维持性血液透析患者家庭照顾者的积极感受及影响因素研究

The positive feelings and its influencing factors of family caregivers of patients with maintenance hemodialysis

目的探讨维持性血液透析患者家庭照顾者积极感受现状及影响因素。方法于2020年5月—8月便利选取武汉市某2所三级甲等医院血液透析室237名维持性血液透析患者家庭照顾者,采用一般资料问卷、积极感受量表进行调查。结果维持性血液透析患者家庭照顾者积极感受总分为(31.28±7.28)分,得分率为69.52%。多元回归分析结果显示,照顾者性别、年龄、婚姻状况、照顾患者的总时间及是否患有慢性疾病是其积极感受的主要影响因素(P<0.05),共可解释维持性血液透析患者家庭照顾者积极感受32.3%的总变异。结论维持性血液透析患者家庭照顾者积极感受为中等偏上水平,表明其在照顾患者过程中感受到较多的积极体验。医务人员可结合其影响因素给予针对性支持和指导,进一步提高其积极感受。

Objective To investigate the positive aspects of caregiving among family caregivers of maintenance hemodialysis(MHD)patients and the influencing factors.Methods A total of 237 MHD patients’family caregivers were recruited by convenience sampling from the hemodialysis unit of two tertiary hospitals in Wuhan city.Questionnaires were general information questionnaire and Positive Aspects of Caregiving(PAC).Results The score of PAC among the family caregivers was(31.28±7.28),with a scoring rate of 69.52%.Multiple regression results showed that family caregiver’s gender,age,marital status,caregiving years and whether to have other chronic diseases were the main influencing factors of PAC(P<0.05),which explained 32.3%of the variance.Conclusion The PAC level of family caregivers of MHD patients was above medium level,which indicate that they experienced more positive experiences in the process of care.Medical staff could give targeted support and guidance with consideration of their influencing factors to further enhance their PAC.