重度脑外伤康复期患者主要照顾者照顾能力现状及影响因素分析  

Analysis of the status quo and influencing factors of the care ability of the main caregivers of patients with severe traumatic brain injury during the rehabilitation period

作　　者：潘小娜 陈春丽[2] 蒋美丽[2] 王博 PAN Xiao-na(College of nursing,Anhui University of Chinese Medicine,Hefei 230012,China)

机构地区：[1]安徽中医药大学护理学院 [2]安徽合肥市第二人民医院,安徽合肥230011 [3]安徽铜陵市人民医院,安徽铜陵244000

出　　处：《牡丹江医学院学报》2023年第5期64-69,共6页Journal of Mudanjiang Medical University

基　　金：合肥市第二人民医院院级科研项目(2023ylc033)。

摘　　要：目的分析重度脑外伤康复期患者主要照顾者照顾能力现状和影响因素,为制定相关干预措施提供参考依据。方法于2022年06月至2023年3月,采用自设的一般资料问卷、照顾者照顾能力量表、照顾者准备度量表和自我效能量表对安徽省两所三级甲等医院收住的137名重度脑外伤康复期患者主要照顾者进行调查。结果患者主要照顾者照顾能力得分为(25.61±6.73)分。多元线性回归分析发现照顾者照顾能力的主要影响因素有健康状况、有无他人协助、自我效能、照顾准备度及患者住院次数(P<0.05)。结论重度脑外伤康复期患者主要照顾者照顾能力处于中等偏低水平,应该加强对患者住院次数少、无他人协助、健康状况较差、准备度低和缺乏自信心的照顾者健康宣教,制定个体化的护理方案来提高其照顾能力。Objective To analyze the current situation and influencing factors of the care ability of the main caregivers of patients with severe traumatic brain injury in the rehabilitation period,and to provide reference basis for formulating relevant intervention measures.Methods From June 2022 to March 2023,137 primary caregivers of patients with severe traumatic brain injury who were admitted to two third-class A hospitals in Anhui Province were investigated with the self-designed general data questionnaire,caregiver care ability scale,caregiver preparation scale and self-efficacy scale.Results The score of the patients'primary caregiver's care ability was(25.61±6.73).Multiple linear regression analysis found that the main influencing factors of caregiver care ability were health status,assistance from others,self-efficacy,care readiness,and patient hospitalization frequency(P<0.05).Conclusion The main caregivers of patients with severe traumatic brain injury during the rehabilitation period have a moderate to low level of care ability.It is necessary to strengthen health education for caregivers who have fewer hospitalizations,no assistance from others,poor health status,low preparation,and lack of confidence,and develop personalized nursing plans to improve their care ability.

关 键 词：脑外伤 康复期 照顾者 照顾能力 

分 类 号：R473.6[医药卫生—护理学]