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冠状动脉搭桥手术患者的配偶照顾者:低照顾需求与高照顾需求照顾者之间的差异。

Spousal Caregivers of Coronary Artery Bypass Surgery Patients: Differences between Caregivers with Low vs. High Caregiving Demands.

作者信息

Park Esther O, Yates Bernice C, Meza Jane, Kosloski Karl, Pullen Carol

机构信息

Nursing Department, Daegu University, Daegu, Korea.

College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

Rehabil Nurs. 2016 Sep;41(5):260-9. doi: 10.1002/rnj.252. Epub 2015 Nov 6.

Abstract

PURPOSE

Compared to non-caregivers, caregivers have higher rates of depressive symptoms, caregiver strain, less mutuality, and health care visits. However, few investigators have examined family caregivers after coronary artery bypass (CAB) surgery. The purpose of this study was to examine differences in caregiving difficulties, mutuality (i.e., open communication; avoiding sad thoughts), and depressive symptoms based on low vs. high caregiving demands among spousal caregivers.

DESIGN

A descriptive, comparative design was used to examine 33 spousal caregivers of CAB surgery patients (16 in low and 17 in high caregiving demand groups).

METHODS

Measures included: Caregiving Burden Scale, Mutuality and Interpersonal Sensitivity Scale, and Patient Health Questionnaire-9. Groups were compared using Mann-Whitney U statistics.

FINDINGS

It was found that caregivers with high caregiving demands reported more caregiving difficulties and more open communication about the surgery compared to caregivers with low demands.

CONCLUSION

Caregivers with greater caregiving demands may need additional support to assist them with the caregiving situation.

CLINICAL RELEVANCE

Priority should be given to family caregivers, who take care of patients in cardiac rehabilitation, with higher caregiving demand.

摘要

目的

与非照料者相比,照料者出现抑郁症状、照料者压力、较少的相互性以及更多医疗保健就诊的比率更高。然而,很少有研究者对冠状动脉搭桥术(CAB)后的家庭照料者进行过研究。本研究的目的是基于配偶照料者的照料需求高低,来考察照料困难、相互性(即开放沟通;避免消极想法)和抑郁症状方面的差异。

设计

采用描述性比较设计,对33名CAB手术患者的配偶照料者(16名低照料需求组和17名高照料需求组)进行研究。

方法

测量工具包括:照料负担量表、相互性与人际敏感性量表以及患者健康问卷-9。使用曼-惠特尼U统计量对两组进行比较。

结果

发现与低需求照料者相比,高需求照料者报告了更多的照料困难以及更多关于手术的开放沟通。

结论

具有更高照料需求的照料者可能需要额外的支持来帮助他们应对照料情况。

临床意义

应优先关注在心脏康复中照料需求较高的家庭照料者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01a1/4860178/d6e22232331e/nihms-723202-f0001.jpg

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