Page 89 - 南京医科大学学报社会科学版
P. 89
南
第5期 总第106期 南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
2021年10月 Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences) · 495 ·
Journal
KA A,et al. Correlation between depression and bur⁃ 生杂志,2020,34(7):572-577
den observed in informal caregivers of people suffering [14] 徐清芝. 健康教育对居家老年痴呆症家庭照料者负担
from dementia with time spent on caregiving and de⁃ 及焦虑抑郁情绪的作用[J]. 精神医学杂志,2017,30
mentia severity[J]. Eur Rev Med Pharmacol Sci,2016, (3):185-187
20(1):59-63 [15] 范俭雄,耿德勤. 精神病学[M]. 南京:东南大学出版
[9] VOGEL B,DE GEEST S,FIERZ K,et al. Dementia 社,2016:57
care worker stress associations with unit type,resident, [16] 田金洲. 中国痴呆诊疗指南(2017版)[M]. 北京:人民
and work environment characteristics:a cross⁃sectional 卫生出版社,2017:12-29
secondary data analysis of the Swiss Nursing Homes [17] 陈鸣声. 安德森卫生服务利用行为模型演变及其应用
Human Resources Project(SHURP)[J]. Int Psychogeri⁃ [J]. 南京医科大学学报(社会科学版),2018,18(1):
atr,2017,29(3):441-454 5-8
[10] SAMIA L W,HEPBURN K,NICHOLS L.“Flying by the [18] NOVAK M,GUEST C. Application of a multidimension⁃
seat of our pants”:what dementia family caregivers al caregiver burden inventory[J]. Gerontologist,1989,
want in an advanced caregiver training program[J]. 29(6):798-803
Res Nurs Health,2012,35(6):598-609 [19] 张睿,李峥. 中文版照顾者积极感受量表的信效度研
[11] COOPER C,SELWOOD A,BLANCHARD M,et al. 究[J]. 中华护理杂志,2007,42(12):1068-1071
The determinants of family carers’abusive behaviour [20] 李韵涵,宗芳,唐浪娟,等. 帕金森病患者家庭主要照
to people with dementia:results of the CARD study 顾者照护负担与应对方式相关性研究[J]. 齐鲁护理
[J]. J Affect Disord,2010,121(1/2):136-142 杂志,2018,24(11):1-3
[12] 孙宁,周颖,杨爽,等. 失智老人家庭照护者的照护负 [21] LOW L F,YAP M,BRODATY H. A systematic review
担及影响因素的研究[J]. 中国医药导报,2019,16 of different models of home and community care servic⁃
(29):61-64 es for older persons[J]. BMC Health Serv Res,2011,
[13] 福田雅美,吕晓珍,李涛,等. 一年内诊断为阿尔茨海 11:93
默病患者照护者的负担及相关因素[J]. 中国心理卫 (本文编辑:姜 鑫)
The care burden of senile dementia patients in Nanjing
2
1
3
4
ZHANG Yan ,XIA Ningning ,WU Jie ,YANG Xin ,LU Xiang 5
1. School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;2. Nursing Department,3. Surgery
Lab,4. Intensive Care Unit,the Affiliated BenQ Hospital of Nanjing Medical University,Nanjing 210019;5. Geriatric
Department,Sir Run Run Hospital of Nanjing Medical University,Nanjing 211166,China
Abstract:This article took senile dementia patients and their caregivers as the research object,and
conducted a questionnaire survey to explore the factors affecting care burden. The results showed that: ①the
total average score of caregiver burden inventory(CBI)was 44.33 ± 20.13,the average score of each factor was
5.80~20.13,and the highest score was emotional burden. ② In univariate analysis,patients’basic disease
types,religious beliefs,living expenses,medical expenses,age and course of disease,caregivers’religious
beliefs,their own basic disease status,whether they were discriminated against,the medical expense pressure
and the family monthly income were the factors affecting the care burden(P<0.05). ③ The results of multivariate
analysis showed that the main factors causing care burden were the discrimination of caregivers,the basic
diseases of caregivers,the high medical expenses of patients,and patients’religious beliefs. The main burden
of caregivers was emotional burden. The disease course of patients was positively correlated with care burden,
and care burden would also affect the health status of caregivers. The increase of patients’medical expenses
was an important factor affecting the score of care burden.
Key words:senile dementia;caregivers;care burden;influencing factor