摘要
[目的]调查诱导期血液透析病人家庭照顾者负担现状及其影响因素。[方法]采用一般情况调查表、病人日常生活能力量表(ADL)、照顾者负担问卷(CBI)、领悟社会支持量表(PSSS)对513例诱导期血液透析病人及513名家庭照顾者进行调查。[结果]诱导期血液透析病人家庭照顾者负担总分为(42.71±12.29)分,93.9%的家庭照顾者存在不同程度的照顾负担。病人日常生活能力、照顾者领悟社会支持、照顾者对血液透析的了解程度、照顾者家庭人均月收入是家庭照顾者负担的影响因素。[结论]诱导期血液透析病人家庭照顾者普遍存在不同程度的照顾负担,医护人员在提高病人日常生活能力和家庭照顾者社会支持水平基础上,根据诱导期的特点加强对家庭照顾者血液透析相关知识及技能的宣教与指导,对减轻照顾者负担、减少病人诱导期血液透析并发症的发生、使病人平稳过渡到维持期、提高病人及其家庭照顾者的生活质量十分重要。
Objective:To investigate the status quo of burden of family caregivers of hemodialysis(HD)patients in induction period and analyze the influencing factors.Methods:A total of 513 patients in induction period and their 513 family caregivers were investigated by using general condition questionnaire,patient Activity of Daily Living Scale(ADL),Caregiver Burden Inventory(CBI)and Perceived Social Support Scale(PSSS).Results:The total scale of burden of the family caregivers of HD patients in the induction period was(42.71±12.29).93.9%of caregivers had different level of care burden.Activities of daily living of patients,perceived social support of caregivers,knowledge of caregivers about hemodialysis,and per capita monthly income of caregivers were the influencing factors of family caregivers′burden.Conclusions:The family caregivers of HD patients during induction period generally had different level of care burden.On the basis of improving the daily living ability of patients and the social support level of caregivers,according to the characteristics of induction period,medical and nursing staff should strengthen the knowledge education and skills guidance related to HD of caregivers.It is very important to reduce the burden of caregivers and the occurrence of complications of HD patients in induction period,to make a smooth transition in maintenance period for patients and improve the quality of life of patients and their caregivers.
作者
苗金红
王看看
王晓星
张晓雅
雷雨田
MIAO Jinhong;WANG Kankan;WANG Xiaoxing;ZHANG Xiaoya;LEI Yutian(Department of Quality Control Division,the First Affiliated Hospital of Zhengzhou University,Henan 450052,China)
出处
《全科护理》
2020年第21期2714-2718,共5页
Chinese General Practice Nursing
基金
河南省高等学校重点科研项目计划,编号:15A310014。
关键词
诱导期血液透析
照顾者负担
影响因素
induction hemodialysis
caregiver burden
influencing factors
