老年期痴呆患者照顾者的获益感现状调查及影响因素分析  

A survey of benefit finding of caregivers in senile dementia patients and analysis of influencing factors

作　　者：朱晓佳 张秀霞 陈芳[3] 吴春燕[4] 陈爱民[2] Zhu Xiaojia;Zhang Xiuxia;Chen Fang;Wu Chunyan;Chen Aimin(School of Nursing,Hubei University of Medicine,Shiyan 442000,China;Neurology Department,Jingjiang People′s Hospital,Jingjiang 214500,China;Department of General Medical Care/Geriatrics,Taihe Hospital,Hubei University of Medicine,Shiyan 442000,China;Nursing Department,Jingjiang People′s Hospital,Jingjiang 214500,China)

机构地区：[1]湖北医药学院护理学院,十堰442000 [2]靖江市人民医院神经内科,靖江214500 [3]湖北医药学院附属太和医院综合医疗科/老年医学科,十堰442000 [4]靖江市人民医院护理部,靖江214500

出　　处：《中国实用护理杂志》2022年第25期1983-1990,共8页Chinese Journal of Practical Nursing

摘　　要：目的了解湖北省十堰市老年期痴呆患者照顾者获益感的现状,分析其影响因素,为开展针对性的干预措施提供依据。方法采用便利抽样法,选取2019年7月至2021年7月在湖北省十堰市太和医院、湖北省十堰市人民医院、湖北省十堰市国药东风总医院3所综合性公立三级甲等医院就诊的252名老年期痴呆患者照顾者为研究对象。采用一般资料调查表、照顾者获益感问卷、一般自我效能量表(GSES)和领悟社会支持量表(PSSS)进行调查。照顾者自我效能、社会支持与获益感的相关性采用Pearson相关分析法。采用最优尺度回归分析老年期痴呆患者照顾者获益感的影响因素。结果252名老年期痴呆患者照顾者的照顾者获益感问卷总分为(104.74±14.82)分,条目"使我意识到自身健康对于家庭、社会的意义"得分最高为(4.70±0.55)分,条目"让我戒掉了坏习惯"得分最低为(3.22±1.17)分。252名老年期痴呆患者照顾者的GSES、PSSS得分分别为(24.74±7.02)、(54.21±13.32)分,与获益感呈正相关(r=0.565、0.459,均P<0.01)。最优尺度回归分析结果显示,照顾者的年龄、家庭人均月收入、自我效能和社会支持是老年期痴呆患者照顾者获益感水平的主要影响因素(F值为3.30~104.92,均P<0.05),可解释42.4%的变异量。结论老年期痴呆患者照顾者获益感仍有待提高,医护人员应注重评估老年期痴呆患者照顾者的获益感水平,提供个性化干预措施,以缓解照顾者的照顾压力,维持其身心健康,提升老年期痴呆患者照顾者的照护质量。Objective To investigate the status of caregivers'benefit finding of senile dementia patients in Shiyan city,Hubei Province,and to analyze its influencing factors,so as to provide basis for carrying out targeted intervention measures.Methods Totally 252 caregivers of senile dementia patients who visited Taihe Hospital,Shiyan People′s Hospital and Sinopharm Dongfeng General Hospital in Shiyan City,Hubei Province from July 2019 to July 2021 were selected as the research objects by convenience sampling method.The general Information Questionnaire,the Caregiver benefit finding questionnaire,the General self-efficacy Scale(GSES)and the Perceived Social Support Scale(PSSS)were used.The Pearson correlation analysis method was used for the correlation between caregivers'self-efficacy,social support and perceived benefit.Catreg was used to analyze the influencing factors of caregivers'benefit finding in senile dementia patients.Results The total score of caregiver benefit questionnaire for 252 caregivers of senile dementia patients was(104.74±14.82),the item"made me realize the significance of my health to my family and society"received the highest score(4.70±0.55),while the item"made me quit bad habits"received the lowest score(3.22±1.17).The GSES and PSSS scores of 252 caregivers of senile dementia patients were(24.74±7.02)and(54.21±13.32),which were positively correlated with the benefit finding(r=0.565,0.459,both P<0.01).The catreg analysis showed that the age of the caregiver,the average monthly income of the family,self-efficacy and social support were the influential factors of the perceived benefit level of the caregiver of senile dementia patients(F values were 3.30-104.92,all P<0.05),which could explain 42.4%of the variance.Conclusions The benefit finding of caregivers of senile dementia patients still needs to be improved.Medical staff should pay attention to the evaluation of benefit finding of caregivers of senile dementia patients,and provide personalized intervention measures to relieve caregivers'ca

关 键 词：痴呆 照顾者 获益感 影响因素 

分 类 号：R473.74[医药卫生—护理学]