70岁以上慢性共病患者家庭照护者负担对其生活质量的影响

Impact of quality of life among caregivers of chronic ill patients over 70 years or older

目的 ：调查70岁以上慢性共病患者家庭照护者负担对其生活质量的影响。方法 ：运用中文版照顾者负担量表（CBI）和世界卫生组织生活质量测定量表简表（WHOQOL-BREF）,对方便抽取的上海市2个社区263位照护者进行问卷调查。结果 ：照护者负担各维度与生活质量各个领域得分呈负相关。分层回归分析显示,身体性负担、情感性负担、发展受限负担、社交性负担、社会工作者、年龄和月收入≤3000元为照护者生活质量不同领域及总体状况的影响因素,其中,社会工作者、年龄和月收入≤3000元、性别、在职解释了生活质量各领域及总体状况10.4%-30.3%的变异量,在控制了以上人口学变量后,CBI各维度（除时间依赖性负担外）对生活质量的解释力增加了15.5%-29.9%。结论：照护负担影响照护者生活质量多个领域,可以护理教育-社会工作者介入的实践模式,适当给照护者“减负”,提升生活质量。

Objective： To analyze the impact of quality of life among caregivers of chronic ill patients over 70 years or older. Methods： A total of 263 caregivers from 2 commtmities in Shanghai were selected using convenient sampling. Caregiver Burden Inventory （CBI） and the brief questionnaire of World Health Organization Quality of Life （WHOQOL-BREF） were used in this study. Result： All subscales of CBI were negatively correlated with all domains of WHOQOL-BREF. Multiple hierarchical regression analysis showed that physical burden, emotional burden, social and developmental burden, social worker, age and monthly income （ ≤ 3000 yuan） were significant predictors of QOL. Conclusion： Caregiver＇s burden influences different domains of QOL. Practice model with nursing education and social worker involvement may relieve care burden and improve caregiver＇s QOL.