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冠状动脉搭桥手术患者家庭照顾者的照顾负担:一项内容分析定性研究

Caregiving Burden in Family Caregivers of Patients with Coronary Artery Bypass Graft Surgery: A Content Analysis Qualitative Study.

作者信息

Beheshtaeen Fateme, Molazem Zahra, Najafi Kalyani Majid, Mohebbi Zinat

机构信息

Department of Nursing, Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Nurs Midwifery Res. 2025 May 8;30(3):433-440. doi: 10.4103/ijnmr.ijnmr_129_24. eCollection 2025 May-Jun.

DOI:10.4103/ijnmr.ijnmr_129_24
PMID:40520384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12164769/
Abstract

BACKGROUND

Family caregivers are crucial for the post-discharge recovery of patients who undergo coronary artery bypass graft surgery. They encounter caregiving burdens in various aspects, affecting their well-being and quality of life. This study explored the contributing and alleviating factors of care burden in family caregivers of patients with coronary artery bypass graft surgery through qualitative content analysis.

MATERIALS AND METHODS

In this qualitative study, sixteen family caregivers of patients who had undergone coronary artery bypass graft surgery, were included by purposeful sampling from February to September 2023. In-depth semi-structured interviews were conducted. Interviews were recorded and then transcribed. Conventional content analysis was used for data analysis.

RESULTS

To explain the factors leading to caregiver burden, the three main categories of onslaught of physical and psychological tension, confrontation with multiple roles and tasks, and lack of resources were identified. Furthermore, the two categories of support systems and adaptive coping emerged as factors that alleviate the care burden. Also, 13 subcategories were extracted from the results.

CONCLUSIONS

Family caregivers of patients undergoing coronary artery bypass graft surgery face numerous caregiving challenges in different physical, psychological, social, and financial aspects. In addition to strengthening and applying adaptive coping strategies, it is necessary to plan for the educational and psychological needs and financial support of caregivers.

摘要

背景

家庭照顾者对于接受冠状动脉搭桥手术患者的出院后康复至关重要。他们在各个方面都面临照顾负担,这影响着他们的幸福感和生活质量。本研究通过定性内容分析,探讨冠状动脉搭桥手术患者家庭照顾者照顾负担的促成因素和缓解因素。

材料与方法

在这项定性研究中,通过目的抽样法,从2023年2月至9月纳入了16名冠状动脉搭桥手术患者的家庭照顾者。进行了深入的半结构化访谈。访谈进行了录音,然后进行转录。采用常规内容分析法进行数据分析。

结果

为了解释导致照顾者负担的因素,确定了身体和心理紧张的冲击、多重角色和任务的应对以及资源匮乏这三大类因素。此外,支持系统和适应性应对这两类因素成为缓解照顾负担的因素。此外,从结果中提取了13个子类别。

结论

冠状动脉搭桥手术患者的家庭照顾者在身体、心理、社会和经济等不同方面面临众多照顾挑战。除了加强和应用适应性应对策略外,还需要规划照顾者的教育和心理需求以及经济支持。

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Ann Thorac Surg Short Rep. 2023 Dec 9;2(2):320-324. doi: 10.1016/j.atssr.2023.11.019. eCollection 2024 Jun.
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Interventions Effective in Decreasing Burden in Caregivers of Persons with Dementia: A Meta-Analysis.有效减轻痴呆症患者照料者负担的干预措施:一项荟萃分析。
Nurs Rep. 2024 Apr 15;14(2):931-945. doi: 10.3390/nursrep14020071.
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The impact of caregiver burden on quality of life in family caregivers of patients with advanced cancer: a moderated mediation analysis of the role of psychological distress and family resilience.照顾者负担对晚期癌症患者家庭照顾者生活质量的影响:心理困扰和家庭弹性作用的中介调节分析。
BMC Public Health. 2024 Mar 15;24(1):817. doi: 10.1186/s12889-024-18321-3.
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Social support, positive caregiving experience, and caregiver burden in informal caregivers of older adults with dementia.老年痴呆症患者非正式照护者的社会支持、积极的照护体验和照护者负担。
Front Public Health. 2023 Jan 25;11:1104250. doi: 10.3389/fpubh.2023.1104250. eCollection 2023.
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Relationships Among Perceived Social Support, Family Resilience, and Caregiver Burden in Lung Cancer Families: A Mediating Model.肺癌患者家庭中感知社会支持、家庭韧性与照顾者负担的关系:中介模型。
Semin Oncol Nurs. 2023 Jun;39(3):151356. doi: 10.1016/j.soncn.2022.151356. Epub 2022 Nov 12.
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Quality of life and care burden among family caregivers of people with severe mental illness: mediating effects of self-esteem and psychological distress.生活质量和严重精神疾病患者家庭照顾者的照顾负担:自尊和心理困扰的中介作用。
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