老年脑卒中患者主要照护者照顾负担及影响因素研究

The level and influencing factors of caregiver burden among primary caregivers of stroke patients in old age

目的：了解老年脑卒中患者主要照护者照顾负担现状及影响因素。方法对298例老年脑卒中患者主要照护者采用照顾负担量表、医院焦虑抑郁量表和简单应对方式量表进行调查，对患者采用一般资料问卷、改良Barthel指数评定量表进行调查。结果主要照护者照顾负担总分为（35.21±11.45）分，为轻至中度负担水平。影响因素为照护者照护天数、每日照护时间、医院焦虑抑郁得分、应对方式及患者日常活动能力。结论老年脑卒中患者主要照护者存在照顾负担，护理人员应同步评估患者与主要照护者的健康状况，了解照护者的照顾负担，给予针对性的护理服务，减轻其照顾负担，从而提高患者及照护者生命质量。

Objective To investigate the level and influencing factors of caregivers′burden among primary caregivers of elderly stroke patients. Methods Totally 298 caregivers of elderly stroke patients were investigated with Zarit Burden Interview (ZBI), Hospital Anxiety and Depression Scale (HADS) and Simplified Coping Style Questionnaire(SCSQ). The patients were investigated with Modified Barthel Index (MBI). Results The caregivers′burden was in the mild level with a total score of 35.21±11.45. The influencing factors were the number of days of care, daily caring hours, hospital anxiety and depression score, the coping style and the ability of patients to perform ADL. Conclusions The primary caregivers of stroke patients have mild burden. The nurses should be synchronized to assess the health of patients and primary caregivers at the same time, understand the caregivers′burden, and provide specific care advice, in order to reduce the burden of their carer, so as to improve the quality of patients′life.