首发脑卒中患者亲属照顾者预期性悲伤现状及其影响因素分析  

Current status and influencing factors of anticipatory grief among family caregivers of first stroke patients

作　　者：王亚菲 高振清 柳云 李新 刘峰[1] Wang Yafei;Gao Zhenqing;Liu Yun;Li Xin;Liu Feng(Department of Nursing,The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Jinan 250014,China;ICU of Shandong Cancer Hospital and Institute,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,China;School of Nursing,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,China;School of Nursing,Weifang Medical University,Weifang 261053,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)护理部,济南250014 [2]山东第一医科大学附属肿瘤医院重症监护室,济南250117 [3]山东第一医科大学(山东省医学科学院)护理学院,济南250117 [4]潍坊医学院护理学院,潍坊261053

出　　处：《中国实用护理杂志》2023年第3期215-221,共7页Chinese Journal of Practical Nursing

摘　　要：目的调查首发脑卒中患者亲属照顾者预期性悲伤现状并分析其影响因素,为脑卒中患者亲属照顾者心理减压干预方案的制订提供参考。方法采用便利抽样法,选取2020年3月至2021年5月在山东第一医科大学第一附属医院住院的212例首发脑卒中患者的亲属照顾者进行横断面调查,采用一般资料调查表、预期性悲伤量表和中文版心理弹性量表进行调查并分析其影响因素。结果首发脑卒中患者亲属照顾者预期性悲伤得分为(87.93±17.36)分;多元逐步回归分析结果显示,亲属照顾者年龄、心理弹性、与患者的关系程度、患者认知能力及自理能力是首发脑卒中患者亲属照顾者预期性悲伤的影响因素(t值为-6.73~11.77,均P<0.05)。结论首发脑卒中患者亲属照顾者存在较为严重的预期性悲伤,医护人员应重视亲属照顾者的心理状况,采取有效的措施,促进其身心健康。Objective To investigate the current situation of expected sadness of family caregivers of first stroke patients and analyze its influencing factors,so as to provide reference for the formulation of psychological decompression intervention program for family caregivers of stroke patients.Methods Convenience sampling method was used to conduct cross-sectional survey of 212 family caregivers of first stroke patients who were hospitalized in the First Affiliated Hospital of Shandong First Medical University from March 2020 to May 2021,using general information questionnaires and Anticipatory Grief Scale and Connor-Davidson Resilience Scale to investigate and anlalyzed its influencing factors.Results The scare of anticipatory grief of the caregivers of first stroke patients was 87.93±17.36.The results of multiple stepwise regression analysis showed that the age of family caregivers,psychological elasticity,the degree of relationship with patients,patients′cognitive ability and self-care ability were the influencing factors of anticipatory grief of family caregivers of first stroke patients(t values were-6.73-11.77,P<0.05).Conclusions The caregivers of first stroke patients have serious anticipatory grief.Staff should pay attention to the psychological conditions of the family caregivers and take effective measures to promote their physical and mental health.

关 键 词：横断面研究 卒中 亲属照顾者 预期性悲伤 影响因素 

分 类 号：R473.74[医药卫生—护理学]