重型颅脑损伤患者照顾者照顾负担与应对方式研究分析

Research and analysis of burden care level and coping method of caregiver for severe craniocerebral injury patients

目的分析重型颅脑损伤患者照顾者照顾负担水平与主要照顾者应对方式的相关性。方法 128例重型颅脑损伤患者相关资料进行分析,采用便利样本抽样,用Zarit照顾者负担量表(ZBI)和简易应对方式应对问卷调查,分析重型颅脑损伤患者照顾者照顾负担水平及主要照顾者的应对方式。结果重型颅脑损伤患者照顾者ZBI评分为(40.56±12.77)分,6.25%照顾者无照顾负担,93.75%存在照顾负担。主要照顾者积极应对维度评分为(1.45±0.61)分,低于常模(1.78±0.52)分(P<0.05);消极应对维度评分为(1.86±0.76)分,高于常模(1.59±0.66)分(P<0.05)。结论重型颅脑损伤患者的照顾者的照顾负担在临床上处于轻、中度水平,相关部门应该对照顾者采取积极有效的方式进行应对,减轻照顾负担,改善患者临床症状。

Objective To analyze the correlation between burden care level of caregiver for severe craniocerebral injury patients and coping method of main caregiver. Methods Related data of 128 severe cranioeerebral injury patients were analyzed in convenience sampleing. The Zarit burden interview （ZBI） and simplified coping style were applied for questionnaire to analyze burden care level of caregiver for severe eraniocerebral injury patients and coping method of main caregiver. Results ZBI score of earegiver for severe craniocerebral injury patients was （40.56 ~ 12.77） points. There were 6.25% of them having no burden care, while 93.75% of them having burden care. Positive coping dimension score of main earegiver was （1.45 ± 0.61） points, which was lower than norm score as （1.78 ± 0.52） points （P〈0.05）. Their negative coping dimension score was （1.86 ± 0.76） points, which was higher than norm score as （1.59± 0.66） points （P〈0.05）. Conclusion Burden care level of caregiver is at mild and moderate level for severe craniocerebral injury patients. Caregiver ought to take active and effective method to cope for reducing burden care and improving clinical symptoms of patients.