缺血性中风幸存者的护理依赖与照料者疲劳：一项横断面研究。
Care dependence and caregiver fatigue in ischemic stroke survivors: a cross-sectional study.
作者信息
Tu Shuangyan, Deng Zhiqiang, Li Siqin, Wang Jinyao, Yang Rong, Zhao Lihong
机构信息
Department of Neurology, West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Liver Surgery, West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China.
出版信息
BMC Nurs. 2025 May 2;24(1):482. doi: 10.1186/s12912-025-03126-5.
BACKGROUND
Care dependence among ischemic stroke survivors may be related to caregiver fatigue, but the current status and relationship between these factors have not been well studied. This study aimed to investigate the current status of care dependence and caregiver fatigue in ischemic stroke survivors and to analyze their influencing factors and relationship.
METHODS
A total of 380 pairs of inpatient ischemic stroke survivors and caregivers were included from July 2019 to April 2020 by convenience sample. Survivors demographic data and clinical variables were collected. The Chinese Care Dependency Scale and Fatigue Scale-14 were used to assess survivors' care dependence and caregiver fatigue.
RESULTS
The largest number of ischemic stroke survivors were mild care dependence (62.89%), followed by those who were severe dependence (19.47%). Caregiver fatigue was moderate (42.9%) or severe (40.5%). Survivors' care dependence was influenced by the age of survivors (P = 0.005), total score of NIHSS (P < 0.001), and number of comorbidities (P = 0.006). Caregiver fatigue was positively correlated with survivors' care dependence (P < 0.001), and was affected by total score of NIHSS (P = 0.032), conscious health (P = 0.024) or sleep status (P < 0.001) of caregivers, and number of survivors cared for at the same time (P = 0.002).
CONCLUSIONS
The current status of ischemic stroke survivors' care dependence and caregiver fatigue was not optimistic. This study identified three influencing factors for IS survivors' care dependence and four influencing factors for caregiver fatigue, and identified the positive relationship between them. This provided new evidence and direction for future research to explore effective measures to reduce survivors' care dependence and caregiver fatigue. In clinical practice, we should focus on and actively help survivors and caregivers with these influencing factors to reduce their burden.
TRIAL REGISTRATION
This study was not registered prospectively and we would conduct retrospectively registered.
CLINICAL TRIAL NUMBER
Not applicable.
背景
缺血性脑卒中幸存者的护理依赖可能与照顾者疲劳有关，但这些因素的现状及关系尚未得到充分研究。本研究旨在调查缺血性脑卒中幸存者的护理依赖和照顾者疲劳的现状，并分析其影响因素及两者之间的关系。
方法
采用方便抽样法，纳入2019年7月至2020年4月期间的380对缺血性脑卒中住院幸存者及其照顾者。收集幸存者的人口统计学数据和临床变量。采用中文版护理依赖量表和疲劳量表-14评估幸存者的护理依赖程度和照顾者的疲劳程度。
结果
缺血性脑卒中幸存者中，轻度护理依赖者人数最多（62.89%），其次是重度依赖者（19.47%）。照顾者疲劳程度为中度（42.9%）或重度（40.5%）。幸存者的护理依赖受幸存者年龄（P = 0.005）、美国国立卫生研究院卒中量表（NIHSS）总分（P < 0.001）和合并症数量（P = 0.006）的影响。照顾者疲劳与幸存者的护理依赖呈正相关（P < 0.001），并受照顾者的NIHSS总分（P = 0.032）、自觉健康状况（P = 0.024）或睡眠状况（P < 0.001）以及同时照顾的幸存者数量（P = 0.002）的影响。
结论
缺血性脑卒中幸存者的护理依赖和照顾者疲劳现状不容乐观。本研究确定了影响缺血性脑卒中幸存者护理依赖的三个因素和照顾者疲劳的四个影响因素，并确定了两者之间的正相关关系。这为未来探索减轻幸存者护理依赖和照顾者疲劳的有效措施的研究提供了新的证据和方向。在临床实践中，我们应关注并积极帮助有这些影响因素的幸存者和照顾者减轻负担。
试验注册
本研究未进行前瞻性注册，将进行回顾性注册。
临床试验编号
不适用。
Zotero 插件