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卧床患者照顾者负担的预测因素。

Predictors of Caregiver Burden in Caregivers of Bedridden Patients.

机构信息

MSc, Specialist Nurse, Home Health Services Coordination Center, Üsküdar State Hospital, Istanbul, Turkey.

PhD, Assistant Professor, Faculty of Health Sciences, Department of Nursing, Bezmialem Vakif University, Istanbul, Turkey.

出版信息

J Nurs Res. 2019 Jun;27(3):e24. doi: 10.1097/jnr.0000000000000297.

Abstract

BACKGROUND

Caregivers are at risk of experiencing caregiver burden. It is therefore important to determine the caregiver burden of caregivers who provide care to bedridden patients and related factors.

PURPOSE

The aim of this study was to determine the caregiver burden of caregivers who provide care to bedridden patients and the factors that impact this burden.

METHODS

This cross-sectional study was executed at a state hospital in Istanbul, Turkey, on bedridden patients registered in the home healthcare unit and their caregivers. During study period, the researchers made 312 visits to patients and their caregivers. A sociodemographic questionnaire, the Burden Interview, and the Katz Index of Independence in Activities of Daily Living were used to collect data. Descriptive statistics, an independent sample t test, one-way analysis of variance, and stepwise multiple regression analysis were used for data analysis.

RESULTS

The participants reported a moderate level of caregiver burden. Existing caregiver health problems, caregiver employment status, the ability of the caregiver to maintain his or her own good health, type of home, and the degree of patient dependence in terms of activities of daily living were each found to be significant predictors of caregiver burden.

CONCLUSIONS/IMPLICATIONS OF PRACTICE: The support provided to caregivers by home healthcare units is important in terms of protecting the physical, mental, and social health conditions of caregivers and preventing the exacerbation of caregiver burden.

摘要

背景

照料者有体验照料者负担的风险。因此,确定为卧床患者提供护理的照料者的照料者负担及其相关因素非常重要。

目的

本研究旨在确定为卧床患者提供护理的照料者的照料者负担及其影响因素。

方法

本横断面研究在土耳其伊斯坦布尔的一家州立医院进行,研究对象为居家医疗护理单元登记的卧床患者及其照料者。在研究期间,研究人员对患者及其照料者进行了 312 次访问。采用社会人口学问卷、负担访谈和 Katz 日常生活活动独立性指数收集数据。采用描述性统计、独立样本 t 检验、单因素方差分析和逐步多元回归分析进行数据分析。

结果

参与者报告了中度的照料者负担。现有的照料者健康问题、照料者的就业状况、照料者保持自身良好健康的能力、家庭类型以及患者日常生活活动的依赖程度,均被发现是照料者负担的显著预测因素。

结论/实践意义:居家医疗护理单元为照料者提供的支持,对于保护照料者的身心健康,防止照料者负担加重具有重要意义。

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