成人肝移植受者家庭照顾者照顾负担的单中心研究  

Analysis of family caregivers’care burden for adult liver transplant recipients:a single center’s experience

作　　者：宫月乔 柳国芳[2] 孙文娟[2] 饶伟[2] 韩晶[1] Gong Yueqiao;Liu Guofang;Sun Wenjuan;Rao Wei;Han Jing(School of Nursing,Qingdao University,Shandong Qingdao 266021,China;Liver Disease Center,the Affiliated Hospital of Qingdao University,Shandong Qingdao 266000,China)

机构地区：[1]青岛大学护理学院,山东青岛266021 [2]青岛大学附属医院肝脏病中心,山东青岛266000

出　　处：《实用器官移植电子杂志》2025年第1期23-27,共5页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：青岛市医药卫生科研基金面上项目(2023-WJZD064)。

摘　　要：目的调查肝移植受者家庭照顾者的照顾负担现状,并探讨其影响因素。方法采用便利抽样法,选取2022年6月至2022年12月青岛大学附属医院器官移植中心就诊的肝移植受者的家庭照顾者为研究对象。使用一般资料调查问卷、Zarit照顾者负担量表对205例成人肝移植受者的家庭照顾者进行问卷调查。结果肝移植受者家庭照顾者照顾负担得分为(28.84±14.33)分,中、重度照顾负担水平者占67.8%。单因素分析显示,肝移植受者有无术后并发症及其自理能力情况,家庭照顾者有无其他疾病、家庭月收入、日照顾时间及总的照顾时间在照顾负担水平上差异有统计学意义(P<0.05)。多元线性回归结果显示,肝移植受者的自理能力情况和家庭照顾者自身有无其他疾病是照顾负担的影响因素(P<0.05)。结论肝移植受者其家庭照顾者存在一定程度的照顾负担,医务人员在为受者提供护理的同时,也要关注其家庭照顾者,及时采取针对性的干预措施降低照顾负担水平,提高整体生活质量。Objective To investigate the care burden of family caregivers of liver transplant recipients and to explore its influencing factors.Methods Convenience sampling method was used to select the family caregivers of liver transplant recipients who visited the Organ Transplantation Center of Qingdao University Affiliated Hospital from June 2022 to December 2022 as the research subjects.A total of 205 family caregivers of adult liver transplant recipients were selected by convenience sampling method and investigated with the General Information Questionnaire:Zarit Caregiver Burden Interview(ZBI).Results The score of caregiver burden of liver transplant recipients was(28.84±14.33),and 67.8%of them had moderate and severe level of caregiver burden.Univariate analysis showed that there were statistically significant differences in the level of care burden between liver transplant recipients with postoperative complications and their self-care ability,family caregivers with other diseases,family monthly income,daily care time and total caring time(P<0.05).Multiple linear regression results showed that the self-care ability of liver transplant recipients and whether family caregivers had other diseases were the influencing factors of care burden(P<0.05).Conclusion The family caregivers of liver transplant recipients have a certain degree of care burden.While providing nursing care for recipients,medical staff should also pay attention to their family caregivers and take timely targeted interventions to reduce the care burden and improve the overall quality of life.

关 键 词：肝移植 家庭照顾者 照顾负担 影响因素 

分 类 号：R47[医药卫生—护理学]