冠状动脉搭桥手术患者配偶的照料者负担及照料结果
Caregiver burden and outcomes of caregiving of spouses of patients who undergo coronary artery bypass graft surgery.
作者信息
Halm Margo A, Treat-Jacobson Diane, Lindquist Ruth, Savik Kay
机构信息
United Hospital, St Paul, MN 55102, USA.
出版信息
Heart Lung. 2007 May-Jun;36(3):170-87. doi: 10.1016/j.hrtlng.2006.08.003.
BACKGROUND
Patients who undergo coronary artery bypass graft surgery often rely on spouses for care during recovery. Although often meaningful, caregiving may be stressful and affect spouses' ability to provide care to the patient.
OBJECTIVES
The purpose of this study was to compare burden and caregiving outcomes across three groups of spouses. Spouse groups varied by the interval of time between surgery and follow-up, which may have been 3, 6, or 12 months.
METHODS
This cross-sectional comparative study recruited a convenience sample of 166 spouses on the basis of a power analysis. A total of 166 spouses completed caregiver surveys on burden and other caregiving outcomes.
RESULTS
Total, objective, and subjective burden levels were low to moderate. Although no burden differences were found between groups, men had higher total burden but more positive caregiving outcomes. Future outlook and social activities were less positive in the 6-month group. Burden levels were not lower, nor were caregiving outcomes higher, in the 12-month group, suggesting a steady caregiving demand across the first year after coronary artery bypass graft surgery.
CONCLUSION
Longitudinal investigations are needed to understand burden and caregiving outcomes over time and the impact of burden on spousal and patient recovery outcomes.
背景
接受冠状动脉旁路移植手术的患者在康复期间通常依赖配偶提供护理。尽管护理往往意义重大,但也可能带来压力,并影响配偶照顾患者的能力。
目的
本研究旨在比较三组配偶的负担及护理结果。配偶组根据手术与随访之间的时间间隔分为三组,时间间隔可能为3个月、6个月或12个月。
方法
本横断面比较研究基于功效分析,招募了166名配偶作为便利样本。共有166名配偶完成了关于负担及其他护理结果的照顾者调查问卷。
结果
总体负担、客观负担和主观负担水平为低到中度。尽管各组之间未发现负担差异,但男性的总体负担较高,但护理结果更积极。6个月组的未来展望和社交活动较不乐观。12个月组的负担水平没有更低,护理结果也没有更高,这表明冠状动脉旁路移植手术后的第一年,护理需求稳定。
结论
需要进行纵向调查,以了解随时间推移的负担及护理结果,以及负担对配偶和患者康复结果的影响。