中青年脑卒中患者配偶照顾者准备度与成人依恋的相关性研究

Relationship between caregiver preparedness and adults attachment among the spouse of young and middle-aged stroke patients

目的探讨中青年脑卒中患者配偶照顾者准备度及成人依恋的现状,并分析两者的相关性。方法本研究采用便利抽样的方法,选择2017年1月—2018年5月于浙江大学医学院附属杭州市第一人民医院接受治疗的脑卒中患者配偶110名作为调查对象。采用一般情况调查表、照顾者准备度量表(CPS)及亲密关系体验量表(ECR)进行问卷调查。共发放110份问卷,回收有效问卷102份,有效回收率为92.73%。结果102名中青年脑卒中患者配偶CPS总分为(12.87±5.39)分;ECR中依恋焦虑得分为(57.96±11.69)分,依恋回避得分为(48.06±12.10)分;不同年龄、自觉健康状况、照护经验的配偶照顾者在照顾者准备度得分方面差异均有统计学意义(P<0.05);依恋焦虑维度与照顾者准备度得分呈负相关(r=-0.318,P<0.01),依恋回避维度与照顾者准备度得分呈负相关(r=-0.233,P<0.01)。结论中青年脑卒中患者配偶照顾者准备度处于较低水平,医务工作者可以通过给予中青年脑卒中患者配偶照顾者居家照护知识指导,帮助其降低依恋回避及依恋焦虑水平,从而提高其照顾者准备度。

Objective To investigate the status of caregiver preparedness and adult attachment among the spouse of young and middle-aged stroke patients, and to analyze the correlation between them. Methods From January 2017 to May 2018, 110 spouses of stroke patients who were treated in Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine were selected as subjects by convenience sampling. The General Information Questionnaire, Care Preparedness Scale (CPS), and Experience in Close Relationship Scale (ECR) were used in the survey. Totally 110 questionnaires were distributed, and 102 valid ones were retrieved, yielding an effective recovery rate of 92.73%. Results The total CPS score of 102 young and middle-aged stroke patients was (12.87±5.39). The scores of attachment anxiety and attachment avoidance in ECR were (57.96 ±11.69) and (48.06 ±12.10). There were statistically significant differences in the scores of preparedness of caregivers among spouse caregivers of different ages, self reported health status and nursing experience (P<0.05). Attachment anxiety dimension was negatively correlated with caregiver preparedness score (r=-0.318, P<0.01), and attachment avoidance dimension was negatively correlated with caregiver preparedness score (r=-0.233, P<0.01). Conclusions The preparedness status of the spouses caregivers of young and middle-aged stroke patients are at a low level. Medical workers can improve their care preparedness by giving them home care knowledge guidance, reducing their attachment avoidance and attachment anxiety so as to improve their preparedness.