摘要
目的探讨外科手术患者家庭功能与家庭负担状况及相关因素,为提高整体护理服务质量提供数据支持。方法采用家庭关怀度指数量表(APGAR量表)和家庭负担会谈量表(FBS量表)对102名手术后患者的家属进行调查。结果18例(17.64%)患者家庭出现轻度或重度的家庭功能障碍,APGAR总分(8.49±1.92)分,其中亲密度得分最高[(1.81±0.44)分]、合作度得分最低[(1.61±0.57)分];手术患者FBS总分(1.20±0.63)分,得分最高的是家庭经济负担[(1.72±0.96)分]、最低的是家庭成员躯体健康[(0.63±0.83)分];不同手术类型、手术时间和付费方式家庭FBS得分比较,差异有显著性意义(P<0.05,P<0.01);家庭功能总分与家庭负担及家庭关系、家庭成员躯体健康、家庭成员心理健康呈显著负相关(P<0.05,P<0.01)。结论手术不仅对患者本人的生理、心理产生很大影响,对其家庭功能也会产生多方面的影响,导致家庭负担的增加。护理人员在照顾手术患者时,要进一步强化整体护理的理念,为患者及其家属提供全面的整体护理,促进患者及其家庭功能健康发展,减轻患者家庭负担。
Objective To examine the family function and family burden of post-operative patients in order to provide information for improving the quality of nursing service. Methods Family APGAR Index （APGAR） and Family Burden Scale of Disease （FBS） were applied in this descriptive study. One hundred and two family members of the post-operative patients were investigated. Results Eighteen （17.64 %） of the patients experienced slight or serious deficiency of family function. The total score of APGAR was 8.49±1.92, the score of intimacy was the highest （1. 81±0.44） and the cooperation had the lowest score （1.61±0.57）. The total score of FBS in the surgical patients was 1. 20±0.63, the family burden had the highest scroe （1.72±0.96） and the physical health of their family member had the lowest score （0.63±0.83）. There were significant differences in FBS score among different operations, durations of operation time and ways of payment （P〈0.05,P〈0.01）. A negative correlation was found between family function and total score of family burden, family relationship, prysical health and mental health of family member in the surgical patients （P〈0.05 ,P〈0.01）. Conclusion Operations will not only substantially affect the patients physically and mentally but also influence their family function in many ways, leading to increased family burden. Nurses should provide holistic care to post-operative patients and their family members, in order to improve their family function and reduce their family burden.
关键词
手术患者
家庭功能
家庭负担
相关因素分析
surgical patients
family function
family burden
correlation analysis
作者简介
邵文利（1967-），女，硕上，讲师。
