[1]王晓莹,管芝玲,山慧,等.相依关系在糖尿病足截肢患者主要照顾者照顾负担与心理健康间的调节效应研究[J].军事护理,2022,39(07):70-73.[doi:10.3969/j.issn.2097-1826.2022.07.018]
 WANG Xiaoying,GUAN Zhiling,SHAN Hui,et al.Moderating Effect of Mutuality Between Caregiver Burden and Mental Health Among Primary Caregivers of Patients with Diabetic Foot Amputation[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(07):70-73.[doi:10.3969/j.issn.2097-1826.2022.07.018]
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相依关系在糖尿病足截肢患者主要照顾者照顾负担与心理健康间的调节效应研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年07期
页码:
70-73
栏目:
论著
出版日期:
2022-07-15

文章信息/Info

Title:
Moderating Effect of Mutuality Between Caregiver Burden and Mental Health Among Primary Caregivers of Patients with Diabetic Foot Amputation
文章编号:
2097-1826(2022)07-0070-04
作者:
王晓莹1管芝玲2山慧1侯佳雨1张菊1
(1.青岛大学 护理学院,山东,青岛266073; 2.青岛市市立医院 伤口造口门诊,山东,青岛 266012)
Author(s):
WANG Xiaoying1GUAN Zhiling2SHAN Hui1HOU Jiayu1ZHANG Ju1
(1.School of Nursing,Qingdao University,Qingdao 266073,Shandong Province,China; 2.Wound and Stoma Clinic,Qingdao Municipal Hospital,Qingdao 266012,Shandong Province,China)
关键词:
糖尿病足 截肢 照顾者 相依关系 照顾负担 心理健康
Keywords:
diabetic foot amputation caregivers mutuality caregiver burden mental health
分类号:
R473.58; R828.4
DOI:
10.3969/j.issn.2097-1826.2022.07.018
文献标志码:
A
摘要:
目的 探讨相依关系在糖尿病足(diabetic foot, DF)截肢患者主要照顾者照顾负担与心理健康之间的调节效应。方法 2021年9月至2022年2月,采用便利抽样法选取天津市某三级甲等医院收治的150名DF截肢术后患者的主要照顾者为研究对象,使用一般资料调查表、相依关系量表、Zarit照顾者负担量表、简明健康测量量表对其进行调查,使用分层回归、简单斜率分析和Johnson - Neyman法分析相依关系的调节作用。结果 DF截肢患者主要照顾者照顾负担得分为(29.09±9.39)分、相依关系得分为(2.56±0.71)分、心理健康得分为(47.39±9.46)分。照顾负担得分与心理健康得分呈负相关,相依关系得分与心理健康得分呈正相关,均P<0.05。相依关系在照顾负担和心理健康的关系中起调节作用。结论 相依关系削弱了照顾负担在DF截肢患者主要照顾者的心理健康中产生的消极影响。医护人员应采取干预措施促进相依关系,以减缓照顾负担的消极影响。
Abstract:
Objective To explore the moderating effect of mutuality between caregiver burden and mental health among primary caregivers of patients with diabetic foot amputation.Methods Convenience sampling method was adopted to select 150 primary caregivers of patients with diabetic foot amputation in a tertiary hospital in Tianjin City from September,2021 to February,2022.The general information questionnaire,Mutuality Scale(MS),Zarit Caregiver Burden Interview(ZBI)and 12-Item Short Form Health Survey(SF-12)were used for investigation.Hierarchical regression,simple slope analysis and Johnson-Neyman analysis were adopted to analyze the moderating effect of mutuality.Results The caregiver burden score of primary caregivers of patients with diabetic foot amputation was(29.09±9.39),the mutuality score was(2.56±0.71),and the mental health score was(47.39±9.46).The caregiver burden score was negatively correlated with the mental health score,and the mutuality score was positively correlated with the mental health score(both P<0.05).Mutuality played a moderating role in the relationship between caregiver burden and mental health.Conclusions Mutuality attenuates the negative effect of caregiver burden on mental health among primary caregivers of patients with diabetic foot amputation.Healthcare professionals should implement interventions to promote mutuality,so as to mitigate the adverse effects of caregiver burden.

参考文献/References:

[1] 张会峰,许樟荣,冉兴无.糖尿病足的相关定义和标准[J].中华糖尿病杂志,2020,12(6):363-368.
[2] 朱大龙,陆菊明.《中国2型糖尿病防治指南(2020年版)》编写说明[J].中华糖尿病杂志,2021,13(4):312-314.
[3] COSTA M S A,MACHADO J C,PEREIRA M G.Burden changes in caregivers of patients with type 2 diabetes:a longitudinal study[J].J Adv Nurs,2018,74(10):2322-2330.
[4] COSTA S,LEITE A,PINHEIRO M,et al.Burden and quality of life in caregivers of patients with amputated diabetic foot[J].Psych J,2020,9(5):707-715.
[5] ARCHBOLD P G,STEWART B J,GREENLICK M R,et al.Mutuality and preparedness as predictors of caregiver role strain[J].Res Nurs Health,1990,13(6):375-384.
[6] PARK E O,SCHUMACHER K L.The state of the science of family caregiver-care receiver mutuality:a systematic review[J].Nurs Inq,2014,21(2):140-152.
[7] PUCCIARELLI G,LYONS K S,SIMEONE S,et al.Moderator role of mutuality on the association between depression and quality of life in stroke survivor-caregiver dyads[J].J Cardiovasc Nurs,2021,36(3):245-253.
[8] HSIAO C,LU H,TSAI Y.Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia:a cross-sectional study[J].Qual Life Res,2020,29(10):2745-2757.
[9] 王家良.临床流行病学:临床科研设计、测量与评价[M].上海:上海科学技术出版社,2014:56-74.
[10]刘锦萤.失智症家庭照顾者相依关系与照顾活动之角色紧张的相关性探讨[D].桃园:长庚大学,2006.
[11]BAUMGARTEN M,HANLEY J A,INFANTE-RIVARD C,et al.Health of family members caring for elderly persons with dementia.a longitudinal study[J].Ann Intern Med,1994,120(2):126-132.
[12]王烈,杨小湜,侯哲,等.护理者负担量表中文版的应用与评价[J].中国公共卫生,2006,22(8):970-972.
[13]WARE J E,KOSINSKI M,KELLER S D.A 12-item short-form health survey:construction of scales and preliminary tests of reliability and validity[J].Med Care,1996,34(3):220-233.
[14]张笑倩,王旻静,刘玲珑,等.照顾者相依关系的研究进展[J].中华现代护理杂志,2020,26(4):548-552.
[15]朱燕珍.糖尿病足患者主要照顾者心理一致感与照顾负担、社会支持的相关性研究[D].南昌:南昌大学,2018.
[16]STRECK B P,WARDELL D W,WOOD G L.Family caregiver-receiver mutuality:a concept analysis[J].ANS Adv Nurs Sci,2020,43(2):E71-E79.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-03-12 【 修回日期 】 2022-06-17
【 基金项目 】 中国博士后科学基金项目(2018M632628)
【 作者简介 】 王晓莹,硕士在读,从事临床护理及伤口护理研究
【 通信作者 】 张菊,电话:0532-82991205
更新日期/Last Update: 2022-07-15