本文選題：失能老人 + 家庭照顧者��； 參考：《南昌大學(xué)》2014年碩士論文

【摘要】：目的： 描述失能老人照顧者的護(hù)理負(fù)擔(dān)、社會支持、家庭功能，分析它們之間關(guān)系，探討如何減輕失能老人照顧者護(hù)理負(fù)擔(dān)，從而為提高失能老人及其照顧者的生存質(zhì)量提供科學(xué)依據(jù)。 方法： 采用橫斷面調(diào)查研究設(shè)計(jì)，，從江西省南昌市三個(gè)行政區(qū)(東湖區(qū)、西湖區(qū)和青云譜區(qū))分別抽取10個(gè)社區(qū)服務(wù)中心，對符合本課題納入標(biāo)準(zhǔn)的社區(qū)失能老人照顧者進(jìn)行面對面調(diào)查，利用Zarit護(hù)理負(fù)擔(dān)量表(ZBI)、社會支持評定量表（SSRS）、家庭功能評定量表(FAD)分別測定失能老人的護(hù)理負(fù)擔(dān)、社會支持、家庭功能情況，將收集的資料利用統(tǒng)計(jì)軟件spss17.0進(jìn)行描述性統(tǒng)計(jì)分析和推斷性統(tǒng)計(jì)分析。 結(jié)果： ⑴男性失能老人照顧者的護(hù)理負(fù)擔(dān)得分高于女性（p0.05）;有反常行為的失能老人照顧者護(hù)理負(fù)擔(dān)高于無反常行為者（p 0.01）；自理能力完全受限的老人照顧者護(hù)理負(fù)擔(dān)得分高于部分受限者（p 0.01）；失能老人患病時(shí)間≤1年和照顧者護(hù)理時(shí)間≤1年的護(hù)理負(fù)擔(dān)得分高于其他組（p 0.05）；患腦卒中的失能老人照顧者護(hù)理負(fù)擔(dān)得分高于其他組（p 0.05）。 ⑵失能老人照顧者護(hù)理負(fù)擔(dān)與失能老人的自理程度、照顧者家庭的問題解決、溝通、角色、情感反應(yīng)、行為控制功能以及家庭總體功能呈正相關(guān)；與社會支持呈負(fù)相關(guān)。 ⑶失能老人照顧者獲得的社會支持處于中等水平，所占比例為62.6%；獲得高水平社會支持的照顧者護(hù)理負(fù)擔(dān)得分低于其他組（p＜0.05）。 ⑷失能老人照顧者家庭的總體功能未見不良；家庭情感反應(yīng)和行為控制功能不良，情感介入功能出現(xiàn)弱化。 ⑸多因素回歸分析影響失能老人照顧者護(hù)理負(fù)擔(dān)總分、角色負(fù)擔(dān)的關(guān)鍵因素為：失能老人自理程度、性別；影響失能老人照顧者個(gè)人負(fù)擔(dān)的關(guān)鍵因素為：失能老人自理程度、性別、反常行為和家庭角色功能。 結(jié)論： (1)失能老人照顧者護(hù)理負(fù)擔(dān)，社會支持水平分別處于低、中水平，家庭總體功能未見不良，情感反應(yīng)與行為控制功能出現(xiàn)不良，情感介入功能弱化。 (2)失能老人自理程度越高、無反常行為、家庭角色適應(yīng)良好、社會支持利用度越高，照顧者的護(hù)理負(fù)擔(dān)越低。 (3)對于男性患有腦卒中的失能老人、有反常行為、自理程度低、患病時(shí)間和被護(hù)理時(shí)間≤1年、家庭功能不良、社會支持水平低的照顧者，應(yīng)給與更多干預(yù)和支持。
[Abstract]:Objective: to describe the nursing burden, social support, family function, analyze the relationship between them, and discuss how to reduce the nursing burden of the disabled elderly caregivers. It provides scientific basis for improving the quality of life of the disabled elderly and their caregivers. Methods: ten community service centers were selected from three administrative regions of Nanchang City, Jiangxi Province (Donghu District, Xihu District and Qingyun Spectrum region) by cross-sectional investigation and design. A face to face investigation was carried out on the elderly caregivers who met the criteria included in this study. The care burden and social support of the disabled elderly were measured by the Zarit Nursing burden scale, the Social support rating scale (SSRSN), the Family function Assessment scale (FAD), respectively, and the nursing burden and social support of the disabled elderly were measured by the Zarit Nursing burden scale, the Social support scale and the Family function Assessment scale respectively. The data collected were analyzed by descriptive statistical analysis and inferential statistical analysis using statistical software spss17.0. Results: (1) the nursing burden of male elderly caregivers with disability was higher than that of women (p 0.05), and the nursing burden of disabled elderly caregivers with abnormal behavior was higher than that of those without abnormal behaviors (P 0.01). The scores of nursing burden of elderly carers with complete limitation of self-care ability were higher than those of some restricted persons (P < 0.01), and those of disabled elderly patients with illness time 鈮

本文編號：2033292