摘要
目的：调查不同阶段永久性肠造口患者照顾者的生活质量,并探讨其影响因素。方法于2010年12月—2011年11月选择永久性肠造口患者照顾者60名为研究对象,分别在患者出院后1个月和3个月时采用Zarit护理负担量表、照顾者生活质量量表调查其生活质量情况。结果出院后1个月、出院后3个月时照顾者总生活质量评分分别为（185.42±23.535）,（205.20±23.989）分,差异有统计学意义（t=-15.808,P〈0.01）。单因素分析显示,出院后1个月时照顾者生活质量影响因素包括照顾者文化程度、月收入、与患者关系、患者年龄、患者文化程度、费用支付方式,差异有统计学意义（P〈0.05）；出院后3个月时照顾者文化程度、月收入、与患者关系、患者年龄、费用支付方式、护理负担是照顾者生活质量影响因素,差异有统计学意义（P〈0.05）；经多元逐步回归分析显示,出院后1个月患者照顾者总生活质量的影响因素包括照顾者护理负担、患者年龄、患者文化程度、照顾者月收入；出院后3个月时照顾者总生活质量的影响因素包括照顾者月收入、文化程度、护理负担、患者造口并发症情况。结论照顾者各个阶段生活质量的影响因素是不同的。护理人员应根据照顾者的不同情况采取有效的针对性护理措施,进行系统的健康教育,提高照顾者生活质量,达到预防疾病、促进健康的目的,加强照顾者的照顾能力,进而提高患者的生活质量。
Objective To investigate the caregiver′s quality of life, who take care of a permanent colostomy patient, in different stages after the patient was discharged from hospital, and to explore its influence factors. Methods Sixty patients with permanent colostomy were conducted in this investigation. Zarit nursing burden chart,caregiver quality of life （ QOL） form were used to investigate the quality of life of caregivers in one and three months after the patient discharged from the hospital. Results The overall QOL scores in one and three months were （185. 42 ± 23. 535）, （205. 20 ± 23. 989） respectively, the difference was statistically significant （t= -15. 808, P 〈0. 01）. Influencing factors in 1 month were caregiver′s education degree, income,relationship, age of patients, patient′s education degree, payment （P〈0. 05）. There were the same influencing factors in three months except for nursing burden （P〈0. 05）. Multiple stepwise regression analysis showed the mainly influencing factors of the caregiver′s QOL in one month were nursing burden, age of patient, patient′s education degree, caregiver′s income; and it in three months were caregiver′s income and education degree, nursing burden, complications. Conclusions The influencing factors of caregiver′s QOL in each stage is different. In clinical nursing and community nursing work, nursing staff should take effective nursing measures and systematic health education according to different situations, improve the caregiver′s quality of life, prevent disease and promote health, strengthen the caregivers′ability, and improve the quality of life of patients.
出处
《中华现代护理杂志》
2015年第17期2045-2049,共5页
Chinese Journal of Modern Nursing
关键词
肠造口术
照顾者
生活质量
影响因素
Enterostomy
Caregiver
Quality of life
Influencing factors
