肠造口患者主要照顾者照顾准备度现状及影响因素研究

The status quo and influencing factors of readiness of primary caregivers of enterostomy patients

目的探讨肠造口患者主要照顾者照顾准备度现状,并对其影响因素进行分析,旨在为照顾者提供个性化健康教育方案提供参考。方法选取2017年1月至2018年6月收治的135名肠造口患者主要照顾者作为研究对象,对其照顾准备度水平及影响因素进行分析。结果肠造口患者主要照顾者的照顾准备度得分为(14.95±3.36)分;主要照顾者的照顾准备度与照顾负担呈负相关(r=-0.465,P<0.01),与照顾能力呈正相关(r=0.365,P<0.05);多因素分析显示,照顾者文化程度、家庭人均月收入、工作状况、照顾经验、患者造口类型、照顾负担、照顾能力是影响肠造口患者主要照顾者照顾准备度的主要因素(P<0.01或P<0.05)。结论肠造口患者主要照顾者的照顾准备度处于低水平,医护人员应有针对性地进行心理干预和健康教育,改善其心理状态,提高照顾准备度,进而提高照顾能力。

Objective To investigate the status quo of readiness of primary caregivers of enterostomy patients and analyze the influencing factors,aiming to provide reference for the caregivers to provide personalized health education programs.Methods The primary caregivers of 135 enterostomy patients from January 2017 to June 2018 were selected as the research subjects.The level of care readiness and influencing factors were analyzed.Results The care readiness score of the primary caregivers of enterostomy patients was(14.95±3.36)points.The care readiness of the primary caregivers was negatively correlated with the care burden(r=-0.465,P<0.01),and was positively correlated with the care capacity(r=0.365,P<0.05).Multivariate analysis showed that the degree of education,monthly income per capita,working conditions,care experience,type of stoma,care burden and care ability were the main factors affecting the care readiness of the primary caregivers of enterostomy patients(P<0.01 orP<0.05).Conclusion The care readiness of the primary caregivers of enterostomy patients is at a low level,the medical staff should carry out targeted psychological intervention and knowledge education to improve the psychological state,care readiness,and the care ability.