家庭护理中痴呆患者照护者的护理负担和倦怠水平评估

Nur ŞİMŞEK YURT, E. Yavuz
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摘要

目的:本研究旨在探讨影响居家照护痴呆患者照护负担及倦怠程度的因素。方法:本描述性研究于2021年3月20日至6月20日在三星培训研究医院家庭护理服务中心进行。被诊断为痴呆症的患者的护理人员在同意参加研究并获得书面知情同意书后被纳入研究。在面对面访谈中对护理人员进行“社会人口统计数据表”、“Zarit负担访谈”和“Maslach倦怠量表”。结果:本研究共纳入157名护理人员,其中70.1% (n=110)为女性。68.2% (n=107)为40 ~ 64岁年龄组。Zarit Burden Interview平均得分为47.10±16.14分(min=21, max=85)。76.4%的护理人员有中度至重度的护理负担升级。研究发现,照顾者负担分数增加对马斯拉奇倦怠量表亚组的影响与情绪耗竭和去人格化呈显著正相关,与个人成就呈显著负相关。结论:随着护理负担的增加,个体的倦怠程度也随之增加。女性、文盲、缺乏收入、照料时间超过一年、每日照料时间超过12小时被确定为增加照料负担和倦怠程度的突出因素。关键词:居家照护服务,照顾者,痴呆,照顾者倦怠
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Assessment of the Burden of Care and Burnout Level in Caregivers of Dementia Patients in a Home Care Setting
Aim: This study aims to evaluate the factors affecting the care burden and burnout levels of caregivers with dementia patients receiving home care services. Methods: This descriptive study was conducted in Samsun Training and Research Hospital Home Care Services which paid a visit at home between March 20 and June 20, 2021. The caregivers of the patients who were followed up by the diagnosis of dementia were included in the study after having agreed to participate in the study with their written informed consents. The 'Socio-demographic Data Form', 'Zarit Burden Interview' and 'Maslach Burnout Inventory’ were administered to caregivers during face-to-face interviews. Results: A total of 157 caregivers were included in our study, of which 70.1% (n=110) were women. 68.2% (n=107) were in the 40-64 years age group. The mean Zarit Burden Interview score was calculated as 47.10±16.14 (min=21, max=85). 76.4% of caregivers had moderate to severe escalated care burden. Once the impact of the increase in caregiver burden score on Maslach Burnout Inventory subgroups was examined, the relationship was found to be positively significant with emotional exhaustion and depersonalization, and negatively significant with personal achievement. Conclusion: As the burden of care increases, the level of burnout of individuals increases. Female gender, illiteracy, lack of income, duration of care given which is prolonged for more than one year, and daily care duration exceeding 12 hours were determined as outstanding factors that increase the care burden and level of burnout. Keywords: home care services, caregivers, dementia, caregiver burnout
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