Zhu Zhu, Li Ping, Chai Dongxue, Luan Wei
Department of VIP Clinic, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200127, People's Republic of China.
Department of Hemodialysis Center, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200127, People's Republic of China.
J Multidiscip Healthc. 2022 Oct 12;15:2321-2330. doi: 10.2147/JMDH.S384699. eCollection 2022.
To investigate the correlation between the frailty status of elderly patients on regular haemodialysis and the quality of life of their family caregivers.
90 elderly patients with regular haemodialysis and 90 family caregivers of the respective patients were selected from January 2020 to April 2021. The influencing factors of the caregivers' quality of life and correlation between patient debility and caregiver quality of life were analyzed by general information questionnaire, Tilburg debility index scale, self-care ability scale, family caregiver-related quality-of-life scale and social support scale.
The quality of life of the family caregivers of elderly patients on regular haemodialysis is at the medium level (4.50 ± 2.96). Multiple linear stepwise regression analysis shows that the ability of patients to take care of themselves, the degree of patients' weaknesses, whether they care for non-dialysis patients, the time to care for patients, social support and the type of current residence have significant impacts on the quality of life of the caregivers ( < 0.001). Variance analysis showed that the fitting degree of linear regression equation is relatively high, and the regression equation is significant (F = 9.195, < 0.001, R = 0.595, R = 0.315). The quality of life of caregivers is positively correlated with the ability of the patients to take care of themselves, the length of care, social support and type of current residence ( < 0.05). The degree of weakness in patients is negatively correlated with taking care of non-regular dialysis patients ( < 0.05).
The ability of patients to take care of themselves, the degree of weakness of the patients, social support and the type of current residence are the influencing factors of the burden on the family caregivers of maintenance haemodialysis patients.
探讨老年维持性血液透析患者的衰弱状况与其家庭照顾者生活质量之间的相关性。
选取2020年1月至2021年4月期间90例老年维持性血液透析患者及其90名家庭照顾者。通过一般资料问卷、蒂尔堡衰弱指数量表、自我护理能力量表、家庭照顾者生活质量相关量表及社会支持量表，分析照顾者生活质量的影响因素以及患者衰弱与照顾者生活质量的相关性。
老年维持性血液透析患者家庭照顾者的生活质量处于中等水平（4.50±2.96）。多元线性逐步回归分析显示，患者的自我照顾能力、衰弱程度、是否照顾非透析患者、照顾患者的时间、社会支持及目前居住类型对照顾者生活质量有显著影响（<0.001）。方差分析显示线性回归方程拟合度较高，回归方程具有显著性（F=9.195，<0.001，R=0.595，R=0.315）。照顾者生活质量与患者自我照顾能力、照顾时长、社会支持及目前居住类型呈正相关（<0.05）。患者衰弱程度与照顾非规律透析患者呈负相关（<0.05）。
患者的自我照顾能力、衰弱程度、社会支持及目前居住类型是维持性血液透析患者家庭照顾者负担的影响因素。
