[1]张全英,孙俊俊,张朝辉,等.情绪体验在慢性心力衰竭患者主要照顾者精力与照顾者负担间的中介作用[J].新乡医学院学报,2021,38(5):422-426.[doi:10.7683/xxyxyxb.2021.05.005]
　ZHANG Quanying,SUN Junjun,ZHANG Zhaohui,et al.Mediating role of emotion between energy and burden in major caregivers of chronic heart failure patients[J].Journal of Xinxiang Medical University,2021,38(5):422-426.[doi:10.7683/xxyxyxb.2021.05.005]
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情绪体验在慢性心力衰竭患者主要照顾者精力与照顾者负担间的中介作用
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年5
页码:
422-426
栏目:
临床研究
出版日期:
2021-05-05

文章信息/Info

Title:
Mediating role of emotion between energy and burden in major caregivers of chronic heart failure patients
作者:
张全英1; 孙俊俊2; 张朝辉3; 王玉钊4; 李秋萍5; 张希中6; 朱玉花7
（1.新乡医学院第一附属医院护理部,河南　卫辉　453100；2.新乡医学院护理学院基础护理教研室，河南　新乡　453003；3.新乡医学院第一附属医院神经内科，河南　卫辉　453100；4.新乡医学院三全学院羲和书院，河南　新乡　453000；5.新乡医学院第一附属医院肾脏病医院二病区，河南　卫辉　453100；6.新乡医学院第一附属医院介入科，河南　卫辉　453100；7.新乡医学院第一附属医院规培中心，河南　卫辉　453100）
Author(s):
ZHANG Quanying1; SUN Junjun2; ZHANG Zhaohui3; WANG Yuzhao4; LI Qiuping5; ZHANG Xizhong6; ZHU Yuhua7
（1.Department of Nursing,the First Affiliated Hospital of XXMU2.Department of Basic Nursing of Nursing School,XXMU3.Department of Neurology,the First Affiliated Hospital of XXMU4.School of Xihe,Sanquan College of XXMU5.The Second Ward of Kidney Hospital,the First Affiliated Hospital of XXMU6.Department of Interventional,the First Affiliated Hospital of XXMU7.Planning Center,the First Affiliated Hospital of XXMU）
关键词:
慢性心力衰竭; 主要照顾者; 精力; 照顾者负担; 情绪; 中介效应
Keywords:
chronic heart failuremajor caregiversenergycaregiver burdenemotionmediation effect
分类号:
R392
DOI:
10.7683/xxyxyxb.2021.05.005
文献标志码:
A
摘要:
目的　探讨情绪体验在慢性心力衰竭患者主要照顾者精力与照顾者负担间的中介作用。方法　采用便利抽样方法，选择2018年6~12月在新乡医学院第一附属医院住院的慢性心力衰竭患者主要照顾者152例为研究对象。采用一般资料调查表获取研究对象的人口学资料，采用简明健康调查量表中的精力分量表、正性负性情绪量表、Zarit照顾者负担量表评估研究对象的精力、正性负性情绪及负担情况。分析主要照顾者的精力、情绪、负担之间的关系。结果　文化程度为大专及以上主要照顾者的正性情绪得分高于初中及以下主要照顾者（P＜0.01），高中或中专主要照顾者的负性情绪得分低于初中及以下者（P＜0.01）。家庭人均月收入＜1 000元主要照顾者精力得分低于1 000～2 999元者及≥3 000元者（P＜0.01），家庭人均月收入＜1 000元主要照顾者负性情绪、照顾者负担得分高于家庭人均月收入≥3 000元者（P＜0.01）。身体状况差的主要照顾者精力得分低于身体状况一般者及较好者，负性情绪及照顾者负担得分高于身体状况一般者及较好者（P＜0.01）。主要照顾者精力与正性情绪呈正相关（r=0.354,P＜0.01），与负性情绪、照顾负担均呈负相关（r=-0.506、-0.477,P＜0.01）；负性情绪与照顾负担呈正相关（r=0.753,P＜0.01）。慢性心力衰竭患者主要照顾者的负性情绪在精力与照顾负担之间的中介效应占总效应的73.39%。结论　精力、负性情绪是慢性心力衰竭患者主要照顾者负担的主要影响因素，负性情绪在精力与照顾者负担间起部分中介作用。
Abstract:
Objective　To explore the mediating role of emotion between energy and burden in major caregivers of chronic heart failure(CHF) patients.Methods　A total of 152 major caregivers of CHF patients who admitted to the First Affiliated Hospital of Xinxiang Medical University from June to December 2018 were selected as the study subjects by using the convenience sampling method.General information questionnaire was used to obtain the demographic data of the subjects.The energy subscale,Positive and negative emotion scale and Zarit caregiver burden scale were used to evaluate the energy,Positive and negative emotion and burden of the subjects.The relationship among energy,emotions and burden was analyzed.Results　The positive emotion score of the major caregivers with junior college or above was higher than that of the major caregivers with the junior middle school or below (P＜0.01),and the negative emotion score of the major caregivers with senior middle school or technical secondary school was lower than that of the major caregivers with junior middle school or below (P＜0.01).The scores of energy of major caregivers whose family average monthly income was <1 000 yuan were lower than those of the major caregivers whose family average monthly income was 1 000-2 999 yuan and ≥3 000 yuan (P＜0.01).The scores of negative emotion and caregiver burden of the major caregivers whose family average monthly income was <1 000 yuan were higher than those of the major caregivers whose family average monthly income was ≥3 000 yuan (P＜0.01).The scores of energy,negative emotion and caregiver burden of the major caregivers with poor physical condition were lower than those of the major caregivers with the normal and better physical condition (P＜0.01).The energy of major caregiver was positively correlated with positive emotion (r=0.354,P＜0.01),and was negatively correlated with negative emotion and care burden（r=-0.506,-0.477;P＜0.01）,the negative emotion was positively correlated with care burden（r=0.753,P＜0.01）.The mediating effect of negative emotion between energy and care burden of major caregivers of CHF patients accounted for 73.39% of the total effect.Conclusion　Energy and negative emotion are the main influence factors of caregiver burden.The negative emotion plays a partial mediating effect between the major caregiver′s energy and caregiver burden.

参考文献/References:

［1］　韩亚军,张荣怀,王晓明.左西孟旦注射液和托拉塞米注射液联合治疗老年慢性心力衰竭疗效观察［J］.新乡医学院学报,2021,38(1):57-61.
［2］　中国心血管健康与疾病报告编写组.中国心血管健康与疾病报告2019概要［J］.中国循环杂志,2020,35(9):833-854.
［3］　申文佳,杨巧芳,田焕,等.慢性心力衰竭患者症状管理自我效能感及对生活质量的影响［J］.中国慢性病预防与控制,2019,27(10):772-775.
［4］　GRANT J S,GRAVEN L J,ABBOTT L,et al.Predictors of depre-ssive symptoms in heart failure caregivers［J］.Home Health Now，2020，38(1):40-47.
［5］　董爱淑,郭文坚,吴敏敏,等.慢性心力衰竭患者主要家庭照顾者负荷水平及其影响因素［J］.解放军护理杂志,2012,29(22):7-11.
［6］　中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018［J］.中华心血管病杂志,2018,46(10):760-789.
［7］　李鲁，王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试［J］.中华预防医学杂志,2002,36(2):109-113.
［8］　黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究［J］.中国心-理卫生杂志,2003,17(1):54-56.
［9］　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):97-972.
［10］　高业兰,杨玉佩.失能老人主要照顾者负担及影响因素［J］.中国老年学杂志,2020,40(22):4913-4917.
［11］　STOCKDILL M L,PATRICIAN P A,BAKITAS M.Understanding and measuring symptom burden in heart failure:a concept analysis［J］.West J Nurs Res,2019,41(10):1423-1447.
［12］　李茹,陈玲玲,段晓侠,等.老年慢性病照顾者负担与社会支持的关系［J］.中国老年学杂志,2019,39(7):1753-1755.
［13］　韩晓燕,王卫亮,侯芳,等.脑卒中家庭肠内营养患者主要照顾者负担现状及影响因素［J］.重庆医学,2018,47(3):377-380.
［14］　姚文秀.维持血液透析病人主要照顾者照顾负担及负性情绪与社会支持的相关性研究［J］.全科护理,2017,15(17):2058-2060.
［15］　汤娟娟,王俊杰.老年患者家庭照顾者照顾负担的研究进展［J］.中国护理管理,2015,15(5):626-629.
［16］　刘秀静,纪鑫,高俊芳,等.慢性病患儿照顾者照顾负担及影响因素的研究进展［J］.全科护理,2017,15(22):2713-2715.

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更新日期/Last Update: 2021-05-05