摘要
目的探讨哮喘患儿家庭主要照顾者疾病获益感的潜在类别,并分析不同类别间的影响因素。方法采取便利抽样法选取2021年3月—2024年3月广西市某三甲医院收治的哮喘患儿及其家庭主要照顾者。选择一般资料调查表、疾病获益感量表(benefit finding scale,BFS)、医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)和一般自我效能感量表(general self-efficacy scale,GSES)对家庭主要照顾者进行问卷调查;将BFS量表的22个条目作为外显指标进行潜在剖面分析,分析家庭主要照顾者疾病获益感的潜在类别,采用多因素logistic回归分析相关影响因素。结果本研究共发放问卷200份,最终收回有效问卷195份,回收有效率为97.50%。哮喘患儿家庭主要照顾者BFS总分为(55.36±12.47)分,处于中等水平。哮喘患儿家庭主要照顾者疾病获益感共分为2个类别,其中类别1为高获益-高成长组(54.36%),类别2为低获益-低家庭支持组(45.64%)。多因素logistic回归分析结果显示:患儿哮喘控制程度(OR=4.109,P=0.022)以及家庭主要照顾者文化水平(OR=5.596,P=0.024)、工作情况(OR=2.856,P=0.044)、HADS中焦虑亚量表得分(OR=0.499,P<0.001)及GSES得分(OR=1.999,P<0.001)是哮喘患儿家庭主要照顾者疾病获益感潜在类别的影响因素(P<0.05)。结论哮喘患儿家庭主要照顾者的疾病获益感处于中等水平,且存在显著分类特征;临床医护人员可根据不同类别照顾者的特征制定个性化干预措施,通过给予正向激励、针对性心理支持等,促进其疾病获益感提升。
Objective To explore the potential categories of the feelings of disease benefit among the primary caregivers of children with asthma,and to analyze the influencing factors among different categories.Methods Asthma children and their main caregivers of their families admitted to a tertiary hospital in Guangxi from March 2021 to March 2024 were selected by the convenient sampling method.The main caregivers of the family were conducted a questionnaire survey by the general infovmation questionnaire,benefit finding scale(BFS),hospital anxiety and depression scale(HADS),and general self-efficacy scale(GSES);The 22 items of the BFS scale were used as explicit indicators for potential profile analysis,and the potential categories of the feelings of disease benefit in the main caregivers of the family were analyzed,and the relevant influencing factors were analyzed by multi-factor logistic regression.Results A total of 200 questionnaires were distributed in this study,and 195 valid questionnaires were finally recovered,with a recycling efficiency of 97.50%.The total score of the benefit-finding scale(BFS)among primary caregivers of children with asthma was(55.36±12.47),which fell into the moderate level.The feeling of disease benefit among the main caregivers of children with asthma was divided into 2 categories,among which Category 1 was the high-benefit-high-growth group(54.36%)and Category 2 was the low-benefit-low-family-support group(45.64%).The results of multi-factor logistic regression analysis showed that the degree of asthma control in children(OR=4.109,P=0.022),the cultural level of the main caregivers in the family(OR=5.596,P=0.024),work status(OR=2.856,P=0.044),HADS-A score(OR=0.499,P<0.001),and GSES score(OR=1.999,P<0.001)were the influencing factors of the potential category of disease benefit for the main caregivers in families of children with asthma(P<0.05).Conclusion The sense of disease benefit of the main caregivers of children with asthma are at a moderate level and have significant classification characteristics;Clinical medical staff can formulate personalized intervention measures based on the characteristics of different types of caregivers,and promote the improvement of their sense of disease benefit by providing positive incentives,targeted psychological support.
作者
陆爱国
罗美仟
陆爱琼
陆玉华
韦艳珍
陆爱华
LU Aiguo;LUO Meiqian;LU Aiqiong;LU Yuhua;WEI Yanzhen;LU Aihua(Baise Maternal and Child Health Hospital,Baise 533000,Guangxi,China;Red Cross Hospital of Nanning,Nanning 530012,Guangxi,China;People's Hospital of Guangxi-ASEAN Economic and Technological Development Zone,Nanning 530105,Guangxi,China)
出处
《护士进修杂志》
2025年第18期1919-1925,共7页
Journal of Nurses Training
基金
百色市科学研究与技术开发计划(编号:20201725)。
关键词
哮喘
患儿
家庭主要照顾者
潜在剖面分析
疾病获益感
儿科护理
asthma
child
primary caregiver of the family
potential profile analysis
sense of benefit from disease
pediatric nursing
