老年脑卒中患者自我感受负担及其影响因素

目的 调查老年脑卒中患者自我感受负担现状,并分析其影响因素。方法 采用一般资料调查表、自我感受负担量表(self-perceived burden scale,SPBS)、脑卒中自我效能量表(stroke self-efficacy questionnaire,SSEQ)、修订版家庭支持自评量表(perceived social support from family scale,PSS-Fa)对保定市某三级甲等医院317名老年脑卒中患者进行调查,采用有序Logistic回归分析自我感受负担的危险因素。结果 老年脑卒中患者自我感受负担平均得分为(26.54±10.05)分,69.40%患者存在自我感受负担。其中,存在轻度、中度、重度自我感受负担者分别占29.34%、27.13%、12.93%。有序Logistic回归分析结果表明,病程≤1个月(OR=2.192)、照顾者健康状况好(OR=2.620)、自我效能(OR=1.025)和感知到家庭支持(OR=1.351)水平高的老年脑卒中患者自我感受负担水平较轻;人均家庭月收入≤2 000元(OR=0.170)的老年脑卒中患者自我感受负担水平较重。结论 老年脑卒中患者自我感受负担发生率高。经济状况差、病程长、照顾者健康状况一般、自我效能和家庭支持水平低可能是老年脑卒中患者自我感受负担的危险因素。

The self-perceived burden in elderly stroke patients and its influencing factors

Objective To investigate the self-perceived burden of elderly stroke patients and analyze its influencing factors. Methods 317 elderly stroke patients in a tertiary hospital of Baoding were investigated with general questionnaire, self-perceived burden scale(SPBS), stroke self-efficacy questionnaire(SSEQ), perceived social support from family scale(PSS-Fa). Ordinal logistic regression was used to identify the risk factors for self-perceived burden. Results The mean score of self-perceived burden was(26.54±10.05), 69.40% of patients had self-perceived burden. Specifically, mild, moderate, and severe self-perceived burden accounted for 29.34%, 27.13%, and 12.93%, respectively. Ordinal logistic regression analysis indicated that the ones with course of diseases≤ one month, good health of caregivers, self efficacy and perceived high level of family support had milder self-perceived burden; while those with monthly housed income≤￥2 000 had more severe self-perceived burden. Conclusion The incidence of self-perceived burden in elderly stroke patients is high, poor economic status, long course of diseases, general health status of caregivers, lower self-efficacy and family support level may be the risk factors of self-perceived burden of elderly stroke patients.