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慢性阻塞性肺疾病患者护理负担的评估

Assessment of the burden of caregiving for patients with chronic obstructive pulmonary disease.

作者信息

Pinto Renata A, Holanda Marcelo A, Medeiros Marta M C, Mota Rosa M S, Pereira Eanes D B

机构信息

Department of Medicine, Federal University of Ceará, Brazil.

出版信息

Respir Med. 2007 Nov;101(11):2402-8. doi: 10.1016/j.rmed.2007.06.001. Epub 2007 Jul 12.

Abstract

OBJECTIVE

To determine the effect of chronic obstructive pulmonary disease (COPD) on the quality of life of caregivers.

DESIGN AND METHODS

A cross-sectional study was carried out with forty-two COPD patients and their primary caregivers. Patients were assessed with the medical outcome survey short form (SF-36), the physical and mental component summary (PCS and MCS), Saint George's respiratory questionnaire (SGRQ), 6-min walking test, and spirometric and blood gas measurements. Caregivers were assessed using the medical outcome survey short form (SF-36), the physical and mental component summary (PCS and MCS), the 5-point Likert scale for measuring caregiver/patient relationships and the caregiver burden scale (CB scale).

RESULTS

The majority of caregivers were female (85.3%), married (59%) and had low levels of income and schooling. The mean age was 51.6+/-16 years. Mean caregiver PCS and MCS scores were 45.9+/-10 and 46+/-12, while the mean total burden score was 1.79+/-0.6. The regression analysis showed caregiver/patient relationship quality, caregiver MCS scores and patient PCS scores to be important predictors of burden and explained 63% of the variance.

CONCLUSIONS

COPD causes a significant impact on the quality of life of caregivers. The two most important predictors of COPD burden are the relationship between caregivers and patients and caregiver MCS scores.

摘要

目的

确定慢性阻塞性肺疾病(COPD)对照顾者生活质量的影响。

设计与方法

对42例慢性阻塞性肺疾病患者及其主要照顾者进行了一项横断面研究。使用医学结局简明量表(SF - 36)、生理和心理成分汇总量表(PCS和MCS)、圣乔治呼吸问卷(SGRQ)、6分钟步行试验以及肺功能和血气测量对患者进行评估。使用医学结局简明量表(SF - 36)、生理和心理成分汇总量表(PCS和MCS)、用于测量照顾者/患者关系的5点李克特量表以及照顾者负担量表(CB量表)对照顾者进行评估。

结果

大多数照顾者为女性(85.3%),已婚(59%),收入和受教育程度较低。平均年龄为51.6±16岁。照顾者的平均PCS和MCS得分分别为45.9±10和46±12,而平均总负担得分为1.79±0.6。回归分析表明,照顾者/患者关系质量、照顾者MCS得分和患者PCS得分是负担的重要预测因素,可解释63%的方差。

结论

慢性阻塞性肺疾病对照顾者的生活质量有显著影响。慢性阻塞性肺疾病负担的两个最重要预测因素是照顾者与患者之间的关系以及照顾者MCS得分。

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