晚期消化道肿瘤患者家庭照顾者习得性无助的现状及影响因素分析  

The current status of learned helplessness among family caregivers of advanced digestive tract tumor patients and its influence factors

作　　者：孙雯倩 林雁[1] 陈柳淇 颜珊虹 黄秀明 鲍玲瑶 游崇玲 郑城英[2] Sun Wenqian;Lin Yan;Chen Liuqi;Yan Shanhong;Huang Xiuming;Bao Lingyao;You Chongling;Zheng Chengying(School of Nursing,Fujian Medical University,Fuzhou 350122,China;Department of Gastrointestinal Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350000,China)

机构地区：[1]福建医科大学护理学院,福州350122 [2]福建医科大学附属第一医院胃肠外科一区,福州350000

出　　处：《中国实用护理杂志》2022年第8期624-629,共6页Chinese Journal of Practical Nursing

基　　金：福建医科大学大学生创新创业训练计划(C18152);福建省中青年教师教育科研项目(JT180167)。

摘　　要：目的探讨晚期消化道肿瘤患者家庭照顾者的习得性无助现状及其影响因素, 为癌症家庭的身心管理提供参考。方法采用便利抽样法, 选择2018年7月至2019年11月在福州市4所三级甲等综合性医院住院的晚期消化道肿瘤住院患者的家庭照顾者181名, 利用习得性无助量表评价其习得性无助水平, 并分析晚期消化道肿瘤患者家庭照顾者习得性无助的影响因素。结果晚期消化道肿瘤患者家庭照顾者习得性无助量表总分为(38.61 ± 15.40)分, 条目均分为(2.15 ± 0.88)分, 处于较低状态。多元线性回归分析显示, 照顾者性别、照顾者自觉身体状况、家庭平均月收入是晚期消化道肿瘤患者家庭照顾者习得性无助的主要影响因素(P<0.05)。结论晚期消化道肿瘤患者家庭照顾者的习得性无助感大多处于轻度水平。护理人员应着重关注消化道肿瘤家庭中女性照顾者以及低收入群体的身心状况, 定期评估照顾者的护理需求及健康状况, 以提升其生命质量。Objective To investigate the current status of family caregivers learned helplessness in patients with advanced digestive tract tumor and analyze its influencing factors,so as to provide reference for the physical and mental management of cancer families.Methods Totally 181 family caregivers of advanced digestive tract tumor patients from July 2018 to November 2019 in 4 gradeⅢclass A hospitals in Fuzhou were selected by convenient sampling method for investigation with the general information questionnaire and Learned Helplessness Scale.Multiple linear regression analysis was used to analyze the influencing factors of learned helplessness of family caregivers of patients with advanced digestive tract tumor.Results The total score and the average items score of learned helplessness was(38.61±15.40),(2.15±0.88)points,which was at a lower level.Multiple linear regression analysis showed that the gender of caregiver,physical condition of caregivers,average monthly household income were significant influencing factors of family caregivers learned helplessness in patients with advanced digestive tract tumor(P<0.05).Conclusions The learned helplessness of family caregivers of patients with advanced digestive tract tumor is at a mild level.Nurses should focus on the physical and mental conditions of low-income groups and female caregivers with advanced digestive tract tumor,and regularly assess their nursing needs and health status to improve their quality of life.

关 键 词：消化道肿瘤 晚期 家庭照顾者 习得性无助 

分 类 号：R473.73[医药卫生—护理学]