脑卒中病人家庭照顾者照顾能力的现况研究

目的探讨脑卒中家庭照顾者的照顾能力现状及其影响因素。方法选取186例脑卒中病人家庭照顾者为研究对象，采用一般资料调查表、家属照顾者照顾能力量表（FCTI）、一般自我效能感量表（GSES）进行现况调查。结果脑卒中家庭照顾者的FCTI总均分为（17.26±2.07）分，一般自我效能处于中等水平，为（25.13±4.76）分，其照顾能力各维度得分与自我效能呈负相关关系（r=-0.546~-0.395，P < 0.01），即自我效能越高其照顾能力越强，照顾能力受照顾者年龄、照护时长、身体状况、自我效能感及被照护者的依赖程度的影响（回归系数B分别为-0.36、-0.51、-0.71、-2.62、1.05，P < 0.05~P < 0.01），表现为年龄越大、照护时长越长、无慢性疾病、自我效能高以及所照顾的脑卒中病人依赖程度低的照顾者，其照顾能力越强。结论护理人员应加强对高依赖程度病人家庭照顾者的帮助，护理病人的同时，关注照顾者的身心健康，采取提高照顾者自我效能感的措施以保证照护质量。

Study on the status of the caring ability of family caregivers for stroke patients

ObjectiveTo investigate the status and influencing factors of the care ability of family caregivers for stroke patients.MethodsThe status of 186 family caregivers of stroke patients were investigated using the questionnaires of the Family Caregiver Task Inventory(FCTI) and General Information Questionnaire(GSES).ResultsThe overall mean score of FCTI in the family caregivers of stroke patients was(17.26±2.07), the general self-efficacy was at a moderate level[(25.13±4.76) scores], and the each dimension score of FCTI was negatively correlated with self-efficacy of family caregiver(r=-0.546~-0.395, P < 0.01).The higher the self-efficacy was, the greater the caring ability was.The caring ability of family caregiver was affected by the caregivers' age, duration of care, physical condition, self-efficacy and dependency of patients, the regression coefficient of those was -0.36, -0.51, -0.71, -2.62 and 1.05, respectively(P < 0.05 to P < 0.01).The care abilities of caregivers with old age, longer care duration, high self-efficacy and low dependence on the care of stroke patients, and without chronic diseases were stronger.ConclusionsNursing staff should strengthen the help to family caregivers of patients with high dependence, pay attention to the physical and mental health of family caregiver, and take measures to improve the self-efficacy of caregivers to ensure the quality of care.