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目的探讨脑卒中患者主要照顾者疲劳状况及其影响因素,为进一步干预积累临床资料。方法 2015年12月选择咸宁市三家医院脑卒中患者主要照顾者200例,用一般情况问卷、疲劳量表-14(FS-14)、日常生活能力量表(ADL)、社会支持评定量表(SSRS)和简易应对方式问卷(SCSQ)进行调査。结果本组照顾者体力、脑力疲劳和疲劳总分(分别为6.14±1.43、3.66±1.07、9.80±2.15)显著高于国内常模(t=23.998、24.659、28.282,均P<0.001)。多元回归分析结果显示,ADL评分、照顾体验、性格倾向、年龄和婚姻状况是影响FS-14总分危险因素,SSRS和SCSQ积极应对评分与健康自评是保护因素,并能预测FS-14总分的94.3%。回归方程:y=15.858-0.152x_1+0.107x_2+0.346x_3+0.289x_4+0.011x_5-3.543x_6+0.248x_7+0.28x_8(R~2=0.943,F=414.103,P<0.001)。结论咸宁市脑卒中患者主要照顾者疲劳状况严重,患者日常生活能力差、照顾者照顾体验消极、性格内向、年龄大、已婚者疲劳较重,而良好的社会支持和健康自评与积极应对能降低疲劳度。
Objective To investigate the main caregivers of stroke patients with fatigue and its influencing factors, to further intervene in the accumulation of clinical data. Methods A total of 200 major caregivers of stroke patients were selected from three hospitals in Xianning City in December 2015. The general situation questionnaire, FS-14, ADL and social support rating scale SSRS) and the Simple Coping Style Questionnaire (SCSQ). Results The scores of physical strength, mental fatigue and total fatigue (6.14 ± 1.43, 3.66 ± 1.07, 9.80 ± 2.15, respectively) in the caregivers of this group were significantly higher than those of the domestic norm (t = 23.998,24.659,28.282, all P <0.001). Multivariate regression analysis showed that ADL score, care experience, personality predisposition, age and marital status were risk factors influencing FS-14 total score, SSRS and SCSQ positive coping score and health self-assessment were protective factors, and predictive FS-14 total 94.3% points. Regression equation: y = 15.858-0.152x_1 + 0.107x_2 + 0.346x_3 + 0.289x_4 + 0.011x_5-3.543x_6 + 0.248x_7 + 0.28x_8 (R ~ 2 = 0.943, F = 414.103, P <0.001). Conclusions The main caregivers of stroke patients in Xianning are in severe fatigue, poor daily living ability, negative caregiving experience, introverted, older people and heavier married persons with good social support and health self-assessment and positive response Can reduce fatigue.