白血病患儿照顾者决策疲劳现状及影响因素研究  

Current status and influencing factors on decision fatigue in caregivers of children with acute leukemia

作　　者：张玉 田丽 张慧敏 王梦川 陈毓雯 Zhang Yu;Tian Li;Zhang Huimin;Wang Mengchuan;Chen Yuwen(The Third Central Clinical College of Tianjin Medical University,Tianjin 300170,China)

机构地区：[1]天津医科大学三中心临床学院,天津300170 [2]中国医学科学院血液病医院(中国医学科学院血液学研究所)

出　　处：《护理学杂志》2024年第8期45-48,共4页Journal of Nursing Science

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-025A)。

摘　　要：目的调查分析急性白血病患儿照顾者决策疲劳现状及影响因素,为临床制定针对性干预措施提供参考。方法采用一般资料调查表、决策疲劳量表、一般自我效能感量表、Zarit照顾负担量表以及医院焦虑抑郁量表对209名急性白血病患儿照顾者进行调查,分析其影响因素。结果照顾者决策疲劳总分为13.65±4.50,一般自我效能感总分22.90±5.88,照顾负担总分36.05±11.94,医院焦虑、抑郁总分分别为8.00(4.00,11.00)、7.00(4.00,9.00)。疾病危险度分级、共同照顾者数量、一般效能感水平及照顾者负担为白血病患儿照顾者决策疲劳的影响因素(均P<0.05)。结论白血病患儿照顾者决策疲劳处于中等水平,医护人员应重点关注高危险疾病程度、共同照顾者少及一般效能感低和照顾负担重的照顾者,可通过提升效能感、减轻照顾负担以降低其决策疲劳。Objective To investigate the current status and influencing factors of decision fatigue in caregivers of children with acute leukemia,and to provide a reference for developing systemic targeted interventions.Methods The caregiver-related data were collected in the cross-sectional survey(n=209)using the general data questionnaire,the Decision Fatigue Scale(DFS),the General Self-Efficacy Scale(GSES),the Zarit Caregiver Burden Interview(ZBI),as well as the Hospital Anxiety and Depression(HAD)Scale.The influencing factors of caregiver fatigue were explored.Results The caregivers scored(13.65±4.50)points in decision fatigue,(22.90±5.88)points in self-efficacy,(36.05±11.94)points in caregiving burden,8.00(4.00,11.00)points in anxiety,and 7.00(4.00,9.00)points in depression.Multiple linear regression analysis showed that disease risk category of the child,the number of co-caregivers,self-efficacy,and caregiver burden were influencing factors of decision fatigue in caregivers of children with leukemia(all P<0.05).Conclusion Decision fatigue in caregivers of children with leukemia was at a medium level.Healthcare professionals should focus on caregivers whose child was in a high risk category,who had fewer co-caregivers,who had low self-efficacy and who had high caregiving burden,and take such measure to reduce their decision fatigue as increasing caregivers′self-efficacy and reducing their caregiving burden.

关 键 词：白血病 患儿 照顾者 决策疲劳 治疗决策 照顾负担 自我效能感 焦虑 

分 类 号：R473.72[医药卫生—护理学]