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护理学报 ›› 2025, Vol. 32 ›› Issue (2): 1-6.doi: 10.16460/j.issn1008-9969.2025.02.001

• 研究生园地 •    下一篇

神经外科重症住院患者家庭照顾者照顾负担及影响因素分析

魏利1, 赵兴颖1, 刘佳1, 何雨璇1, 陈晓梅1, 杨雪2, 鲜继淑2, 杨燕妮1   

  1. 1.陆军军医大学（第三军医大学） 护理系,重庆 430008;
    2.陆军军医大学第一附属医院 神经外科,重庆 430008
  • 收稿日期:2024-08-07 出版日期:2025-01-25 发布日期:2025-02-20
  • 通讯作者: 杨燕妮（1970-）,女,湖北宜都人,硕士,硕士研究生导师,教授。E-mail:yangyanni@tmmu.com
  • 作者简介:魏利（1993-）,女,新疆吐鲁番人,本科学历,硕士研究生在读,主管护师。
  • 基金资助:
    国家社会科学基金项目（20BRK039）

Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors

WEI Li1, ZHAO Xing-ying1, LIU Jia1, HE Yu-xuan1, CHEN Xiao-mei1, YANG Xue2, XIAN Ji-shu2, YANG Yan-ni1   

  1. 1. Department of Nursing, Army Medical University (Third Military Medical University), Chongqing 400038, China;
    2. Dept. of Neurosurgery, First Affiliated Hospital of Army Medical University, Chongqing 400038, China;
  • Received:2024-08-07 Online:2025-01-25 Published:2025-02-20

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摘要： 目的 了解神经外科重症住院患者家庭照顾者照顾负担水平,并探讨其影响因素。方法 2023年11月—2024年5月采用便利抽样法选取300对神经外科重症住院患者和家庭照顾者,使用一般资料调查表、Zarit 照顾者负担量表、多因素记忆问卷、中文华山版听觉学习测验量表、综合医院焦虑量表,进行调查,采用多元线性回归分析影响因素。结果 神经外科重症住院患者家庭照顾者照顾负担总分为（33.94±17.27）分,70.3%的家庭照顾者存在照顾负担。线性回归分析显示：患者肢体功能障碍、与患者关系、照顾者合并慢性病、焦虑情绪、自评记忆能力和情景记忆是照顾负担的影响因素（P<0.05）。结论 神经外科重症住院患者家庭照顾者照顾负担水平处于中等水平,其影响因素涉及患者及家庭照顾者等多方面,医护人员可通过辅助记忆策略和优化沟通模式等措施降低照顾负担。

关键词: 神经重症, 家庭照顾者, 照顾负担, 影响因素, 神经外科

Abstract: Objective To understand the care burden of family caregivers of severe inpatients in neurosurgery department and to explore its influencing factors. Methods Three hundred pairs of critically ill inpatients and family caregivers in neurosurgery department were selected from November 2023 to May 2024 by convenient sampling, and they were investigated by the General Information Questionnaire, Zarit Burden Interview, Multifactorial Memory Questionnaire, Auditory verbal learning test-huashan version and Hospital Anxiety and Depression Scale. Multiple linear regression was used to analyze its influencing factors. Results The total score of care burden of family caregivers of critically ill inpatients in neurosurgery department was 33.94±17.27, and 70.3% of the family caregivers had care burden. Linear regression analysis showed that patients' limb dysfunction, relationship with the patients, caregivers with comorbid chronic diseases, anxiety, self-rated memory ability and episodic memory were the influencing factors of care burden (P<0.05). Conclusion Care burden of family caregivers for severe inpatients in neurosurgery department is at a moderate level, and it is influenced by various factors related to both the patients and the caregivers. Auxiliary memory strategies and optimized communication patterns should be considered to reduce their care burden.

Key words: neuro critical care, family caregivers, care burden, influencing factor, neurosurgery department

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