中华现代护理杂志2024,Vol.30Issue(12) :1647-1652.DOI:10.3760/cma.j.cn115682-20230825-00690

脑卒中患者主要照顾者智谋现状及影响因素分析

Current situation and influencing factors of resourcefulness among primary caregivers of stroke patients

袁佳琳 杨玲玲 刘晓慧 甘茹 杜瑄 高海花 杨小萍 王慧娟
中华现代护理杂志2024,Vol.30Issue(12) :1647-1652.DOI:10.3760/cma.j.cn115682-20230825-00690

脑卒中患者主要照顾者智谋现状及影响因素分析

Current situation and influencing factors of resourcefulness among primary caregivers of stroke patients

袁佳琳 1杨玲玲 2刘晓慧 1甘茹 1杜瑄 1高海花 1杨小萍 1王慧娟1
扫码查看

作者信息

  • 1. 宁夏医科大学护理学院,银川 750004
  • 2. 宁夏医科大学总医院肿瘤外三科,银川 750004
  • 折叠

摘要

目的 探讨脑卒中患者主要照顾者智谋现状并分析其影响因素.方法 采用便利抽样法,选取2020年12月—2021年8月在银川市3所三级甲等综合医院神经内科的311名脑卒中患者主要照顾者为研究对象.采用一般资料调查表、智谋量表、抑郁自评量表、中文版知觉压力量表、社会支持评定量表和疲劳量表对其进行调查.结果 本研究最终共发放调查问卷311份,回收有效问卷308份,有效问卷回收率为99.04%.308名脑卒中患者主要照顾者智谋得分为(83.98±12.85)分.随机森林模型结果显示,当λ值为1.667时,误差最小,对应的影响因素数目为7个,重要性排序居前7位的自变量纳入多重逐步回归分析.多重逐步回归分析结果显示,知觉压力、文化程度和疲劳是脑卒中患者主要照顾者智谋的主要影响因素(P<0.05).结论 脑卒中患者主要照顾者智谋水平处于中等水平,脑卒中患者主要照顾者智谋水平需要一定的关注度,护理人员可协同社工等人员为照顾者提供支持和援助,缓解其身心压力,从而提高其智谋水平,提高照护质量.

Abstract

Objective To explore the current situation of resourcefulness among the primary caregivers of stroke patients and analyze its influencing factors.Methods From December 2020 to August 2021,convenience sampling was used to select 311 primary caregivers of stroke patients in the Neurology Department of three Class Ⅲ Grade A general hospitals in Yinchuan City as the research subject.A survey was conducted using the General Information Questionnaire,Resourcefulness Scale,Self-Rating Depression Scale,Chinese Perceived Stress Scale,Social Support Revalued Scale,and the Fatigue Scale-14.Results A total of 311 questionnaires were distributed and 308 valid questionnaires were collected,with a valid response rate of 99.04%.The resourcefulness score of the primary caregivers of 308 stroke patients was(83.98±12.85).The random forest model showed that when the λ-value was 1.667,the error was the smallest,and the corresponding number of influencing factors was 7.The independent variables ranked in the top 7 in importance were included in multiple stepwise regression.Multiple stepwise regression analysis showed that perceived stress,educational level,and fatigue were the main influencing factors on the resourcefulness of the primary caregivers of stroke patients,and the differences were statistically significant(P<0.05).Conclusions The main caregivers of stroke patients have a moderate level of resourcefulness and require certain attention.Nursing staff can collaborate with social workers and other personnel to provide support and assistance to caregivers,alleviate their physical and mental stress,thereby improving their resourcefulness and the quality of care.

关键词

卒中/主要照顾者/智谋/随机森林/影响因素

Key words

Stroke/Primary caregiver/Resourcefulness/Random forest/Influencing factor

引用本文复制引用

基金项目

宁夏回族自治区教育厅高等学校科学研究项目(NYG2022038)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量25
段落导航相关论文