中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
19期
12-15,18
,共5页
主要照顾者%照顾者负荷%髋部骨折%认知行为%心理状态
主要照顧者%照顧者負荷%髖部骨摺%認知行為%心理狀態
주요조고자%조고자부하%관부골절%인지행위%심리상태
Key carers%Carer burdens%Hip fractures%Cognitive behaviour%Psychological states
目的：探讨髋部骨折住院患者照顾者负荷影响因素分析及实施认知行为干预的效果。方法选择120例髋部骨折住院患者的主要照顾者120例，采用CBI、SAS、SDS对照顾者进行基线调查，分析照顾者负荷影响因素，后随即分为干预组和对照组60例，干预组采用认知行为干预，对比两组CBI、SAS、SDS。结果照顾者文化程度、与患者关系、共同照顾人、照顾时间、家庭月收入及患者自理能力与照顾者负荷有关(P<0.05)，其中共同照顾人、照顾时间、患者自理能力是照顾者负荷的独立性影响因素(P<0.05)。干预后干预组发展受限性负担、社交性负担、情感性负担及总负荷均显著低于对照组(P<0.05)，SAS、SDS得分均显著低于对照组(P<0.05)。 CBI得分与SAS、SDS得分均呈正相关性(r=0.398、0.318，P<0.05)。结论髋部骨折住院患者照顾者照顾期间强度、时间、患者依赖程度及焦虑、抑郁程度与其负荷密切相关，认知行为干预可以有效改善照顾者负荷和心理状态。
目的：探討髖部骨摺住院患者照顧者負荷影響因素分析及實施認知行為榦預的效果。方法選擇120例髖部骨摺住院患者的主要照顧者120例，採用CBI、SAS、SDS對照顧者進行基線調查，分析照顧者負荷影響因素，後隨即分為榦預組和對照組60例，榦預組採用認知行為榦預，對比兩組CBI、SAS、SDS。結果照顧者文化程度、與患者關繫、共同照顧人、照顧時間、傢庭月收入及患者自理能力與照顧者負荷有關(P<0.05)，其中共同照顧人、照顧時間、患者自理能力是照顧者負荷的獨立性影響因素(P<0.05)。榦預後榦預組髮展受限性負擔、社交性負擔、情感性負擔及總負荷均顯著低于對照組(P<0.05)，SAS、SDS得分均顯著低于對照組(P<0.05)。 CBI得分與SAS、SDS得分均呈正相關性(r=0.398、0.318，P<0.05)。結論髖部骨摺住院患者照顧者照顧期間彊度、時間、患者依賴程度及焦慮、抑鬱程度與其負荷密切相關，認知行為榦預可以有效改善照顧者負荷和心理狀態。
목적：탐토관부골절주원환자조고자부하영향인소분석급실시인지행위간예적효과。방법선택120례관부골절주원환자적주요조고자120례，채용CBI、SAS、SDS대조고자진행기선조사，분석조고자부하영향인소，후수즉분위간예조화대조조60례，간예조채용인지행위간예，대비량조CBI、SAS、SDS。결과조고자문화정도、여환자관계、공동조고인、조고시간、가정월수입급환자자리능력여조고자부하유관(P<0.05)，기중공동조고인、조고시간、환자자리능력시조고자부하적독립성영향인소(P<0.05)。간예후간예조발전수한성부담、사교성부담、정감성부담급총부하균현저저우대조조(P<0.05)，SAS、SDS득분균현저저우대조조(P<0.05)。 CBI득분여SAS、SDS득분균정정상관성(r=0.398、0.318，P<0.05)。결론관부골절주원환자조고자조고기간강도、시간、환자의뢰정도급초필、억욱정도여기부하밀절상관，인지행위간예가이유효개선조고자부하화심리상태。
Objective To explore the influencing factors for carer burdens from hospitalized patients with hip fractures and the effects of cognitive behaviour intervention. Methods A total of 120 key carers of 120 hospitalized patients with hip fractures were selected, and CBI, SAS and SDS were applied to carried out baseline investigation for carers. Influ-encing factors for carer burdens were analyzed, and they were afterwards randomly assigned to an intervention group and a control group with 60 patients in each. The intervention group was given cognitive behaviour intervention. CBI, SAS and SDS were compared between the two groups. Results Educational level, relation with the patients, common caregivers, caring time, household family income and patients' self-care ability were correlated with carer burdens (P<0.05), in which common caregivers, caring time and patients' self-care ability were independent influencing factors for carer burdens (P<0.05). After intervention, development limitation burdens, social burdens, emotional burdens and total burdens were all significantly lower than those in the control group (P<0.05), and SAS and SDS scores were signifi-cantly lower than those in the control group (P<0.05). CBI score was positively correlated with SAS and SDS scores (r=0.398, 0.318, P<0.05). Conclusion During caring period for carers for hospitalized patients with hip fractures, intensity, time, patients independence degree and anxiety and depression degrees are closely correlated with their burdens, and cognitive behaviour intervention is able to effectively improve carers' burdens and psychological states.
