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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.

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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