Graduate Education Department, Shanghai Jiao Tong University School of Nursing, Shanghai, China.
Wound Healing Center at Emergency Department, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Int Wound J. 2021 Aug;18(4):440-447. doi: 10.1111/iwj.13544. Epub 2021 Mar 22.
The objectives of this study were to investigate the status and influence factors of caregiver's quality of life (QOL) on caring for patients with chronic wound during COVID-19 epidemic. A prospective cross-sectional study of 83 informal caregivers was included. The characteristics of informal caregivers as well as their QOL assessment by the Family Dermatology Life Quality Index (FDLQI) were measured, respectively. Single-factor analysis and multiple regression analysis were carried out to explore the independent influence factors of QOL of caregiver on caring for patient with chronic wound. 62.65% of the caregivers were female with a mean age of (54.24 ± 12.6) years, and 34.9% of the caregivers were parents. The mean FDLQI score was 13.01 ± 7.53 at a high level. The following variables influenced the FDLQI scores of caregivers: self-care ability of patients, patient's satisfaction of home-based wound care, and home-based wound care need of caregivers. The model was able to explain 29.9% of variance in QOL of caregiver (F = 6.561, P = .000, R = 0.299, adjusted R = 0.253). In conclusion, the impact of chronic wound disease on the QOL of caregivers is heavy during COVID-19 epidemic. Wound professionals are suggested to pay attention to wound care need at home and QOL of caregiver on caring for patients with chronic wound during COVID-19 epidemic and develop tailored wound health education and support programme in order to improve the QOL of caregivers.
本研究旨在调查 COVID-19 流行期间照顾慢性伤口患者的照顾者的生活质量(QOL)的现状及其影响因素。纳入了一项前瞻性的横断面研究,共 83 名非专业照顾者。分别测量了非专业照顾者的特征和他们的家庭皮肤病生活质量指数(FDLQI)的 QOL 评估。采用单因素分析和多元回归分析,探讨照顾者照顾慢性伤口患者的 QOL 的独立影响因素。62.65%的照顾者为女性,平均年龄(54.24±12.6)岁,34.9%的照顾者为父母。FDLQI 平均得分为 13.01±7.53,处于较高水平。以下变量影响照顾者的 FDLQI 评分:患者的自我护理能力、患者对家庭伤口护理的满意度和照顾者家庭伤口护理的需求。该模型能够解释照顾者 QOL 的 29.9%的变异性(F=6.561,P=0.000,R²=0.299,调整 R²=0.253)。总之,在 COVID-19 流行期间,慢性伤口疾病对照顾者的 QOL 影响较大。建议伤口专业人员关注 COVID-19 流行期间患者在家中的伤口护理需求和照顾者的 QOL,并制定针对性的伤口健康教育和支持计划,以提高照顾者的 QOL。