Liu Jui-Fang, Lu Man-Chi, Fang Tien-Pei, Yu Hong-Ren, Lin Hui-Ling, Fang Der-Long
Department of Respiratory Therapy, Chang Gung Memorial Hospital-Kaohsiung Medical Center and Chang Gung University College of Medicine Department of Education, National Kaohsiung Normal University, Kaohsiung Department of Respiratory Therapy, Chang Gung University of Science and Technology Department of Respiratory Therapy, Chang Gung Memorial Hospital at Chiayi, Chiayi Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center and Chang Gung University College of Medicine, Kaohsiung Department of Respiratory Therapy, Chang Gung University, Taoyuan, Taiwan.
Medicine (Baltimore). 2017 Jul;96(27):e7396. doi: 10.1097/MD.0000000000007396.
Caring for prolonged mechanical ventilation (PMV) patients imposes heavy psychological, physical, social, and financial burdens on caregivers. Currently, studies regarding the burden on caregivers of PMV patients are scant; therefore, the present study investigated the burden on caregivers of PMV patients.This cross-sectional study was approved by the Institutional Review Board of Zuoying Armed Forces General Hospital. A survey was conducted among the caregivers of PMV patients who were admitted to a chronic respiratory care ward (RCW) or were receiving home care from June to December 2010. The survey included basic demographic information of PMV patients and their caregivers and the Burden Assessment Scale scores for 4 domains comprising a total of 21 questions (physical burden, n = 5; psychological burden, n = 6; social burden, n = 6; financial burden, n = 4). Statistical analyses were conducted using the t test, 1-way analysis of variance with the Scheffé post hoc test, and the chi-square test, and P < .05 was considered statistically significant.A total of 160 caregivers (age, 50-53 years) were recruited (n = 80 each in the home care and RCW groups), and most of these caregivers were married women. Due to insufficient sleep, physical exhaustion, back pain, and caregiving, home caregivers had significantly higher physical burden levels than RCW caregivers (P < .01).Home caregivers experienced higher physical burden levels than RCW caregivers. Therefore, clinical and professional support must be provided to home caregivers of PMV patients.
照顾长期机械通气(PMV)患者给照顾者带来了沉重的心理、身体、社会和经济负担。目前,关于PMV患者照顾者负担的研究很少;因此,本研究调查了PMV患者照顾者的负担。
这项横断面研究得到了左营三军总医院机构审查委员会的批准。对2010年6月至12月入住慢性呼吸护理病房(RCW)或接受家庭护理的PMV患者的照顾者进行了一项调查。该调查包括PMV患者及其照顾者的基本人口统计学信息,以及由21个问题组成的4个领域的负担评估量表得分(身体负担,n = 5;心理负担,n = 6;社会负担,n = 6;经济负担,n = 4)。使用t检验、带有谢费尔事后检验的单因素方差分析和卡方检验进行统计分析,P <.05被认为具有统计学意义。
共招募了160名照顾者(年龄50 - 53岁)(家庭护理组和RCW组各80名),这些照顾者大多是已婚女性。由于睡眠不足、身体疲惫、背痛和照顾工作,家庭照顾者的身体负担水平显著高于RCW照顾者(P <.01)。
家庭照顾者的身体负担水平高于RCW照顾者。因此,必须为PMV患者的家庭照顾者提供临床和专业支持。