患者护理教育对中风患者护理负担及照顾者生活质量的影响。
The effect of patient care education on burden of care and the quality of life of caregivers of stroke patients.
作者信息
Hekmatpou D, Mohammad Baghban E, Mardanian Dehkordi L
机构信息
Nursing Department, Arak University of Medical Sciences, Arak, Iran,
Nursing Department, Isfahan University of Medical Sciences, Arak, Iran.
出版信息
J Multidiscip Healthc. 2019 Mar 20;12:211-217. doi: 10.2147/JMDH.S196903. eCollection 2019.
BACKGROUND
Care for stroke patients at home is a very complicated and tough activity.
OBJECTIVE
The study was conducted to examine the effect of patient care education on burden of care and quality of life of caregivers of stroke patients.
MATERIALS AND METHODS
The study was an educational trial conducted on 100 caregivers of the stroke patients in Al-Zahra educational hospital, Isfahan, Iran. The intervention group received some training to empower caregivers in family-oriented care in form of an educational counseling program. Data were collected and analyzed using the questionnaires, including demographic, quality of life Short Form-36, and Zarit burden of care questionnaires.
RESULTS
The mean ages of caregivers were 48.52 years in the intervention and 45.14 years in the control groups. The results indicated significant differences in mean of quality of life and burden of care in the caregivers of the intervention group after intervention (<0.01), which was insignificant in the control group. The average burden on the caregivers of both groups was significantly associated with health status, economic status, marital status, the number of children, care hours, care days, and familial relationship of the caregivers with the patients (<0.01) before intervention. In addition, quality of life of both groups was significantly related to their health status (<0.01) before intervention.
CONCLUSION
Patient care education reduced the burden of care and improved quality of life of the caregivers of stroke patients. Thus, to reduce the complications of caring for stroke patients, family education should be the priority of nursing and discharging procedures.
背景
在家照顾中风患者是一项非常复杂且艰巨的活动。
目的
本研究旨在探讨患者护理教育对中风患者照顾者护理负担和生活质量的影响。
材料与方法
本研究是一项教育试验，对伊朗伊斯法罕扎赫拉教育医院的100名中风患者照顾者进行。干预组通过教育咨询项目接受了一些培训，以增强照顾者在家庭护理方面的能力。使用问卷收集和分析数据，问卷包括人口统计学、生活质量简表36和扎里特护理负担问卷。
结果
干预组照顾者的平均年龄为48.52岁，对照组为45.14岁。结果表明，干预后干预组照顾者的生活质量均值和护理负担存在显著差异（<0.01），而对照组则不显著。干预前，两组照顾者的平均负担与健康状况、经济状况、婚姻状况、子女数量、护理时长、护理天数以及照顾者与患者的家庭关系均显著相关（<0.01）。此外，干预前两组的生活质量均与他们的健康状况显著相关（<0.01）。
结论
患者护理教育减轻了中风患者照顾者的护理负担，提高了他们的生活质量。因此，为减少中风患者护理的并发症，家庭教育应成为护理和出院程序的重点。
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