老年髋部骨折伴认知障碍患者家庭照顾者负担及其影响因素

Family Burden in Elderly Hip Fracture Patients with Cognitive Impairment and Its Influencing Factors

目的研究老年髋部骨折伴认知障碍患者家庭照顾者负担情况及其相关因素。方法运用便利抽样的方法,采用Zarit照顾者负担量表对四川省成都市某三级甲等综合医院骨科治疗的老年髋部骨折伴认知障碍患者的家庭照顾者进行分析。结果老年髋部骨折伴认知障碍患者家庭照顾者的负担得分为(39.65±13.89)分,多元逐步回归分析结果表明照顾负担主要影响因素为照顾者是否患慢性病及患者的Barthel指数(R^(2)=0.539,F=20.206,P <0.001)。结论 59.9%以上的老年髋部骨折伴认知障碍患者家庭照顾者负担水平超过中度水平,照顾者自身慢性病情况及其所照顾患者的Barthel指数(BI)是影响照顾者负担水平的影响因素。因此,医护人员在护理工作中不应只关注于老年髋部骨折伴认知障碍患者,也应同时了解照顾者的负担水平和影响因素,采取个性化的护理措施,以降低他们的负担,最终持续提升家庭照顾水平以及患者生活质量。

Objective To explore the burden status and influencing factors of family caregivers in elderly patients with hip fracture and cognitive impairment.Methods Using the convenient sampling method and Zarit Caregiver Burden Scale to investigate the family caregivers of the elderly hip fracture patients with cognitive impairment admitted to the orthopaedic department of a tertiary hospital in Chengdu,Sichuan Province.Results The family caregivers'care burden score of elderly hip fracture patients with cognitive impairment was(39.65±13.89).The results of multiple stepwise regression analysis showed that the main influencing factors of care burden were whether the caregivers had chronic diseases and Barthel index(R^(2)=0.539,F=20.206,P<0.001).Conclusion More than 59.9%of the elderly patients with hip fracture and cognitive impairment are in the middle or above level of family caregiver burden.The caregiver's own chronic disease and Barthel Index(BI)of the caregiver are the influencing factors of caregiver burden level.Therefore,medical staff should not only pay attention to the elderly hip fracture patients with cognitive impairment,but also understand the burden level and influencing factors of caregivers,and take personalized nursing measures to decrease the burden level of caregivers,in order to further improve the function of family care and the quality of their life.