脑卒中病人照顾者家庭抗逆力的潜在剖面分析及其与家庭关怀度关系

    Potential profile analysis of family resilience in caregivers of stroke patients and its relationship with family caring degree

    • 摘要:
      目的: 探讨脑卒中病人主要照顾者家庭抗逆力水平的潜在类别,并分析各类别的家庭关怀度差异。
      方法: 采用便利抽样法,选取安徽省某三级甲等医院264例卒中病人照顾者为研究对象,采用一般资料调查表、家庭弹性评定量表、家庭关怀度指数测评量表进行调查。分析照顾者家庭抗逆力的潜在类别,探讨其影响因素。
      结果: 脑卒中病人主要照顾者家庭抗逆力分为3个类别,其中低抗逆力—社会支持缺乏组28人(10.61%),中抗逆力—稳定适应组138人(52.27%),高抗逆力—积极面对现实组98人(37.12%)。单因素分析显示,3组病人职业状态、卒中类型、医疗费用支付方式和照顾者年龄、居住地、自觉健康状况、睡眠质量、日均照顾时间、家庭关怀度得分间差异均有统计学意义(P < 0.05 ~ P < 0.01)。多元logistic回归分析显示,家庭关怀度得分、病人卒中类型、照顾者自觉健康状况、日均照顾时间均为脑卒中病人主要照顾者家庭抗逆力的独立影响因素(P < 0.05 ~ P < 0.01)。
      结论: 脑卒中病人照顾者的家庭抗逆力水平存在3个潜在类别,医护人员应注意早期识别危险因素,重视家庭关怀度的正向作用,帮助照顾者及时进行自我调节,从而提升其家庭抗逆力水平。

       

      Abstract:
      Objective To explore the potential categories of family resilience of the main caregivers of stroke patients, and analyze the differences in family caring degree of each category.
      Methods By convenience sampling method, 264 stroke patients' caregivers in a tertiary grade A hospital in Anhui province were selected as the research objects, and investigated using the general data questionnaire, family flexibility rating scale and family caring index evaluation scale. The potential categories of family resilience of caregivers were analyzed to explore its influencing factors.
      Results The family resilience of the main caregivers of stroke patients was divided into three categories, which included the low resilience-lack of social support group (28 people ,10.61%), medium resilience-stable adjustment group (138 people, 52.27%) and high resilience-positive reality group (98 people, 37.12%). The results of univariate analysis showed that the differences of occupational status, stroke type, medical expense payment method, caregiver age, residence, perceived health status, sleep quality, daily care time and family caring scores among three groups were statistically significant (P < 0.05 to P < 0.01). The results of multiple logistic regression analysis showed that the family caring score, stroke type, perceived health status of caregivers and average daily care time were the independent influencing factors of family stress tolerance of major caregivers of stroke patients (P < 0.05 to P < 0.01).
      Conclusions There are three potential categories of family resilience in caregivers of stroke patients. Medical staff should pay attention to the early identification of risk factors, pay attention to the positive effect of family caring degree, and help caregivers to timely self-regulate, so as to improve their family resilience.

       

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