CAJ | 학술논문

目的：探讨维持性血液透析( MHD)患者疾病家庭负担与家庭关怀之间的关系。方法采用方便抽样的方法选取2012年7月—2013年12月在北京某三级甲等医院进行MHD治疗的126例患者,采用“家庭关怀度指数问卷”及“疾病家庭负担量表”对患者进行问卷调查,并进行相关分析。结果患者总体疾病家庭负担得分为(36.01±7.52)分,家庭负担集中体现在家庭经济负担、家庭日常生活和家庭娱乐活动3个方面。患者家庭关怀指数总体得分为(7.71±3.01)分,其中家庭功能良好者92例(73.1%),家庭功能轻中度障碍者14例(11.1%),家庭功能严重障碍者20例(15.8%)。 MHD患者的疾病家庭负担得分和家庭关怀度指数得分呈负相关(r=-0.426,P<0.05)。结论 MHD患者的家庭关怀程度可显著影响患者的疾病家庭负担情况,因此护理人员要进一步强化整体护理观念,对MHD患者护理的同时,更要关注MHD患者家庭负担情况,帮助完善家庭功能,提升家庭关怀度。
목적：탐토유지성혈액투석( MHD)환자질병가정부담여가정관부지간적관계。방법채용방편추양적방법선취2012년7월—2013년12월재북경모삼급갑등의원진행MHD치료적126례환자,채용“가정관부도지수문권”급“질병가정부담량표”대환자진행문권조사,병진행상관분석。결과환자총체질병가정부담득분위(36.01±7.52)분,가정부담집중체현재가정경제부담、가정일상생활화가정오악활동3개방면。환자가정관부지수총체득분위(7.71±3.01)분,기중가정공능량호자92례(73.1%),가정공능경중도장애자14례(11.1%),가정공능엄중장애자20례(15.8%)。 MHD환자적질병가정부담득분화가정관부도지수득분정부상관(r=-0.426,P<0.05)。결론 MHD환자적가정관부정도가현저영향환자적질병가정부담정황,인차호리인원요진일보강화정체호리관념,대MHD환자호리적동시,경요관주MHD환자가정부담정황,방조완선가정공능,제승가정관부도。
Objective To investigate the relationship between family burden and support for maintenance hemodialysis ( MHD) patients. Methods Family APGAR index scale ( APGAR scale) and disease family burden scale ( FBS) were used to investigate among 126 MHD patients ( selected by convenient sampling method) from July 2012 to December 2013 in one Beijing level three class A hospital. Results The score of family burden was (36. 01 ± 7. 52) presented at 3 aspects of family economic burden, family daily life and family entertainment activities. The total score of family support was (7. 71 ± 3. 01), in which the good family function was 92 cases (73. 1%), family slightly obstacles 14 cases (11. 1%), and family serious obstacles 20 cases (15. 8%). The burden score of family having MHD patients had negative correlation with the score of family support (r= -0. 426, P<0. 05). Conclusions MHD patients′family support has significant influence on family burden. Therefore, the nursing staffs should strengthen the concept of holistic nursing care, pay more attention to the patients′family burden as well as nursing care, so as to perfect the family function, enhance the family support and comprehensively enhance the quality of care for patients.