肩袖损伤术后患者主要照顾者照顾负担及应对方式的相关性研究

Correlation Study of Care Burden and Coping Style of Primary Caregivers for Patients after Rotator Cuff Injury

摘要: 目的：探究肩袖损伤(RCI)术后患者主要照顾者照顾负担与应对方式现状及影响因素，并探析二者的相关性。方法：选取2022年10月至2023年10月在贵州中医药大学第一附属医院骨伤科住院的130名RCI术后患者的主要照顾者为研究对象，利用一般资料调查表、照顾者照顾负担量表、简易应对方式量表对主要照顾者进行横断面调查；采用Pearson相关性检验分析照顾负担与应对方式的相关性；多元线性回归分析照顾负担加重的影响因素。结果：RCI术后患者主要照顾者照顾负担总分为(33.69 ± 13.25)；应对方式总分为(32.26 ± 7.31)。Pearson相关性分析结果显示，照顾负担与积极应对维度呈负相关(r = −0.752, P < 0.01)，与消极应对维度呈正相关(r = 0.447, P < 0.01)。多元线性回归分析可知，患者的自理能力情况、文化程度，主要照顾者的家庭平均月收入、性别、照顾时间，消极应对、积极应对是主要照顾者照顾负担加重的影响因素。结论：RCI术后患者主要照顾者存在一定的照顾负担。护理人员应多关注自理能力情况差、文化程度低的患者及家庭月均收入低、女性、照顾时间长的主要照顾者，制定针对性的干预措施，降低其照顾负担水平，完善相关护理措施。

Abstract: Objective: To explore the status quo and influencing factors of caring burden and coping style of primary caregivers of patients with rotator cuff injury (RCI) after surgery, and explore the correlation between them. Methods: The main caregivers of 130 RCI postoperative patients hospitalized in the Department of Orthopedics and Traumatology of the First Affiliated Hospital of Guizhou University of Chinese Medicine from October 2022 to October 2023 were selected as the research objects. A cross-sectional survey was conducted on the main caregivers using the general data questionnaire, caregiver burden scale and simple coping style scale. Pearson correlation test was used to analyze the correlation between caregiving burden and coping style. Multiple linear regression analysis of the factors affecting the increasing burden of care. Results: The total caregiver burden of RCI patients was (33.69 ± 13.25); The total score of coping styles was 32.26 ± 7.31. Pearson correlation analysis showed that caregiving burden was negatively correlated with the positive coping dimension (r = −0.752, P < 0.01), and positively correlated with the negative coping dimension (r = 0.447, P < 0.01). Multiple linear regression analysis showed that patients’ self-care ability, education level, average monthly family income, gender, caring time of the main caregiver, and negative and positive coping were the influencing factors for the aggravating caring burden of the main caregiver. Conclusion: There is a certain burden of care for the main caregivers of patients after RCI. Nursing staff should pay more attention to patients with poor self-care ability, low education level and main caregivers with low monthly income, women and long caring time, formulate targeted intervention measures to reduce their caring burden level and improve relevant nursing measures.