直肠癌造口患者主要照顾者负担水平的相关因素分析

Analysis of related factors for burden of main caregiver for patients with rectal cancer colostomy

目的 探讨影响直肠癌造口患者主要照顾者负担水平的相关因素。方法 选取2015年1月至2018年1月我院收治的86例直肠癌造口患者的主要照顾者为研究对象,收集其一般资料。采用家庭关怀度指数问卷,评价主要照顾者的家庭关怀指数;采用ZBI护理负担量表评价主要照顾者的负担水平。结果 主要照顾者的性别、年龄、受教育程度单因素比较差异无统计学意义(P> 0. 05),患者的生活自理能力、主要照顾者是否有慢性病、与患者关系、家庭关怀指数、患者生活自理能力单因素比较差异具有统计学意义(P <0. 05)。logistic多因素回归分析显示,患者生活自理能力、主要照顾者是否患有慢性病和家庭关怀指数是影响主要照顾者负担水平的独立危险因素。结论 主要照顾者是否患有慢性病和家庭关怀指数、患者生活自理能力是影响主要照顾者负担水平的独立危险因素,因此应提高患者生活自理能力,加强主要照顾者的家庭关怀程度,减少主要照顾者的负担水平。

Objective To explore the effect of related factors for burden of main caregiver for patients with rectal cancer colostomy.Methods To select the primary caregivers of 86 patients with rectal cancer colostomy who were admitted to our hospital from January 2015 to January 2018 as the study subjects,and their general information was collected.The family care index questionnaire was used to evaluate the family care index of the primary caregiver.The ZBI care burden scale was used to assess the burden of these primary caregiver.Results There was no significant statistical difference in the single factors of gender,age and education level of the main caregivers(P>0.05).There was significant statistical difference in the single factors such as self-care ability of the patients,whether the main caregivers had chronic disease,the relationship with the patients,the family care index,and the impaired self-care ability of patients(P<0.05).Logistic multivariate regression analysis showed that patients'self-care ability,whether the main caregivers had chronic diseases and family care index were independent risk factors affecting the burden of the main caregiver.Conclusion Whether the main caregiver suffers from chronic diseases,family care index and self-care ability of patients are independent risk factors affecting the burden of the main caregiver.Therefore,it is necessary for us to improve the self-care ability of patients,strengthen the family care for the main caregivers,and reduce the burden level of the main caregiver.