肺癌患者照料者护理负担的影响因素研究

Factors associated with caregiver burden of lung cancer

目的:通过测量肺癌患者照料者的护理负担,了解照料者的照顾负担及心理健康状况及其影响因素。方法:以Zarit护理者负担量表(Zarit caregiver burden interview,ZBI)量表为测量工具,采用横断面抽样方法,面对面结构化访谈收集调查问卷,对肺癌患者主要照料者的护理负担进行测量。结果:肺癌患者照料者护理负担得分为29.8±16.8,74.29%照料者的护理负担在中等以下。交通帮助和健康帮助对护理负担有显著影响,而睡眠时间和心理一致感是护理负担的保护性因素。结论:改善措施应围绕保证照料者睡眠时间来减轻护理工作量或建立轮流护理的补偿机制以及增强照料者心理一致感等心理应对能力来应对护理负担。

Objective： To assess the level of caregiver burden among lung cancer caregivers and to explore its in-dicators. And provide evidence and new ideas to improve the mental health of lung cancer caregivers. Methods： A cross - sectional study was conducted and data was collected by face - to - face interview. Zarit caregiver burden in-terview （ZBI） was used to access the level of caregiver burden. Results： The ZBI score of lung cancer caregiver was 29.8 ± 16.8 ,nearly 74.29% of caregivers experienced the low level of earegiver burden. The extent of the impact of caregiving on the family caregivers＇ transportation and health were the risk factors, while sleeping hours and sense of coherence were the protective factors. Conclusion： Interventizons should be emphasized on increasing sleeping hours and establishing compensation mechanism for nursing care and enhancing the levels of sense of coherence - coping a-bility, so as to cope with caregiver burden.