老年临终患者家属照顾者照顾反应与社会支持的相关性研究

Correlation study of social support and family caregivers take care react for elderly dying patients

目的探讨老年临终患者家属照顾者照顾反应和社会支持关系。方法采用照顾者反应量表(CRA)和社会支持量表(MOS-SSS)对264例老年临终患者家属照顾者进行调查,并分析照顾反应各维度与其社会支持情况的关系。结果老年临终患者家属照顾者照顾反应自尊维度得分最高,其余消积结果中得分排名依次为时间受打扰、健康问题维度、经济问题维度和家庭支持维度。医疗结果研究的社会支持总分为(58.69±2.44)分,远低于常模标准;照顾反应中自尊维度与社会支持各维度无明显相关;其它各维度均与社会支持总分呈负相关(P<0.05)。结论在为临终患者及家属照顾者提供临终关怀服务时,应重视社会支持状况与照顾者照顾反应之间的关系,提供针对该群体适合的护理措施,提高老年临终患者家属照顾者的社会支持水平,减轻照顾负荷,从而保障临终患者和照顾者双方的生活质量。

Objective To study the caregiver reaction among family caregivers for patients who were in the endof-life,and to explore the relation-ship between caregiver burden and social support.Method264 caregivers of elderly dying patient were investigated by using the questionnaires of caregiver reaction assessment（CRA）and medical outcomes study social support survey（MOS-SSS）.The relationship between the various dimensions reaction conditions and their social care support was analyzed.Result Self-esteem was the highest-scoring dimension in the caregiver reaction ssessment,for the negative dimensions ranked by the score were disrupted schedule,health problem,financial problem and lack of family support;The total score of social support was（58.69±2.44）,which is much lower than that of normal standard.There was no significant correlation between care-givers take care reaction and social support dimensions.Other negative dimensions of CRA were negatively correlated with total score of social support availability.Conclusion For dying patients and their families providing hospice care services,it should pay attention to social support and caregivers care reaction,provide appropriate care measures against the population and improve the level of social support of family caregivers,reduce caregiver burden and enhance their inner positive experience in order to protect the quality of life for dying patients and their family caregivers.