护士进修杂志
護士進脩雜誌
호사진수잡지
JOURNAL OF NURSES TRAINING
2014年
22期
2032-2034
,共3页
临终关怀%老年临终患者%家属照顾者%照顾反应%社会支持
臨終關懷%老年臨終患者%傢屬照顧者%照顧反應%社會支持
림종관부%노년림종환자%가속조고자%조고반응%사회지지
Hospice care%Elderly dying patients%Family caregivers%Caregiver reaction%Social support
目的：探讨老年临终患者家属照顾者照顾反应和社会支持关系。方法采用照顾者反应量表（CRA）和社会支持量表（MOS‐SSS）对264例老年临终患者家属照顾者进行调查，并分析照顾反应各维度与其社会支持情况的关系。结果老年临终患者家属照顾者照顾反应自尊维度得分最高，其余消积结果中得分排名依次为时间受打扰、健康问题维度、经济问题维度和家庭支持维度。医疗结果研究的社会支持总分为（58．69±2．44）分，远低于常模标准；照顾反应中自尊维度与社会支持各维度无明显相关；其它各维度均与社会支持总分呈负相关（P＜0．05）。结论在为临终患者及家属照顾者提供临终关怀服务时，应重视社会支持状况与照顾者照顾反应之间的关系，提供针对该群体适合的护理措施，提高老年临终患者家属照顾者的社会支持水平，减轻照顾负荷，从而保障临终患者和照顾者双方的生活质量。
目的：探討老年臨終患者傢屬照顧者照顧反應和社會支持關繫。方法採用照顧者反應量錶（CRA）和社會支持量錶（MOS‐SSS）對264例老年臨終患者傢屬照顧者進行調查，併分析照顧反應各維度與其社會支持情況的關繫。結果老年臨終患者傢屬照顧者照顧反應自尊維度得分最高，其餘消積結果中得分排名依次為時間受打擾、健康問題維度、經濟問題維度和傢庭支持維度。醫療結果研究的社會支持總分為（58．69±2．44）分，遠低于常模標準；照顧反應中自尊維度與社會支持各維度無明顯相關；其它各維度均與社會支持總分呈負相關（P＜0．05）。結論在為臨終患者及傢屬照顧者提供臨終關懷服務時，應重視社會支持狀況與照顧者照顧反應之間的關繫，提供針對該群體適閤的護理措施，提高老年臨終患者傢屬照顧者的社會支持水平，減輕照顧負荷，從而保障臨終患者和照顧者雙方的生活質量。
목적：탐토노년림종환자가속조고자조고반응화사회지지관계。방법채용조고자반응량표（CRA）화사회지지량표（MOS‐SSS）대264례노년림종환자가속조고자진행조사，병분석조고반응각유도여기사회지지정황적관계。결과노년림종환자가속조고자조고반응자존유도득분최고，기여소적결과중득분배명의차위시간수타우、건강문제유도、경제문제유도화가정지지유도。의료결과연구적사회지지총분위（58．69±2．44）분，원저우상모표준；조고반응중자존유도여사회지지각유도무명현상관；기타각유도균여사회지지총분정부상관（P＜0．05）。결론재위림종환자급가속조고자제공림종관부복무시，응중시사회지지상황여조고자조고반응지간적관계，제공침대해군체괄합적호리조시，제고노년림종환자가속조고자적사회지지수평，감경조고부하，종이보장림종환자화조고자쌍방적생활질량。
Objective To study the caregiver reaction among family caregivers for patients who were in the end‐of‐life ,and to explore the relation‐ship between caregiver burden and social support .Method 264 caregivers of elder‐ly dying patient were investigated by using the questionnaires of caregiver reaction assessment(CRA)and medical outcomes study social support survey(MOS‐SSS) .The relationship between the various dimensions reaction condi‐tions and their social care support was analyzed .Result Self‐esteem was the highest‐scoring dimension in the caregiv‐er reaction ssessment ,for the negative dimensions ranked by the score were disrupted schedule ,health problem ,fi‐nancial problem and lack of family support ;The total score of social support was (58 .69 ± 2 .44) ,which is much lower than that of normal standard .There was no significant correlation between care‐givers take care reaction and social support dimensions .Other negative dimensions of CRA were negatively correlated with total score of social support availability .Conclusion For dying patients and their families providing hospice care services ,it should pay attention to social support and caregivers care reaction ,provide appropriate care measures against the population and improve the level of social support of family caregivers ,reduce caregiver burden and enhance their inner positive ex‐perience in order to protect the quality of life for dying patients and their family caregivers .
