老年首发脑梗死患者配偶照顾者连带病耻感的影响因素

Influencing factors of courtesy stigma of spouse caregivers of the elderly patients with first-episode cerebral infarction

目的:分析老年首发脑梗死患者配偶照顾者连带病耻感的影响因素。方法:选取2020年8月至2022年12月该院收治的259例老年脑梗死患者的配偶照顾者进行横断面研究,统计所有老年首发脑梗死患者配偶照顾者的连带病耻感得分,采用线性回归分析老年首发脑梗死患者配偶照顾者连带病耻感的影响因素。结果:老年首发脑梗死患者配偶照顾者的连带病耻感得分为(29.10±5.56)分,其中感知贬低维度(17.02±3.18)分,感知歧视维度(12.08±2.46)分;文化程度初中及以下、每日照顾时间>12 h、家庭人均月收入≤3000元、心理脱离水平较差、重度照顾负担的老年首发脑梗死患者配偶照顾者的连带病耻感评分高,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,家庭人均月收入≤3000元、心理脱离水平较差、重度照顾负担均为影响老年首发脑梗死患者配偶照顾者连带病耻感的危险因素(P<0.05)。结论:家庭人均月收入≤3000元、心理脱离水平较差、重度照顾负担均为影响老年首发脑梗死患者配偶照顾者连带病耻感的危险因素。

Objective:To analyze influencing factors of courtesy stigma of spouse caregivers of the elderly patients with first-episode cerebral infarction.Methods:A cross-sectional study was conducted on the spouse caregivers of 259 elderly patients with cerebral infarction admitted to the hospital from August 2020 to December 2022.The courtesy stigma scores of the spouse caregivers of all elderly patients with first-episode cerebral infarction were statistically analyzed.Linear regression was used to analyze the influencing factors of the courtesy stigma of the spouse caregivers of the elderly patients with first-episode cerebral infarction.Results:The courtesy stigma scores of the spouse caregivers of all elderly patients with first-episode cerebral infarction was(29.10 ± 5.56) points,including the perceived demeaning dimension(17.02 ± 3.18) points and the perceived discrimination dimension(12.08 ± 2.46) points.The courtesy stigma scores of the spouse caregivers of all elderly patients with firstepisode cerebral infarction with junior high school education and below,daily care time > 12 h,family per capita monthly income ≤ 3000 yuan,poor psychological detachment,and heavy severe care burden were higher,and the differences were statistically significant(P<0.05).Multivariate linear regression analysis showed that family per capita monthly income ≤ 3000 yuan,poor psychological detachment,and heavy care burden were all risk factors affecting the courtesy stigma of the spouse caregivers of the elderly patients with first-episode cerebral infarction(P<0.05).Conclusions:Family per capita monthly income ≤ 3000 yuan,poor psychological detachment,and heavy care burden are the risk factors affecting the courtesy stigma of the spouse caregivers of the elderly patients with first-episode cerebral infarction.