ICU转出病人主要照顾者准备度的相关影响因素分析

Analysis of related factors affecting the readiness of primary caregivers in ICU transferred patients

目的:分析影响ICU转出病人主要照顾者准备度的相关因素。方法:选择ICU转出病人主要照顾者作为研究对象,采取照顾者准备度量表(CPS)对其进行评分,根据得分将ICU转出病人主要照顾者分为CPS≤16分组、CPS>16分组。比较2组性别、年龄、文化程度、家庭收入、照顾经验、对病人疾病知识的了解度、与病人的关系及病人的健康状况,包括日常生活能力评定量表(ADL)、简化Fugl-Meyer运动功能评分、简易精神状态量表(MMSE);多因素logistic回归分析影响ICU转出病人主要照顾者准备度的相关因素。结果:120例中,CPS≤16分55例,>16分65例。2组性别、家庭收入、与病人的关系差异均无统计学意义(P>0.05);CPS≤16分组的年龄显著高于CPS>16分组(P<0.01),文化程度、照顾经验、对病人疾病知识的了解度显著低于CPS>16分组(P<0.05和P<0.01)。CPS≤16分组病人的ADL、简化Fugl-Meyer运动功能评分、MMSE显著低于CPS>16分组(P<0.01)。经多因素logistic回归分析,主要照顾者年龄、文化程度、对病人疾病知识的了解度及病人ADL、简化Fugl-Meyer运动功能评分、MMSE均是ICU转出病人主要照顾者准备度的危险因素(P<0.05~P<0.01);主要照顾者照顾经验与ICU转出病人主要照顾者准备度无相关性(P>0.05)。结论:主要照顾者的年龄、文化程度、对病人疾病知识的了解度及病人的健康状况均是影响ICU转出病人主要照顾者准备度的相关因素,临床可据此进行针对性干预。

Objective:To analyze the related factors affecting the readiness of primary caregivers in ICU transferred patients.Methods:Primary caregivers in ICU transferred patients were selected as the study subjects.According to the score using care preparedness scale(CPS),the primary caregivers of ICU transferred patients were divided into the CPS≤16 group and the CPS>16 group.The basic information of the two groups,including gender,age,education,family income,care experience,the degree of understanding the patient′s disease knowledge,the relationship with the patient and the patient′s health condition such as the activities of daily living scale living(ADL)score,simplified Fugl-Meyer motor function score,mini-mental state examination(MMSE)score were compared.Multivariate logistic regression was used to analyze the related factors affecting the readiness of primary caregivers in ICU transferred patients.Results:Among the 120 caregivers of ICU transferred patients,55 patients had the CPS scores less than or equal to 16 points(CPS≤16)and 65 patients had the CPS scores greater than 16 points(CPS>16).There was no significant difference in gender,family income,and relationship between patients in the two groups(P>0.05).The age in CPS≤16 group was significantly higher than that in CPS>16 group(P<0.01).The education level,care experience and the degree of understanding the patients′disease knowledge in CPS≤16 group were significantly lower than those in CPS>16 group(P<0.05 and P<0.01).The ADL score,simplified Fugl-Meyer motor function score,and MMSE score of patients with CPS≤16 were significantly lower than those with CPS>16(P<0.01).After multivariate logistic regression analysis,the age of the primary caregiver,the education level of the primary caregiver,the understanding of the primary caregiver′s knowledge of the patient′s disease,the patient′s ADL score,the patient′s simplified Fugl-Meyer motor function score and the patient′s MMSE score were the risk factors of readiness of primary caregivers in ICU transferred patients(P<0.05 to P<0.01).There was no correlation between the care experience of primary caregivers and the readiness of primary caregivers of ICU transferredred patients(P>0.05).Conclusions:The age,education level,the degree of understanding the patient′s disease knowledge of the primary caregiver,and the health condition of the patients are the related factors that affect the readiness of primary caregiver of ICU transferredred patients,which can be based on by targeted interventions in clinic.