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慢性心血管疾病患者非专业照护者的需求、加重因素和倦怠程度。

Needs, Aggravation, and Degree of Burnout in Informal Caregivers of Patients with Chronic Cardiovascular Disease.

机构信息

Department of Health Sciences, University of Opole, 68 Katowicka Street, 45-060 Opole, Poland.

Medical and Diagnostic Centre (MDC), 08-100 Siedlce, Poland.

出版信息

Int J Environ Res Public Health. 2020 Sep 3;17(17):6427. doi: 10.3390/ijerph17176427.

DOI:10.3390/ijerph17176427
PMID:32899352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7503827/
Abstract

This study aimed to answer three main questions with respect to home caregivers for people with cardiovascular disease: (1) Are the needs of home caregivers being met (and at what level)?; (2) what is the level of emotional exhaustion, depersonalization, and personal accomplishment of home caregivers?; (3) what sociodemographic variables of home caregivers are related to unmet needs and level of emotional exhaustion, depersonalization, and personal accomplishment? The study used the Camberwell Modified Needs Assessment questionnaire and the Maslach Burnout Inventory questionnaire. This study reports on 161 informal home caregivers of patients with cardiovascular disease. We found that younger caregivers were less likely to report unmet needs ( = 0.011), and showed lower rates of burnout on depersonalization and emotional exhaustion. In addition, caregivers who worked more often reported higher levels of met needs ( = 0.022), and showed lower rates of burnout on depersonalization ( = 0.005) and emotional exhaustion ( = 0.018). Subjects residing in urban areas were more likely to report unmet needs ( = 0.007), and showed higher rates of burnout on emotional exhaustion ( = 0.006). Older caregivers who are unemployed and reside in cities should be offered programs to determine their unmet needs and to receive support.

摘要

本研究旨在回答关于心血管疾病患者家庭护理者的三个主要问题

(1)家庭护理者的需求是否得到满足(满足程度如何)?;(2)家庭护理者的情绪耗竭、去人格化和个人成就感的程度如何?;(3)家庭护理者的哪些社会人口变量与未满足的需求以及情绪耗竭、去人格化和个人成就感的水平有关?本研究使用了坎伯韦尔改良需求评估问卷和马斯拉赫倦怠量表问卷。本研究报告了 161 名心血管疾病患者的非正式家庭护理者。我们发现,年轻的护理者不太可能报告有未满足的需求( = 0.011),而且在去人格化和情绪耗竭方面的倦怠率较低。此外,经常工作的护理者报告有更多的满足需求( = 0.022),而且在去人格化( = 0.005)和情绪耗竭( = 0.018)方面的倦怠率较低。居住在城市地区的护理者更有可能报告有未满足的需求( = 0.007),而且在情绪耗竭方面的倦怠率更高( = 0.006)。应向失业且居住在城市的老年护理者提供确定其未满足需求并获得支持的计划。

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本文引用的文献

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Int Psychogeriatr. 2018 Dec;30(12):1849-1860. doi: 10.1017/S104161021800042X. Epub 2018 May 25.
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Needs and quality of life of people with middle-stage dementia and their family carers from the European Actifcare study. When informal care alone may not suffice.欧洲 Actifcare 研究中处于中期痴呆的患者及其家庭照顾者的需求和生活质量。当单纯的非正式护理可能不够时。
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