—护理学]