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作 者:龚利兰 汪玲 GONG Lilan;WANG Ling(University of South China the Second Affiliated Hospital,Hengyang,Hunan 421001)
出 处:《智慧健康》2024年第29期134-137,共4页Smart Healthcare
摘 要:目的探讨脑胶质瘤手术患者主要照顾者照顾负担水平影响因素及其健康教育对策。方法选定2020年5月—2023年6月在本院接受脑胶质瘤手术的患者共98例作为研究样本,其主要照顾者亦为98例。通过应用照顾者负担量表,对所有照顾者的负担程度进行评估,对脑胶质瘤手术患者主要照顾者照顾负担水平不同因素进行单因素分析,并对影响脑胶质瘤手术患者主要照顾者照顾负担水平的因素进行多因素logistic回归分析。结果主要照顾者照顾负担水平单因素分析显示,性别、疾病类型、受教育程度、居住地、就业状况等因素CBI评分差异无统计学意义(P>0.05);年龄、家庭人均月收入、照顾者身份、照顾者焦虑、社会支持程度等因素CBI评分差异有统计学意义(P<0.05)。多因素logistic分析显示,年龄≥40岁、家庭人均月收入<4000元、照顾者身份为其他亲属、照顾者存在焦虑、社会支持程度低为影响脑胶质瘤手术患者主要照顾者照顾负担水平的独立危险因素,差异有统计学意义(P<0.05)。结论应重点关注年龄较大、家庭月收入较低、由其他亲属担任照顾者角色、照顾者存在焦虑情绪以及社会支持程度较低的照顾者群体,并针对上述不同因素采取相应的健康教育措施,以有效减轻照顾者的负担。Objective To explore and analyzed influencing factors of burden level of primary caregivers for patients with brain glioma surgery,and propose health education strategies based on clinical practice experience.Methods The paper chose 98 patients with glioma surgery in our hospital from May 2020 to June 2023,with 98 primary caregivers,evaluated burden rating levels of caregivers with the caregiver burden scale,carried out univariate analysis and multiple logistic regression analysis of different influencing factors of burden level of primary caregivers for glioma surgery patients.Results Univariate analysis of burden level of primary caregivers showed,there was no statistically significant difference in CBI scores of factors including gender,disease type,education level,place of residence and employment status(P>0.05).There was statistically significant difference in CBI scores of factors including age,average monthly household income,caregiver status,caregiver anxiety,and level of social support,(P<0.05).Multivariate logistic analysis showed,age≥40,average monthly household income<4000 yuan,caregiver status of other relatives,anxiety of caregivers,and low social support were independent risk factors for burden level of primary caregivers for glioma surgery patients,with statistically significant difference(P<0.05).Conclusion It is necessary to pay attention to caregivers with older age,lower monthly household income,other relatives of caregivers,anxiety,lower social support level.Corresponding health education should be carried out based on different factors to alleviate burden of caregivers,which is worthy of further and deep research.
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