老年患者冠脉搭桥术后自我感受负担及影响因素研究

目的 调查老年患者冠状动脉搭桥术（CABG）术后自我感受负担水平及其影响因素。方法 采用一般资料调查问卷、自我感受负担量表（SPBS）、社会支持评定量表（SSRS）、Zarit护理负担量表（ZBI）对86例CABG术后老年患者和主要照顾者进行问卷调查。结果 老年CABG患者的自我感受负担得分为（27.54±7.93）分，处于轻中度水平。单因素和多元线性回归分析显示老年患者的主要照顾者、心功能分级、照顾者负担水平是老年患者CABG术后自我感受负担的主要影响因素(P<0.05)。结论 老年患者CABG术后普遍经历轻度至中度的自我感受负担，护理人员应针对相关因素给予及时有效的个性化护理干预，降低患者的自我感受负担及减少负性情绪。

The level and influencing factors of self-perceived burden in elderly patients after coronary artery bypass graft

Objective To investigate the level of self-perceived burden in elderly patients after coronary artery bypass graft(CABG), and to analyze the related factors. Methods A sample of 86 elderly patients after CABG and their family caregivers were investigated with general information questionnaire, including Self-Perceived Burden Scale(SPBS), Social Supporting Rating Scale(SSRS) and Zarit Caregiver Burden Interview(ZBI). Results The score of elderly CABG patients’ self-perceived burden was(27.54±7.93), which was at mild to moderate level. The main influencing factors were principal caregivers, classification of cardiac function and the level of caregivers’ burden(P<0.05). Conclusion The elderly patients after CABG experience mild to moderate levels of self-perceived burden, and the nursing staff should give timely and effective individualized nursing intervention to reduce the self-perceived burden and negative emotion of patients.