住院新失能老人出院前家庭照顾者的照顾能力状况及其影响因素

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Abstract Objective: To explore the status and influencing factors of care ability of family caregivers for the newly disabled elderly in hospital before discharge, and to provide basis for nursing staff to take pertinent intervention measures. Methods: Using the convenient sampling method, this study recruited 206 hospitalized newly disabled elderly patients and their caregivers from the First Affiliated Hospital of Wenzhou Medical University and Taizhou Hospital Affiliated to Wenzhou Medical University from July 2017 to May 2018. General information questionnaire and family caregiver task inventory were used to investigate these participants. The influencing factors of caregivers' care ability including demographic sociological data, disease data and others were analyzed. Multiple linear stepwise regression analysis was used to explore the main influencing factors. Results: The total score of caregivers’ care ability was 15.0±6.8, with significant differences (P<0.05) compared with the Hong Kong norm. The results of multivariate linear stepwise regression analysis showed that the factors affecting the care ability of family caregivers mainly include the patients’ economic level, self-care ability on admission and the education level and average daily care time of the caregiver, accounting for 32% of the total variation of caregivers’ care ability. Conclusion: Family caregivers’ care ability for the hospitalized newly disabled elderly is at low level before discharge. Nursing staff should give particular guide to the caregivers for the disabled elderly with low self-care ability on admission and poor economic conditions, and also to the caregivers with low educational level and short care time.

Key words： new disabled elderly family caregiver;care ability influencing factors

Received: 04 January 2019

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	LI Hui
	LI Xiuyue
	YIN Zhiqin
	GUAN Yaqi
	ZHENG Tingting.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2019/V49/I5/344

[1] MEHTA K M, PIERLUISSI E, BOSCARDIN W J, et al. A clinical index to stratify hospitalized older adults according to risk for new-onset disability[J]. J Am Geriatr Soc, 2011, 59(7): 1206-1216.
[2] JENCKS S F, WILLIAMS M V, COLEMAN E A. Rehospitalizations among patients in the Medicare fee-for-service program[J]. N Engl J Med, 2009, 360(14): 1418-1428.
[3] BOYD C M, LANDEFELD C S, COUNSELL S R, et al. Recovery of activities of daily living in older adults after hospitalization for acute medical illness[J]. J Am Geriatr Soc, 2008, 56(12): 2171-2179.
[4] GANAPATHY V, GRAHAM G D, DIBONAVENTURA M D, et al. Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity[J]. Clin Interv Aging, 2015, 10: 1793-1802.
[5] 黄素云, 丁立东, 康小燕, 等. 家庭主要照顾者照顾能力对脑卒中患者再入院的影响[J]. 实用临床医药杂志, 2018, 22(10): 1-4.
[6] 刘祚燕, 吴琳娜, 胡秀英. 老年住院患者日常生活活动能力影响因素研究[J]. 四川大学学报(医学版), 2015, 46(2): 311-314.
[7] 张瑞丽, 付英秀. 老化与日常生活活动[M]. 北京: 北京科学技术出版社, 2009: 97.
[8] 宋岳涛. 老年综合评估[M]. 北京: 中国协和医科大学出版社, 2012: 190.
[9] 伍少玲, 燕铁斌, 黄利荣. 简易智力测试量表的效度及信度研究[J]. 中华物理医学与康复杂志, 2003, 25(3): 140-142.
[10] 李现文, 刘海宁, 安静. 老年抑郁量表城乡项目功能差异分析[J]. 中国全科医学, 2016, 19(9): 1002-1005.
[11] 徐天和, 万崇华, 江文富. 中华医学统计百科全书健康测量分册[M]. 北京: 中国统计出版社, 2013: 162.
[12] CLARK N M, RAKOWSKI W. Family caregivers of older adults: improving helping skills[J]. Gerontologist, 1983, 23(6): 637-642.
[13] LEE R L. Caring for family members with stroke: Chinese family caregivers’ experience[J]. Asian J Nurs Stud, 2004, 7(1): 18-27.
[14] 楼玮群, 梅锦荣. 长者身心健康测量手册[M]. 香港:香港大学秀圃老年研究中心出版社, 2008: 180-184.
[15] LANG P O, MEYER N, HEITZ D, et al. Loss of independence in Katz's ADL ability in connection with an acute hospitalization: early clinical markers in French older people[J]. Eur J Epidemiol, 2007, 22(9): 621-630.
[16] BARNES D E, MEHTA K M, BOSCARDIN W J, et al. Prediction of recovery, dependence or death in elders who become disabled during hospitalization[J]. J Gen Intern Med, 2013, 28(2): 261-268.
[17] 赵雪萍, 薛詠红, 杨惠花, 等. 社区脑卒中病人照顾者照顾能力现状及影响因素分析[J]. 护理研究, 2011, 25(28): 2551-2553.
[18] 易利娜, 余昌妹. 脑卒中病人家庭照顾者照顾能力及其影响因素研究[J]. 护理研究, 2014, 28(7): 814-816.
[19] WADHWA D, BURMAN D, SWAMI N, et al. Quality of life and mental health in caregivers of outpatients with advanced cancer[J]. Psychooncology, 2013, 22(2): 403-410.
[20] 庞冬, 那利, 路潜, 等. 社区脑卒中病人主要照顾者负担的调查[J]. 中华护理杂志, 2005, 40(4): 285-287.
[21] 汤娟娟, 王俊杰, 汪永坚. 家庭照顾者照顾负担及生存质量与老人失能程度的相关性研究[J]. 护理研究, 2016, 30(20): 2444-2448.
[22] 张俊娥, 苏永静, 蔡丽娥, 等. 脑卒中病人家庭主要照顾者照顾能力及其影响因素分析[J]. 护理研究, 2009, 23(21): 1891-1892.
[23] 杨海萍, 李江, 陈晓领, 等. 住院脑卒中患者主要照顾者心理状态及其与应对方式和社会支持的相关性[J]. 温州医科大学学报, 2016, 46(5): 372-375.
[24] 王慧萍, 陈京立, 郭园丽, 等. 住院脑卒中患者主要照顾者负担及影响因素的研究[J]. 解放军护理杂志, 2010, 27(16): 1210-1213.