摘要
目的探讨脑卒中患者主要照顾者疲劳状况及其影响因素,为进一步干预积累临床资料。方法 2015年12月选择咸宁市三家医院脑卒中患者主要照顾者200例,用一般情况问卷、疲劳量表-14(FS-14)、日常生活能力量表(ADL)、社会支持评定量表(SSRS)和简易应对方式问卷(SCSQ)进行调査。结果本组照顾者体力、脑力疲劳和疲劳总分(分别为6.14±1.43、3.66±1.07、9.80±2.15)显著高于国内常模(t=23.998、24.659、28.282,均P<0.001)。多元回归分析结果显示,ADL评分、照顾体验、性格倾向、年龄和婚姻状况是影响FS-14总分危险因素,SSRS和SCSQ积极应对评分与健康自评是保护因素,并能预测FS-14总分的94.3%。回归方程:y=15.858-0.152x_1+0.107x_2+0.346x_3+0.289x_4+0.011x_5-3.543x_6+0.248x_7+0.28x_8(R^2=0.943,F=414.103,P<0.001)。结论咸宁市脑卒中患者主要照顾者疲劳状况严重,患者日常生活能力差、照顾者照顾体验消极、性格内向、年龄大、已婚者疲劳较重,而良好的社会支持和健康自评与积极应对能降低疲劳度。
Objective To explore the fatigue condition and its influencing factors of primary caretakers of stoke patients so as to collect clinical data for further intervention. Methods Totally, 200 primary caretakers of stoke patients were selected from 3 hospitals in Xianning City in December, 2015. A survey was conducted by using the questionnaire about general condition, Fatigue Scale-14 （FS-14） , the Activity of Daily Living Scale （ADL）, the Social Support Rating Scale （SSRS） and the Simplified Cop- ing Style Questionnaire （ SCSQ）. Results The scores of physical fatigue （6.14±1.43） , mental fatigue （3.66±1.07）and total fatigue （ 9.80±2.15 ） of the caretakers were significantly higher than those of the Chinese norm （ t = 23.998, t = 24.659, t = 28.282, all P〈0.001）. Multiple regression analysis showed that the ADL scores, care experience, character orientation, age and marital status were the risk factors affecting the total score of FS- 14, while the scores of SSRS, of positive coping of SCSQ and self-evalu- ation of health were the protective factors. The above facators could predict 94.3% of the total score of FS-14. The regression equa- tion was y = 15.858-0.152x1 ＋ 0. 107x2 ＋ 0. 346x3 ＋ 0.289x4 ＋ 0.011x5 - 3. 543x6 ＋ 0.248x7 ＋ 0. 28xs （ RE = 0. 943, F = 414. 103, P〈 0. 001 ）. Conclusions The primary caretakers of stoke patients are in a serious fatigue. The patients＇ poor daily living abili- ties, the caretakers＇ negative care experience, introverted personality, advanced age and marriage status contribute to the exhaust- edness, but the good social support, self-evaluation of health and positive coping are conducive to relieving fatigue of the caretakers.
出处
《实用预防医学》
CAS
2017年第2期172-176,共5页
Practical Preventive Medicine
基金
湖北省教育厅人文社会科研重点项目(14D069)
关键词
脑卒中
照顾者
疲劳
影响因素
stoke
caretaker
fatigue
influencing factors
作者简介
作者简介：曾燕（1976-），女，本科学历，主管护师，研究方向：神经内科护理。
通信作者：周青霞，E-mail：win201208@163．com。
