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造口患者家庭照顾者的照顾负担与精神健康

Caregiver Burden and Spiritual Well-Being in Family Caregiver of Ostomy Patients.

作者信息

Rafiei Hossein, Rashvand Farnoosh, Malmir Sahar

机构信息

Hossein Rafiei, Assistant Professor, RN, MSc, PhD , Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran, and Department of Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.

Farnoosh Rashvand, RN, MSc, PhD , Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran, and Department of Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

J Wound Ostomy Continence Nurs. 2025;52(2):133-136. doi: 10.1097/WON.0000000000001157. Epub 2025 Mar 20.

Abstract

PURPOSE

The aim of this study was to examine care burden among family members of persons living with an ostomy; we also examined the relationship between care burden and spiritual well-being.

DESIGN

Descriptive, quantitative, and cross-sectional.

SUBJECTS AND SETTING

The study was conducted in an ostomy clinic located in Tehran, Iran. This sample comprised 250 family caregivers of patients with an intestinal ostomy. Convenience sampling method was used.

METHODS

Participants completed a questionnaire that included items querying demographic and relevant clinical data; the questionnaire also contained 2 validated instruments that were used to measure caregiver burden (CB) and spiritual well-being (SWB). The Guest and Novak Caregiver Inventory was used to assess CB; possible scores for this validated instrument range from 24 to 120. Higher scores indicate a higher level of family CB. The Paloutzian and Ellison Spiritual Well-Being Scale was used to assess participants' SWB. Scores obtained from this scale range from 20 to 120; higher scores indicate a higher level of SWB.

RESULTS

The sample comprised 250 respondents; their mean age for caregivers was 35.1 (SD 7.6) years. More than half (n = 143, 57.2%) were men. The mean score of the CB was 85.4 (SD 3.9). The mean score of SWB was 82.3 (SD 10.5). Pearson correlation coefficient revealed an inverse and significant correlation between the mean score of CB and the mean score of their SWB (r = -0.308; P = .001).

CONCLUSION

Caregivers of patients with ostomy experience a high level of burden that is related to their SWB level. A caregiver with a higher level of SWB reported a lower level of burden.

摘要

目的

本研究旨在调查造口术患者家庭成员的护理负担;我们还研究了护理负担与精神健康之间的关系。

设计

描述性、定量和横断面研究。

研究对象与地点

本研究在伊朗德黑兰的一家造口术诊所进行。该样本包括250名肠道造口术患者的家庭护理人员。采用便利抽样法。

方法

参与者完成一份问卷,其中包括询问人口统计学和相关临床数据的项目;该问卷还包含2种经过验证的工具,用于测量护理人员负担(CB)和精神健康(SWB)。使用Guest和Novak护理人员量表评估CB;该经过验证的工具的可能得分范围为24至120分。得分越高表明家庭护理负担水平越高。使用Paloutzian和Ellison精神健康量表评估参与者的SWB。该量表的得分范围为20至120分;得分越高表明SWB水平越高。

结果

样本包括250名受访者;护理人员的平均年龄为35.1(标准差7.6)岁。超过一半(n = 143,57.2%)为男性。CB的平均得分为85.4(标准差3.9)。SWB的平均得分为82.3(标准差10.5)。Pearson相关系数显示CB的平均得分与其SWB的平均得分之间存在负向且显著的相关性(r = -0.308;P = .001)。

结论

造口术患者的护理人员经历着高水平的负担,这与他们的SWB水平相关。SWB水平较高的护理人员报告的负担水平较低。

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