青年脑肿瘤患者照顾者的照顾负担现状及其与社会支持水平的相关性分析  

Status quo of care burden of caregivers of young patients with brain tumor and its correlation analysis with social support level

作　　者：郭现平 王玉社[1] 马捷 Guo Xianping;Wang Yushe;Ma Jie(Department of Neurosurgery,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院神经外科,郑州450003

出　　处：《中华现代护理杂志》2021年第27期3704-3709,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划省部共建青年项目(SB201902027)。

摘　　要：目的调查青年脑肿瘤患者主要照顾者的照顾负担情况,分析其与社会支持水平的关联性,旨在改善照护者心理健康,减轻照顾负担,提高患者照护质量。方法采用便利抽样法,选取河南省人民医院神经外科2018年12月—2019年11月收治的173例青年脑肿瘤住院患者的主要照顾者为研究对象。使用一般资料调查量表、照顾者负担量表(CBI)、社会支持评定量表(SSRS)收集照顾者一般资料、照顾负担情况、社会支持水平等资料,采用Pearson相关分析青年脑肿瘤住院患者主要照顾者照顾负担与社会支持水平的相关性,并采用Logistic回归分析探讨主要照顾者照顾负担的影响因素。结果共调查173名青年脑肿瘤患者主要照顾者,CBI总分为(34.42±7.38)分,处于中等负担水平;其中重度负担13名(7.51%),中度负担79名,(45.66%),轻度负担81名(46.82%)。照顾者的SSRS总分为(43.61±8.46)分,处于中等社会支持水平;其中高水平社会支持71名(41.04%),中水平社会支持92名(53.18%),低水平社会支持10名(5.78%)。Pearson相关性分析显示,照顾者CBI评分与SSRS评分呈负相关(P<0.05)。Logistic回归分析结果显示,年龄、家庭人均月收入、每日照顾时间、有无共同照顾者、抑郁情况及社会支持水平是青年脑肿瘤患者照顾者照顾负担的影响因素(P<0.05)。结论青年脑肿瘤患者的主要照顾者普遍存在不同程度的照顾负担,其负担程度与社会支持水平密切相关,而年龄、家庭人均月收入、每日照顾时间、有无共同照顾者、抑郁情况及社会支持水平是影响照顾负担的主要因素。临床护理人员应针对照顾负担影响因素采取相应措施,相关机构应积极构建主要照顾者的政策支持体系,以减轻照顾者负担,提升照护质量。Objective To investigate the care burden of primary caregivers of young patients with brain tumor and to analyze the correlation between the care burden and social support level,in order to improve the mental health of caregivers,reduce the care burden and improve the quality of care for patients.Methods Using the convenient sampling method,a total of 173 primary caregivers of young inpatients with brain tumor who were admitted to Department of Neurosurgery of Henan Provincial People's Hospital from December 2018 to November 2019 were selected as the research objects.General data questionnaire,Caregivers Burden Inventory(CBI)and Social Support Rating Scale(SSRS)were used to collect general information of caregivers,the care burden and the level of social support,Pearson correlation analysis of the correlation between care burden of the primary caregivers and social support level of young inpatients with brain tumor and use of the Logistic regression analysis to explore the influencing factors of care burden of the primary caregivers.Results A total of 173 primary caregivers of young inpatients with brain tumor were investigated,and their CBI total score was(34.42±7.38),which was at the medium burden level.Among them,a total of 13(7.51%)had severe burden,79(45.66%)had moderate burden and 81(46.82%)had mild burden.The total score of SSRS of caregivers was(43.61±8.46),which was in the middle level of social support.Among them,a total of 71(41.04%)had high level of social support,92(53.18%)had medium level of social support and 10(5.78%)had low level of social support.Pearson correlation analysis showed that CBI score of caregivers was negatively correlated with SSRS score(P<0.05).Logistic regression analysis showed that age,family monthly income per capita,daily care time,with or without a co-care,depression and social support level were the influencing factors of the caring burden of the caregivers of young inpatients with brain tumor(P<0.05).Conclusions The primary caregivers of young patients with brain tumor g

关 键 词：脑肿瘤 青年 主要照顾者 照顾负担 社会支持水平 

分 类 号：R473.73[医药卫生—护理学]