基于扎根理论的脑卒中患者主要照顾者倦怠概念框架的构建研究

Construction of the theoretical framework of burnout among primary caregivers of stroke patients:a grounded theory study

目的基于扎根理论构建脑卒中患者主要照顾者倦怠概念框架。方法采用质性研究中现象学研究方法,依据年龄、性别、与患者的关系、照顾时间长短等特征进行抽样,于2021年12月至2022年3月在吴忠市、银川市2所二级甲等医院、1所三级甲等医院以及1所社区卫生服务站选取31名脑卒中患者主要照顾者进行半结构式访谈,并采用程序性扎根理论法对资料进行分析。结果共形成29个一级范畴,9个二级范畴,最终确立脑卒中患者主要照顾者倦怠概念框架,由"角色倦怠""生理倦怠""心理倦怠"和"社交倦怠"4个主要范畴,"脑卒中患者主要照顾者倦怠"1个核心范畴构成。结论本研究构建的脑卒中患者主要照顾者倦怠概念框架从4个方面详细阐述了脑卒中患者主要照顾者倦怠的内涵,可为今后测评工具的开发和干预措施的制订提供依据。

Objective To construct a conceptual framework of burnout among primary caregivers of stroke patients based on grounded theory.Methods According to the characteristics of age,gender,relationship with patients,length of care and other characteristics of purpose sampling method,from December 2021 to March 2022,31 primary caregivers of stroke patients were selected for semi-structured interviews in two second-class hospitals,a first-class hospitals and a community health service station in Wuzhong city and Yinchuan city.The data were analyzed in procedural grounded theory method.Results A total of 29 primary categories and 9 secondary categories were formed.The conceptual framework of burnout among primary caregivers of stroke patients was finally established,which consisted of four main categories(role burnout,physical burnout,psychological burnout and social burnout)and a core category(burnout of primary caregivers of stroke patients).Conclusions The conceptual framework of burnout among primary caregivers of stroke patients constructed in this study elaborates the connotation of burnout of primary caregivers of stroke patients from four aspects,which can provide a basis for the development of assessment tools and the formulation of intervention measures in the future.