老年痴呆病人配偶个人掌控感现状及其影响因素的横断面研究  

Influencing factors of personal mastery among spouses of dementia patients:a cross-sectional study

作　　者：曹青霞 罗尧岳[1] 李亚敏[2] 肖敏芬 Cao Qingxia;Luo Yaoyue;Li Yamin;Xiao Minfen(School of Nursing,Hunan University of Traditional Chinese Medicine,Changsha,410208;Department of Nursing,Second Xiangya Hospital,Central South University,Changsha,410011,China)

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208 [2]中南大学湘雅二医院护理部,湖南长沙410011

出　　处：《现代临床护理》2023年第2期16-21,共6页Modern Clinical Nursing

摘　　要：目的探讨老年痴呆病人配偶个人掌控感现状及其影响因素,为医疗机构制定针对性服务策略提供参考。方法通过横断面研究方法,采用便利抽样法选择188名老年痴呆病人配偶为研究对象,采用个人掌控感量表(personal mastery scale,PMS)、领悟社会支持量表(perceived social suppore scale,PSSS)、自制老年痴呆疾病知识与护理知识问卷对其进行调查。结果188名老年痴呆病人配偶均完成研究。PMS得分(15.88±3.72)分。Pearson相关分析显示,PMS与领悟社会支持总分、老年痴呆疾病知识与护理技能知识总分呈正相关(r=0.647,0.584,均P<0.001)。多重线性回归分析显示,年龄、配偶身体状况、病人痴呆程度、领悟社会支持总分、老年痴呆疾病知识与护理技能知识总分是老年痴呆病人配偶个人掌控感的影响因素(均P<0.05)。结论老年痴呆病人配偶个人掌控感水平较低,医疗机构应根据其影响因素制定针对性服务策略,提高其个人掌控感水平,以便提高老年痴呆病人的照护质量与配偶的生活质量。Objective To explore current status and influencing factors in personal mastery among spouses of dementia patients.Methods The cross-sectional research method was used in the survey.Convenient sampling method was used to select 188 spouses of senile dementia patients for the survey with the instruments of personal mastery scale(PMS),perceived social support scale(PSSS)and self-designed questionnaire for senile dementia disease knowledge and nursing knowledge.Results All 188 spouses of the patients completed the study with a PMS score at(15.88±3.72).By Pearson correlation analysis,it was found that the PMS was positively correlated with the perceived social support and the knowledge on Alzheimer's disease and nursing(r=0.647,r=0.584,both P<0.001).Multiple linear regression analysis showed that age,physical condition of spouses,severity of disease,perceived social support,knowledge in dementia and nursing were the factors that influenced the status of personal control among the spouses(all P<0.05).Conclusions Spouses of senile patients have a low level in personal control.Medical institutions should develop targeted strategies according to the influencing factors in order to improve the personal control among the spouses,thereby improving the quality of care for the patients as well as the quality of life of the spouses.

关 键 词：老年痴呆 配偶 个人掌控感 横断面研究 

分 类 号：R473.74[医药卫生—护理学]