中青年脑卒中患者家庭照顾者获益感潜在剖面分析及影响因素研究  

Latent profile analysis and influencing factors of the perceived benefits in family caregivers of young and middle-aged stroke patients

作　　者：韩婧芸 苏炜炜 刘淼[1] 崔悦 王劲玥 金奕[3] HAN Jingyun;SU Weiwei;LIU Miao;CUI Yue;WANG Jinyue;JIN Yi(Clinical College of Neurology,Neurosurgery and Neuro Rehabilitation,Tianjin Medical University,Tianjin 300350;Graduate School,Tianjin University of Traditional Chinese Medicine;Tianjin Huanhu Hospital)

机构地区：[1]天津医科大学神经内外科及神经康复临床学院,天津300350 [2]天津中医药大学研究生院 [3]天津市环湖医院

出　　处：《天津护理》2025年第1期23-29,共7页Tianjin Journal of Nursing

摘　　要：目的:探究中青年脑卒中患者家庭照顾者获益感的潜在类别特征,分析不同类别照顾者特征差异及影响因素。方法:采用便利抽样法,2023年10月至2024年4月选取天津市某三级甲等神经专科医院的中青年脑卒中住院患者的家庭照顾者作为调查对象。采用脑卒中照顾者获益感问卷进行调查。分析家庭照顾者获益感的潜在类别,采用无序多分类Logistic回归分析相关影响因素。结果:家庭照顾者的获益感特征分为3个类别:“低获益-个人与家庭成长欠缺组”(39.4%)、“中等获益-高自我升华组”(32.9%)、“高获益-中等自我升华组”(27.7%)。应对方式、社会支持水平、有无共同照顾者、照顾者负担水平、患者卒中次数及职业状态是中青年脑卒中患者家庭照顾者获益感潜在剖面分类的影响因素。结论:中青年脑卒中患者家庭照顾者获益感存在明显的分类特征,建议医护人员根据不同类别获益感特征采取针对性的干预措施,以提升家庭照顾者获益感水平。Objective:To explore potential categories of characteristics of family caregivers′perceived benefit for young and middle-aged stroke patients,and to analyze differences in caregiver characteristics across categories and the factors that influence them.Methods:A convenience sampling method was used to select family caregivers of young and middle-aged stroke patients hospitalized at a gradeⅢand first-class neurological hospital in Tianjin from October 2023 to April 2024.The Stroke Caregiver Benefit Scale(CBS)was used for data collection.The potential categories of family caregivers were analyzed,and unordered multinomial logistic regression was used to analyze the relevant influencing factors.Results:The perceived benefit characteristics of family caregivers were categorized into 3 categories,including the"Low benefit-Lack of personal and family growth"(39.4%),"Moderate benefit-High self-transcendence"(32.9%),and"High benefit-Moderate self-transcendence"(27.7%).The results of unordered multinomial logistic regression analyses showed that coping style,social support levels,presence of a co-caregiver,caregiver burden levels,frequency of stroke events,and employment status were the factors influencing the perception of benefit for family caregivers of young and middle-aged stroke patients.Conclusion:There are obvious categorical characteristics of family caregivers in young and middle-aged stroke patients.It is recommended that medical staff take targeted interventions according to different types of perceived benefit characteristics to enhance the caregivers′sense of benefit.

关 键 词：中青年脑卒中 家庭照顾者 获益感 潜在剖面分析 

分 类 号：R473.74[医药卫生—护理学]