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为患者提供家庭医疗护理的照顾者的护理负担与生活满意度

Care Burden and Life Satisfaction of Caregivers Who are Providing Home Health Care to Patients.

作者信息

Sezek Isa, Cubukcu Mahcube, Muderrısoglu Secıl

机构信息

Yesil Kent Family Health Center, Samsun, Turkey.

Department of Family Medicine, Samsun University Faculty of Medicine, Samsun, Turkey.

出版信息

Risk Manag Healthc Policy. 2023 Oct 16;16:2139-2150. doi: 10.2147/RMHP.S426598. eCollection 2023.

Abstract

BACKGROUND

This study aims to evaluate the care burden and life satisfaction in caregivers who are providing home health care to patients and determine the relationship between life satisfaction and care burden.

METHODS

This cross-sectional descriptive study was performed on 133 caregivers who provided home health care to patients and 133 control groups between February and December 2020. Care burden was evaluated using the Zarit Burden Inventory (ZBI), and life satisfaction was evaluated using the Satisfaction with Life Scale (SWLS).

RESULTS

The mean age of hundred thirty-three caregivers was 52.5±10.5 years, and that of the control group was 51.2±9.9 years. The mean ZBI score of the caregivers was 47.0±16.4. According to the ZBI score, 46.6% of the caregivers had a moderate care burden and 21.8% had a heavy caregiver burden. The caregiver burden was higher in those with a low education level, those without social insurance, those who felt insufficient in care, and those who did not receive help from other family members. The SWLS score of caregivers was significantly lower than that of control group (p<0.001). The SWLS score was lower in those with a low education level and those without an employee as a caregiver. There was a negative correlation between SWLS and ZBI score (p<0.001).

CONCLUSION

Caregivers of patients receiving home health-care services are exposed to a significant care burden. The care burden was higher in those with a low education level, those without social insurance, those who felt insufficient in care, and those who did not receive help from other family members. The care burden affects the satisfaction of life.

摘要

背景

本研究旨在评估为患者提供家庭医疗护理的照顾者的护理负担和生活满意度,并确定生活满意度与护理负担之间的关系。

方法

本横断面描述性研究于2020年2月至12月对133名在家中为患者提供医疗护理的照顾者和133名对照组进行。使用 Zarit 负担量表(ZBI)评估护理负担,使用生活满意度量表(SWLS)评估生活满意度。

结果

133名照顾者的平均年龄为52.5±10.5岁,对照组的平均年龄为51.2±9.9岁。照顾者的平均ZBI评分为47.0±16.4。根据ZBI评分,46.6%的照顾者有中度护理负担,21.8%的照顾者有重度护理负担。教育程度低、没有社会保险、感觉护理不足以及未得到其他家庭成员帮助的照顾者的护理负担更高。照顾者的SWLS评分显著低于对照组(p<0.001)。教育程度低和没有雇人作为照顾者的人的SWLS评分较低。SWLS与ZBI评分之间存在负相关(p<0.001)。

结论

接受家庭医疗护理服务患者的照顾者面临着显著的护理负担。教育程度低、没有社会保险、感觉护理不足以及未得到其他家庭成员帮助的照顾者的护理负担更高。护理负担影响生活满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c379/10588659/4e75f1835a2a/RMHP-16-2139-g0001.jpg

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