Hafez Sameer H, Abualruz Hasan, Mohamed Noha A, Alwesabi Sadeq A, Alkhadher Mugahed A, Harfoush Mohamed S
Community Health Nursing Department, Faculty of Nursing, Najran University, Najran, Saudi Arabia.
Community Health Nursing Department, Faculty of Nursing, Beni-Suef University, Beni-Suef, Egypt.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):577-582. doi: 10.4103/ijnmr.ijnmr_61_23. eCollection 2024 Sep-Oct.
Caregivers face various difficulties that put a huge burden on them, especially when dealing with immobilized elderly patients. This study aimed to compare caregivers' burdens and coping mechanisms during the care of immobilized elderly patients.
The descriptive comparative design was adopted for this study in Najran City, Saudi Arabia, and Damanhour City, Egypt, in 2022. A total of 104 caregivers were conveniently selected over 3 months of data collection using the following tools: Elderly Patient Caregivers' Knowledge, Elderly Caregivers' Practice, The Lazarus Coping Strategies Questionnaire, and Zarit Burden Inventory. The authors used descriptive statistics (mean, frequencies, and standard deviation) and inferential statistics (Chi-square, -test, Pearson correlation, Spearman correlation) to analyze the data.
In Najran, 57.70% of caregivers experienced a mild level of burden compared to 30.80% in Damanhour, indicating a significant difference in the total level of burden between the two groups (X = 7.90, df = 2, = 0.01). The mean coping mechanism score among caregivers in Najran is significantly higher than the mean among caregivers in Damanhour. The duration of providing the care significantly influenced the total level of burden, the total level of practice, the coping mechanism, the income, the availability of health care, and the presence of additional caregivers, with all values <0.05.
It is essential to integrate nurses and caregivers into educational programs to help them cope effectively with the challenging duties they undertake. Based on the findings of this study, interventional studies to reduce the burden and improve coping among caregivers are recommended.
照顾者面临各种困难，这给他们带来了巨大负担，尤其是在照顾行动不便的老年患者时。本研究旨在比较照顾行动不便老年患者期间照顾者的负担及应对机制。
2022年，在沙特阿拉伯奈季兰市和埃及达曼胡尔市采用描述性比较设计进行本研究。在3个月的数据收集期间，使用以下工具方便地选取了104名照顾者：老年患者照顾者知识问卷、老年照顾者实践问卷、拉扎勒斯应对策略问卷和扎里特负担量表。作者使用描述性统计（均值、频率和标准差）和推断性统计（卡方检验、t检验、皮尔逊相关、斯皮尔曼相关）分析数据。
在奈季兰，57.70%的照顾者负担程度较轻，而在达曼胡尔这一比例为30.80%，表明两组之间的总体负担水平存在显著差异（X = 7.90，自由度 = 2，P = 0.01）。奈季兰照顾者的平均应对机制得分显著高于达曼胡尔照顾者的平均得分。提供护理的时长对总体负担水平、实践总体水平、应对机制、收入、医疗保健可及性以及是否有额外照顾者均有显著影响，所有P值均<0.05。
将护士和照顾者纳入教育项目以帮助他们有效应对所承担的具有挑战性的职责至关重要。基于本研究结果，建议开展干预性研究以减轻照顾者负担并改善其应对能力。
