心理弹性在肺结核患者照顾者负担与生活质量间的中介效应

目的:探讨肺结核患者照顾者照顾负担、心理弹性及生活质量间的关系。方法:以2021年5—6月在河北省胸科医院住院的肺结核患者照顾者为研究对象。按本次调查最大条目数25计算,样本量为最大条目数的5～10倍,考虑20%的无效问卷,样本量估算为150～300名。最终通过整群随机抽样的方法,抽取肺结核患者照顾者200名,作为研究对象。采用一般资料问卷、照顾者负担量表、心理弹性量表、家庭照顾者生活质量量表进行调查。结果:研究最终获得200份问卷,剔除22份无效问卷后,回收有效问卷178份,有效回收率为89.0%。178名肺结核患者照顾者照顾负担得分为(36.50±12.77)分,生活质量得分为(52.74±9.46)分,心理弹性得分为(57.51±15.91)分;Pearson相关分析结果显示,照顾负担与生活质量、心理弹性呈现负相关关系(r=-0.463,P<0.001;r=-0.400,P<0.001);生活质量与心理弹性呈现正相关关系(r=0.522,P<0.001)。心理弹性在照顾负担与生活质量间发挥部分中介效应β(95%CI)=-0.119(-0.176～-0.069)...

The mediating effect of psychological resilience between caregiver burden and quality of life of caregivers of tuberculosis patients

Objective:To explore the relationship among the caregiver burden,psychological resilience and quality of life in caregivers of pulmonary tuberculosis patients.Methods:From May to June 2021,the caregivers of tuberculosis patients hospitalized in Hebei Chest Hospital were selected as the research subjects by cluster random sampling method.The maximum number of items in this survey was 25,to assure the sample size to be 5-10 times the maximum number of items,and considering 20%questionnaires to be invalid,the sample size was estimated to be 150-300.The final sample size was 200.The researchers collected general information questionnaire,ZBI,CD-RISC and the FAMQOL.Results:Finally,200 questionnaires were obtained.After removing 22 invalid questionnaires,the score of caregiver burden of 178 subjects was 36.50±12.77,the score of quality of life was 52.74±9.46 and the resilience was 57.51±15.91.Pearson correlation analysis showed that caregiver burden was negatively correlated with quality of life and resilience(r=-0.463,P<0.001;r=-0.400,P<0.001);quality of life was positively correlated with resilience(r=0.522,P<0.001).Resilience played a partial mediating effect between caregiver burden and quality of life(β(95%CI)=-0.119(-0.176--0.069)).Multiple linear regression analysis showed that the patient self-care ability(t=2.985,P=0.003),patients with chronic diseases(t=3.230,P=0.001),the caregiver’s education level(t=-2.146,P=0.033),financial level(t=-2.209,P=0.029),accompanying chronic diseases(t=3.286,P=0.001),and care time(t=2.458,P=0.015)were influencing factors of care burden.Conclusion:The caregivers of pulmonary tuberculosis patients had caregiver burden,medium level of psychological resilience and quality of life.Resilience played a partial mediating effect.Therefore,the caregiver burden in clinical nursing work should arouse attention,and positive psychological interventions can be taken to improve the psychological coping and adaptability of caregivers,reduce the level of caregiver burden,and improve quality of life.