阿尔茨海默病患者主要照顾者预期性悲伤现状及影响因素

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摘要目的探究阿尔茨海默病(Alzheimer’s disease,AD)患者主要照顾者的预期性悲伤现状,并分析相关影响因素。方法采用便利抽样法,将180例AD照顾者作为研究对象,采用一般资料调查表、预期性悲伤量表(AGS)、焦虑自评量表(SAS)以及照顾者准备度量表(CPS)进行调查。结果本研究共发放180份问卷,回收有效问卷167份,有效回收率92.78%。AD照顾者预期性悲伤得分为(80.94 ± 17.25)分;Pearson相关分析显示,AD照顾者的预期性悲伤与焦虑呈正相关(r=0.618,P＜0.05),与照顾者准备度呈负相关(r=-0.472,P＜0.05)。多元线性回归分析显示,主要照顾者的性别(β=5.136,P＜0.001)、与患者的关系(β=-8.304,P＜0.001)、患者病情严重程度(β=6.048,P＜0.001)、焦虑(β=0.419,P＜0.001)、照顾者准备度(β=-0.217,P=0.012)进入回归方程,可以解释预期性悲伤总变异的46.7%。结论 AD照顾者预期性悲伤水平较高,护理工作者应根据照顾者的特点进行干预,以提高照顾者的照护能力以及患者及其照顾者的生活质量。

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	王林林
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关键词 ：阿尔茨海默病, 照顾者, 预期性悲伤, 焦虑, 照顾者准备度

Abstract：Objective To explore the current status of anticipatory grief and its influencing factors among main caregivers of Alzheimer's disease patients.Methods A total of 180 main caregivers of Alzheimer’s disease patients were investigated by convenience sampling method, using general demographic data questionnaire, Anticipatory Grief Scale (AGS), Self-Rating Anxiety Scale (SAS), and Care preparedness scale (CPS).Results A total of 180 questionnaires were distributed and 167 valid questionnaires were recollected, with an effective recovery rate of 92.78%.The total score of anticipatory grief was (80.94±17.25). Pearson correlation analysis indicated that anticipatory grief was positively correlated with anxiety (r=0.618, P＜0.05), while it was negatively correlated with caregiver readiness (r=-0.472, P＜0.05). The outcome of multiple linear regression analysis indicated that the gender of the main caregivers (β=5.136, P＜0.001), the relationship with patients (β=-8.304, P＜0.001), the severity of patients' diseases (β=6.048, P＜0.001), anxiety (β=0.419, P＜0.001) and care preparedness(β=-0.217, P=0.012) entered the regression equation, which could explain 46.7% of the total variation of anticipatory grief.Conclusions The main caregivers of patients with Alzheimer's disease have a high level of anticipatory grief,so nursing staff should give different intervention schemes according to the characteristics of caregivers, so as to improve the care ability of caregivers and the life quality of patients and their caregivers.

Key words： Alzheimer’s disease caregiver anticipatory grief anxiety caregiver preparedness

收稿日期: 2021-12-14

ZTFLH:

R473.1

通讯作者: 冯秉华,E-mail:467459939@qq.com

作者简介: 王林林,硕士,护师。

引用本文:

王林林, 冯秉华, 史昌乾, 姚佳, 高珊, 才华. 阿尔茨海默病患者主要照顾者预期性悲伤现状及影响因素[J]. 武警医学, 2022, 33(7): 599-603. WANG Linlin, FENG Binghua, SHI Changqian, YAO Jia, GAO Shan, CAI Hua. Anticipatory grief among main caregivers of Alzheimer’s disease patients and its influencing factors. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(7): 599-603.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2022/V33/I7/599

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