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重度残疾战争幸存者照料者的生活质量

Quality of life in caregivers of severely disabled war survivors.

作者信息

Mousavi Batool, Seyed Hoseini Davarani Seyed Hosein, Soroush Mohammadreza, Jamali Arsia, Khateri Shahriar, Talebi Morteza, Montazeri Ali

机构信息

Prevention Department, Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran.

Emam Hospital Emergency Department, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Rehabil Nurs. 2015 May-Jun;40(3):139-47. doi: 10.1002/rnj.159. Epub 2014 Aug 11.

Abstract

PURPOSE

To evaluate quality of life (QOL) of caregivers of severely disabled war survivors and identify variables threatening caregivers' QOL.

METHODS

A cross-sectional study was performed on 532 caregivers of Iran-Iraq war related injured survivors by using Persian version of 36-item Short Form Health Survey (SF-36).

FINDINGS

Caregivers had lower QOL compared to the Iranian female population (p < .001). Caregivers of amputees had better SF-36 scores compared to caregivers of two groups of chemical warfare survivors (p ranging from .01 to <.001). Caregiving to chemical warfare and being married at the time of trauma were the independent predictors of poor QOL in both the physical component summary (OR = 5.08, 95% CI = 3.35-7.7; OR = 0.57, 95% CI = 0.37-0.89) and the mental component summary (OR = 4.12, 95% CI = 2.68-6.32; OR = 0.63, 95% CI = 0.40-0.98).

CONCLUSION AND CLINICAL RELEVANCE

Caregivers of war veterans suffer from poor QOL. Chemical warfare agents contribute to more persistent poor QOL in caregivers than the injuries caused by conventional weapons.

摘要

目的

评估重度残疾战争幸存者照料者的生活质量(QOL),并确定威胁照料者生活质量的变量。

方法

采用波斯语版36项简短健康调查问卷(SF-36),对532名与两伊战争相关的受伤幸存者的照料者进行了横断面研究。

结果

与伊朗女性人群相比,照料者的生活质量较低(p <.001)。与两组化学战幸存者的照料者相比,截肢者的照料者SF-36得分更高(p值范围为.01至<.001)。照料化学战幸存者以及在受伤时已婚是身体成分总结(OR = 5.08,95% CI = 3.35 - 7.7;OR = 0.57,95% CI = 0.37 - 0.89)和心理成分总结(OR = 4.12,95% CI = 2.68 - 6.32;OR = 0.63,95% CI = 0.40 - 0.98)中生活质量差的独立预测因素。

结论及临床意义

退伍军人的照料者生活质量较差。与常规武器造成的伤害相比,化学战剂导致照料者的生活质量更持久地变差。

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