老年痴呆住院患者照顾者压力分析及护理对策

Stress Analysis and Nursing Care for Senile Dementia Hospitalizations

目的针对老年痴呆住院患者不同身份照顾者进行调查,对压力负担进行分析,为临床提供相应护理对策。方法选取2013年10月-2016年3月老年痴呆住院患者照顾者110例为研究对象,通过调查问卷形式研究不同角色陪护压力和陪护护理能力的差异、压力水平影响因素。结果家属中、重度负担明显的高于职业陪护,差异具有统计学意义(P<0.05);随着照顾者年龄、照顾年限的增长,其照顾的负担压力越大,其重度负担与轻度负担间比较,差异具有统计学意义(P<0.05);而家庭年收入越高,照顾者负担压力越低,重度负担与轻度负担照顾者年收入比较差异显著,具有统计学意义(P<0.05);家属在稳定患者情绪、防走失意识、一起娱乐、沟通交流、学习疾病知识意识方面明显的优于职业陪护,差异具有统计学意义(P<0.05)。结论老年痴呆住院患者照顾者负担压力与照顾年限、年龄、角色、收入等有关,不同角色面临的压力不同,护理人员应针对性进行心理护理干预、提供个性化规范护理治疗方案,减轻照顾者负担,提高照护质量。

Objective To investigate the stress burden and provide corresponding nursing countermeasures for the investigation of different identity carers in senile dementia patients. Methods From October 2013 to March 2016 hospitalized patients with dementia caregivers 110 cases were selected as the research object, through the questionnaire form different role stress and escort nursing ability difference, the factors influencing stress levels. Results The significant burden of the family members was higher than that of professional escort, and the difference was statistically significant（P〈0.05）. With the age of the caregiver and the growth of the care age, the burden of care increased, and the difference between the heavy burden and the mild burden was statistically significant（P〈0.05）. However, the higher the household income, the lower the burden of the care burden, and the difference between the heavy burden and the low-burden carers＇ annual income, the difference was statistically significant（P〈0.05）. The family members were significantly better than the professional escorts in stabilizing the mood of patients, preventing the loss of consciousness, sharing entertainment, communicating and communicating, learning disease knowledge, and the difference was statistically significant（P〈0.05）. Conclusion Dementia inpatients caregiver burden pressure and take care of life, age, character, income and so on, different role face different pressure, nursing staff pointed psychological nursing intervention, providing personalized nursing treatment, alleviate caregiver burden, improve the quality of care.