老年人家庭照顾者家庭功能情况及其相关因素研究

Study on family function status of elderly family caregivers and its related factors

[目的]了解老年人家庭照顾者家庭功能及其影响因素。[方法]选取2012年5月—6月在四川省5个城市的6所医院住院的老年病人家庭照顾者1 517名,应用家庭关怀度指数问卷(APGAP)进行调查,对照顾者的家庭功能相关因素进行单因素及多因素分析。[结果]老年人家庭照顾者家庭功能良好者占40.4%,家庭功能轻度障碍者占45.1%,家庭功能严重障碍者14.5%;单因素分析显示年龄小、文化程度低、无配偶、无放松时间的照顾者APGAP评分低(P<0.05);二元Logistic回归分析提示老年人家庭照顾者的家庭功能与文化程度、婚姻状况、放松时间等因素相关,文化程度高、有配偶是家庭功能的保护因素,无放松时间是家庭功能的危险因素。[结论]老年人家庭照顾者的家庭功能障碍受多方面因素影响,社会及医务人员应多关注照顾者的家庭功能,对文化程度低、无配偶、无放松时间的家庭照顾者采取有效的干预,提高家庭功能的满意度。

Objective：To know about the family function of elderly family caregivers and its related factors. Methods：A total of 1 5 1 7 family caregivers of old inpatients were selected from six hospitals in five cities in Si-chuan province from May 2012 to June 2012,they were surveyed by using the Family Care Index Measurement Sheet,and the family function related factors of the family caregivers were analyzed with the single factor in-dex and multiple factor index.Results：The aged family caregivers with good family function accounted for 40.4%, the mild disorder accounted for 45.1%,the serious disorder accounted for 14.5%.The single factor index sug-gested that the family caregivers who were younger,low education degree,single or had no enough rest time had a low APGAP score,and showed statistically significant difference （P〈0.05）.The duality logistic regression a-nalysis suggested that the family function of the elderly family caregivers was associated with the education de-gree,married or single and rest time.Well educated and married were the protect factors of the family func-tion,no relaxation time was the influential factor of family function.Conclusion：The family function disorder of the elderly family caregivers was influenced by the various factors.To improve the satisfaction of the family function,the society and medical staff should pay more attention to family function of family caregivers,take ef-fective interventions for family caregivers who had low education degree,single and had no enough rest time.