Department of Microsurgery, Orthopedic Trauma and Hand surgey, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, PR China.
Department of Microsurgery, Orthopedic Trauma and Hand surgey, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, PR China.
J Pediatr Nurs. 2024 Nov-Dec;79:126-132. doi: 10.1016/j.pedn.2024.08.009. Epub 2024 Sep 10.
To investigate the factors linked to the caregiving burden among family caregivers of pediatric patients with fractures.
This descriptive cross-sectional research used non-probabilistic sampling involving 200 pediatric patients (0-14 years) with fractures and their family caregivers. Data was collected between November 2019 and June 2020. The Chinese version of the Zarit Burden Interview (ZBI) and Simplified Coping Style Questionnaire (SCSQ) assessed caregiving burden and coping styles. We examined clinical data of patients and caregivers, identifying factors influencing caregiving burden by integrating findings from parallel studies, and conducted statistical analyses on these factors.
Most family caregivers in this study were women (80.5%), with mothers comprising 56% of the total. The average ZBI score was 40.65 ± 17.27, and 81.5% of caregivers had moderate or severe burden. Factors associated with caregiving burden included caregiver gender, co-caregivers, positive and negative coping scores, and monthly income. The significant factors that were identified accounted for approximately 42.4% of the variability in the caregiving burden.
This study concluded that family caregivers of pediatric patients with fractures often experience moderate to severe burdens, especially female caregivers, those without co-caregivers, using negative coping strategies, and from low-income families. Thus, it is essential to provide these families with professional information, policy support, and affordable, effective care services.
Healthcare professionals should prioritize addressing the caregiving burden of family caregivers of pediatric patients with fractures. Nurses can actively improve the health of these pediatric patients and ease parental burden by providing information about social support systems.
探讨与儿科骨折患者家庭照顾者的照护负担相关的因素。
这是一项描述性的横断面研究,采用非概率抽样方法,纳入了 200 名儿科骨折患者(0-14 岁)及其家庭照顾者。数据收集于 2019 年 11 月至 2020 年 6 月。使用中文版 Zarit 负担量表(ZBI)和简易应对方式问卷(SCSQ)评估照顾者的负担和应对方式。我们分析了患者和照顾者的临床数据,结合平行研究的结果,确定影响照顾负担的因素,并对这些因素进行了统计分析。
本研究中大多数家庭照顾者为女性(80.5%),其中母亲占 56%。ZBI 平均得分为 40.65±17.27,81.5%的照顾者有中度或重度负担。与照护负担相关的因素包括照顾者的性别、共同照顾者、积极和消极应对得分以及月收入。确定的显著因素约占照护负担变异性的 42.4%。
本研究表明,儿科骨折患者的家庭照顾者经常面临中度至重度的负担,特别是女性照顾者、没有共同照顾者、使用消极应对策略以及来自低收入家庭的照顾者。因此,为这些家庭提供专业信息、政策支持和负担得起的、有效的护理服务至关重要。
医疗保健专业人员应优先关注儿科骨折患者家庭照顾者的照护负担。护士可以通过提供有关社会支持系统的信息,积极改善这些儿科患者的健康状况,减轻父母的负担。