Menati Lida, Torabi Yousef, Andayeshgar Bahare, Khatony Alireza
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Psychol Res Behav Manag. 2020 Feb 5;13:133-140. doi: 10.2147/PRBM.S233103. eCollection 2020.
The purpose of this study was to investigate the relationship between care burden and coping strategies in caregivers of hemodialysis patients.
This cross-sectional survey was conducted from September to December 2018 in Kermanshah, Iran. A total of 130 caregivers of patients admitted to the hemodialysis wards of Imam Reza and Imam Khomeini hospitals of Kermanshah, Iran were selected via convenience sampling. Data-collection tools included a demographic information form, caregiver-burden inventory, and coping inventory for stressful situations. Data were analyzed using descriptive and analytical tests.
The mean age of the caregivers was 35.8±13.7 years, and 71 (54.6%) were patients' children. The mean caregiver-burden score was 58.5±20.5 out of 96. Mean scores of time-dependent, evolutionary, physical, social, and emotion-dependent care burdens were 17.5±5.3, 12.2±6.3, 9.1±4.7, 8.2±4.0, and 11.4±5.1, respectively. Mean scores of problem-focused, emotion-focused, and avoidance-oriented coping strategies were 46.0±80.8, 43.1±9.0, and 48.9±9.5, respectively. Among the strategies, only the avoidance-oriented one had a significant positive relationship with total care burden and all its subscales.
Caregivers of hemodialysis patients experienced a relatively high care burden. However, they did not use appropriate coping strategies; therefore, they should be trained to select an effective coping strategy.
本研究旨在调查血液透析患者照顾者的照顾负担与应对策略之间的关系。
本横断面调查于2018年9月至12月在伊朗克尔曼沙赫进行。通过便利抽样，选取了伊朗克尔曼沙赫伊玛目礼萨医院和伊玛目霍梅尼医院血液透析病房的130名患者照顾者。数据收集工具包括人口统计学信息表、照顾者负担量表和应激情况应对量表。使用描述性和分析性测试对数据进行分析。
照顾者的平均年龄为35.8±13.7岁，71名（54.6%）是患者的子女。照顾者负担量表的平均得分为96分中的58.5±20.5分。时间依赖性、发展性、身体性、社会性和情感依赖性照顾负担的平均得分分别为17.5±5.3、12.2±6.3、9.1±4.7、8.2±4.0和11.4±5.1。以问题为中心、以情感为中心和回避导向的应对策略的平均得分分别为46.0±8.08、43.1±9.0和48.9±9.5。在这些策略中，只有回避导向的策略与总照顾负担及其所有子量表有显著的正相关关系。
血液透析患者的照顾者经历了相对较高的照顾负担。然而，他们没有使用适当的应对策略；因此，应该对他们进行培训，以选择有效的应对策略。
