中老年维持性血液透析患者主要照顾者负担水平及其影响因素分析

目的 调查中老年维持性血液透析患者主要照顾者负担现状,分析其相关的影响因素及探讨。方法 便利抽样某三级甲等医院,采用一般人口学问卷、应用Zait负担量表、社会支持量表、自我效能感量表对115例中老年血液透析患者主要照顾者进行调查分析,采用多元线性回归分析其影响的因素。结果 中老年血液透析患者主要照顾者负担总分为(41.50±13.85)分,回归分析显示：社会支持、自我效能、年龄、文化程度、婚姻状态、工作状态、家庭经济收入进入回归方程(P＜0.05)。结论 中老年维持性血液透析患者主要照顾者负担处于中等水平,受自社会支持、自我效能、婚姻状态、家庭经济收入影响。护理人员应及时评估主要照顾者负担的影响因素,扩大中老年维持性血液透析患者主要照顾者社会支持,提供相应的健康教育,增强信心,为今后干预提供依据,最终提高患者及照顾者的生活质量。

Analysis of the burden of main caregivers and its influencing factors in middle-aged and elderly patients receiving maintenance hemodialysis

Objective To investigate the current status of the main caregiver burden of middle-aged and elderly patients with maintenance hemodialysis, and analyze the related influencing factors and discussion. Methods A sample of a tertiary hospital was conveniently used. The general demographic questionnaire, the Zait burden scale, the social support scale, and the self-efficacy scale were used to investigate and analyze 115 primary caregivers of middle-aged and elderly hemodialysis patients. Regression analysis of the factors that influence it. Results The main caregiver burden of middle-aged and elderly hemodialysis patients was (41.50±13.85). The regression analysis showed that social support, self-efficacy, age, education level, marital status, working status, and family economic income entered the regression equation (P< 0.05). Conclusion The main caregiver burden of middle-aged and elderly hemodialysis patients is at a medium level, which is influenced by social support, self-efficacy, marital status, and family economic income. Nursing staff should timely assess the influencing factors of the main caregiver burden, expand the social support of the main caregivers of middle-aged and elderly hemodialysis patients, provide corresponding health education, enhance confidence, provide a basis for future intervention, and ultimately improve the lives of patients and caregivers. quality.