摘要
[目的]探讨中青年和老年脑卒中病人过渡期康复状况及其照顾者负担的影响因素。[方法]采用一般资料调查表、改良Barthel指数评定量表、移动指数量表(RMI)、抑郁自评量表(SDS)对我院康复科出院6个月的脑卒中病人进行横断面调查,并对中青年和老年脑卒中病人的康复状况和照顾者负担进行比较,探讨照顾者负担的影响因素。[结果]中青年和老年脑卒中病人在每周康复锻炼、功能障碍种数、抑郁情况、改良Barthel指数、移动指数和照顾者负担方面差异有统计学意义(P<0.05);多因素分析显示:抑郁、饮酒、个人收入满意渡是中青年和老年脑卒中病人过渡期照顾者负担的影响因素。[结论]应根据脑卒中病人不同年龄实施不同的过渡期康复护理措施,同时要对照顾者采取有针对性的措施,以减轻照顾者负担,提高照顾质量。
Objective: To probe into the rehabilitation s tatus of young and middle aged and elderly patients with stroke during transitional period and influencing factors of burden of caregivers. Methods: The general data questionnaire,the modified Barthel index rating scale,the moving index scale (RMI) and the selsion Scale (SDS) were used,a c ross -sectional survey was conducted for patients with stroke in department ofrehabilitation in our hospital 6 months after discharge. A comparative analysis of rehabilitation s tatus and care-giver's burden were carried out among young and middle -aged and elderly patients with stroke,and discussed influencing factors of caregiver burden. Results : Young and middle -aged and elderly patients with stroke were different in terms of weekly rehabilitation training , number of species of dysfunction, depression, modified Bar-thel index, and caregiver burden (P〈0. 05). Multivariate analysis showed that depression, alcoholand personal income satisfaction were the influencing factors of the burden of care for young and middle - agedand elderly patients with s troke. Conclusion : Different rehabilitation nursing measures should be implemented according to different ages in the rehabilitation nursing during transitional period of stroke pat ients. At the same time,one should take targeted measures to reduce caregivers' burden and improve the quality of care.
出处
《护理研究(中旬版)》
2017年第2期547-550,共4页
Chinese Nursing Researsh
基金
四川省软科学研究计划项目
编号:2016ZR0084
关键词
脑卒中
过渡期
康复
照顾者负担
影响因素
中青年
老年
抑郁
stroke
transitional period
rehabi litation
caregiver's burden
influencing factors
young and middle- aged
elderly
depression