家庭关怀度对维持性血液透析患者自我感受负担的影响

Effects of family care on self-perceived burden in maintenance hemodialysis patients

目的：探讨家庭关怀度对维持性血液透析患者自我感受负担的影响。方法采用一般资料调查表、家庭关怀度指数量表、自我感受负担量表对256例维持性血液透析患者进行问卷调查，采用分层回归分析法分析家庭关怀度对维持性血液透析患者自我感受负担的影响。结果维持性血液透析患者自我感受负担得分为（36.27±6.89）分，家庭关怀度得分为（6.62±1.59）分。分层回归分析显示家庭关怀度中的适应度、情感度、亲密度可联合解释自我感受负担31.6%的变异。结论自我感受负担在维持性血液透析患者中普遍存在，家庭关怀度是其主要影响因素。医护人员应该从家庭角度开展护理干预，降低患者的自我感受负担。

Objective To explore the effects of family care on self-perceived burden （ SPB ） in maintenance hemodialysis patients. Methods A total of 256 maintenance hemodialysis patients were investigated with general information questionnaire, the Family APGAR Index, and self-perceived burden SPB scale. The effect of family care on self-perceived burden was analyzed by hierarchical regression analysis. Results Patients′mean SPB score was（36. 27 ± 6. 89）, and the score of family care was （6. 62 ± 1. 59）. It was shown in the hierarchical regression analysis that the adaptation, affection and intimacy in family care could explain 31. 6% of total variance of self-perceived burden in maintenance hemodialysis patients. Conclusions SPB is prevalent in maintenance hemodialysis patients, and family care is an important influencing factor of self-perceived burden. Clinical doctors and nurses should reduce their self-perceived burden by improving family care.