扩张型心肌病患者照顾者负担及心理弹性的相关性研究

摘要

目的 探讨扩张型心肌病患者的照顾者负担、心理弹性现状及两者相关性.方法 采用便利抽样法,应用照顾者负担问卷、心理弹性量表对扩张型心肌病患者的96名照顾者进行问卷调查,评估其负担、心理弹性水平,并探讨两者的相关性.结果 扩张型心肌病患者照顾者负担得分为(47.19±10.38)分,显著高于全国常模(24.2±5.8)分;心理弹性量表得分(63.07±13.18)分,低于我国社区人群的(65.4±13.9)分;照顾者负担总分与心理弹性呈明显负相关(r=-0.62,P<0.01),心理弹性总分与发展受限性负担、社交性负担、情感性负担均呈负相关(r值分别为-0.72、-0.65、-0.51;P<0.01).结论 扩张型心肌病照顾者负担较重,且与心理弹性间呈负相关,临床工作中应采取措施优化照顾者心理弹性,降低照顾者负担,提升照顾质量.%Objective To explore the caregiver burden and psychological resilience of patients with dilated cardiomyopathy and the correlation between the two factors.Methods Totally 96 caregivers of dilated cardiomyopathy patients were selected by convenience sampling and investigated for their level of burden and psychological resilience with the Caregiver Burden Inventory (CBI) and Conor-Davidson Resilience Scale (CD-RISC). The correlation between the two factors was then analyzed.Results The CBI score of these caregivers was (47.19±10.38), significantly higher than the average level nationwide (24.2±5.8). Their CD-RISC score was (63.07±13.18), lower than (65.4±13.9) of China's community population. There was apparent negative correlation between caregiver burden and psychological resilience (r=-0.62,P<0.01). The total score of resilience was negatively related to the burden of development constraint, social burden and emotional burden (r=-0.72, -0.65, -0.51;P<0.01).Conclusions The caregivers of dilated cardiomyopathy patients have a heavy burden, which is negatively correlated with their psychological resilience. Therefore, measures should be taken in clinical work to optimize the caregivers' psychological resilience, reduce their burden, and improve their quality of care.