【摘要】： 目的:探討腦卒中患者非正式照顧者負擔和心理健康狀況及相關(guān)因素分析,為實施干預,減輕腦卒中患者非正式照顧者的負擔,提高患者及其非正式照顧者生活質(zhì)量提供依據(jù)。 方法:采用問卷調(diào)查和訪談相結(jié)合的方式對患者及其非正式照顧者進行調(diào)查,照顧者負擔量表(CBS)用于評價非正式照顧者的負擔水平,綜合醫(yī)院抑郁自評表和焦慮自評表用于評價(HADS)非正式照顧者的心理健康狀況。 結(jié)果:(1)非正式照顧者負擔分值為分56.42±11.77分,負擔的嚴重程度:無負擔7例(11.7%),輕度27例(45.0%),中度26例(43.3%),重度0例。非正式照顧者平均HAD-A得分為6.37±2.06,HAD-D為6.38±2.06,存在有抑郁癥狀的有26例(43.3%),存在有焦慮癥狀有22例(36.7%)。(2)影響非正式照顧者負擔的相關(guān)因素有患者的日常生活能力,患者的MMSE評分,以及非正式照顧者的性別(均P＜0.05);與非正式照顧者焦慮有關(guān)的因素有患者的日常生活能力,患者的MMSE評分,以及患者的家庭經(jīng)濟情況(均P＜0.05);與非正式照顧者抑郁有關(guān)的因素有患者的MMSE評分(P＜0.01) 結(jié)論:非正式照顧者大多有輕到中度負擔,其中,患者日常生活能力較差、認知功能受損較重的患者,其非正式照顧者負擔較重,女性的非正式照顧者負擔重于男性。患者日常生活能力較差、認知功能受損較重,以及家庭經(jīng)濟情況是影響非正式照顧者焦慮情緒的重要因素,而與非正式照顧者抑郁情緒相關(guān)的因素主要是患者的認知受損情況。
[Abstract]:Objective: to explore the burden of informal caregivers and mental health status of stroke patients and the analysis of related factors, so as to provide the basis for intervention, lighten the burden of informal caregivers of stroke patients and improve the quality of life of patients and their informal caregivers. Methods: the patients and their informal caregivers were investigated by questionnaires and interviews. The caregivers burden scale (CBS) was used to evaluate the burden level of informal caregivers. Self-rating Depression scale and self-rating anxiety scale were used to evaluate the mental health status of (HADS) informal caregivers. Results: (1) the score of burden of informal caregivers was 56.42 鹵11.77. The severity of burden was 7 cases (11.7%) without burden, 27 cases (45.0%) with mild burden, 26 cases (43.3%) with moderate burden, and 0 cases with severe burden. The average HAD-A score of informal caretakers was 6.37 鹵2.06HAD-D 6.38 鹵2.06.The depression was found in 26 patients (43.3%). There were 22 cases (36.7%). (2) with anxiety symptoms. The factors related to the burden of informal caregivers were the ability of daily living, the MMSE score of the patients and the sex of the informal caregivers (all P < 0. 05). The factors related to the anxiety of the informal caregivers were the ability of daily living, the MMSE score of the patients, and the family economic situation of the patients (all P < 0. 05). The factors related to depression of informal caregivers were MMSE score of patients (P < 0. 01) conclusion: most of informal caregivers had mild to moderate burden, among them, patients with poor ability of daily living and severely impaired cognitive function, The burden of informal caregivers is heavy, and that of women is heavier than that of men. The poor ability of daily life, the severe impairment of cognitive function, and the family economic condition are the important factors to affect the anxiety of informal caregivers, while the main factors related to the depression of informal caregivers are cognitive impairment.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2008
【分類號】：R743.3;R395

【引證文獻】

相關(guān)碩士學位論文 前2條

1 王曉峰;腦卒中患者的家屬照顧者抑郁焦慮狀況及影響因素分析[D];中南大學;2011年

2 趙雪萍;協(xié)同護理對提高腦卒中家屬照顧者照顧能力及生活質(zhì)量的研究[D];蘇州大學;2011年

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本文編號：2389925