维持性血液透析患者家庭照顾者的积极感受及影响因素研究

doi:10.3761/j.issn.1672-9234.2021.07.017

Abstract

Abstract:

Objective To investigate the positive aspects of caregiving among family caregivers of maintenance hemodialysis(MHD) patients and the influencing factors. Methods A total of 237 MHD patients’ family caregivers were recruited by convenience sampling from the hemodialysis unit of two tertiary hospitals in Wuhan city. Questionnaires were general information questionnaire and Positive Aspects of Caregiving(PAC).Results The score of PAC among the family caregivers was(31.28±7.28),with a scoring rate of 69.52%. Multiple regression results showed that family caregiver’s gender,age,marital status,caregiving years and whether to have other chronic diseases were the main influencing factors of PAC(P<0.05),which explained 32.3% of the variance.Conclusion The PAC level of family caregivers of MHD patients was above medium level,which indicate that they experienced more positive experiences in the process of care. Medical staff could give targeted support and guidance with consideration of their influencing factors to further enhance their PAC.

Key words: Hemodialysis, Questionnaires, Family caregivers, Positive feelings

WANG Guo-qing,YI Xiang,YU Li-ping. The positive feelings and its influencing factors of family caregivers of patients with maintenance hemodialysis[J].Chinese Journal of Nursing Education, 2021, 18(7): 659-663.

Figures/Tables 3

References 15

[1]	Zhang L, Zhao MH, Zuo L, et al. China Kidney Disease Network(CKD—NET)2015 annual data report[J]. Kidney Int Suppl (2011), 2019, 9(1):e1-e81.
[2]	Starks SA, Graff JC, Wicks MN. Factors associated with quality of life of family caregivers of dialysis recipients[J]. West J Nurs Res, 2020, 42(3):177-186. doi: 10.1177/0193945919849816
[3]	杨冬菊, 蒋晓莲. 维持性血液透析患者主要照顾者的照顾负担研究[J]. 中国血液净化, 2017, 16(12):838-841.
	Yang DJ, Jiang XL. Studies on the care burden of primary caregivers for maintenance hemodialysis patients[J]. Chin J Blood Purif, 2017, 16(12):838-841.
[4]	Lawton MP, Moss M, Kleban MH, et al. A two-factor model of caregiving appraisal and psychological well-being[J]. J Gerontol, 1991, 46(4):181-189.
[5]	刘东玲, 陈辉, 陈静, 等. 社区脑卒中主要照顾者积极感受和生活质量的相关性[J]. 中国老年学杂志, 2015, 35(19):5619-5620.
	Liu DL, Chen H, Chen J, et al. Correlation between positive aspects of caregiving and quality of life for stroke main caregivers in community[J]. Chin J Gerontol, 2015, 35(19):5619-5620.
[6]	Gerogianni G, Polikandrioti M, Babatsikou F, et al. Anxiety-depression of dialysis patients and their caregivers[J]. Medicina, 2019, 55(5):168. doi: 10.3390/medicina55050168
[7]	张睿, 李峥. 中文版照顾者积极感受量表的信效度研究[J]. 中华护理杂志, 2007, 42(12):1068-1071.
	Zhang R, Li Z. Reliability and validity of Chinese version of positive aspects of caregiving[J]. Chin J Nurs, 2007, 42(12):1068-1071.
[8]	刘霞, 江长缨, 陈利群. 社区失智老人照顾者积极感受及影响因素分析[J]. 护理学杂志, 2017, 32(7):4-6.
	Liu X, Jiang C, Chen LQ. The positive aspects of caregiving by caregivers of senile dementia patients living in the community and the influencing factors[J]. J Nurs Sci, 2017, 32(7):4-6.
[9]	国家卫生计生委. 关于印发血液透析中心基本标准和管理规范(试行)的通知[EB/OL].( 2016- 12- 21). http://www.nhc.gov.cn/yzy-gj/s3594q/201612/69a95ec0335c4a45883713094c8ef10d.shtml.
	National Health and Family Planning Commission. Notice on the issuance of basic standards and management norms for hemodialysis centers(Trial)[EB/OL].( 2016-12-21). http://www.nhc.gov.cn/yzy-gj/s3594q/201612/69a95ec0335c4a45883713094c8ef10d.shtml.
[10]	Grover S, Nehra R, Malhotra R. Positive aspects of caregiving experience among caregivers of patients with dementia[J]. East Asian Arch Psychiatry, 2017, 27(2):71-78.
[11]	Wong DFK, Ng TK, Zhuang XY. Caregiving burden and psychological distress in Chinese spousal caregivers:gender difference in the moderating role of positive aspects of caregiving[J]. Aging Ment Heal, 2019, 23(8):976-983.
[12]	Kang JN, Shin DW, Choi JE, et al. Factors associated with positive consequences of serving as a family caregiver for a terminal cancer patient[J]. Psycho-Oncology, 2013, 22(3):564-571. doi: 10.1002/pon.3033
[13]	Cho J, Ory MG, Stevens AB. Socioecological factors and positive aspects of caregiving:findings from the REACH Ⅱ intervention[J]. Aging Ment Health, 2016, 20(11):1190-1201. doi: 10.1080/13607863.2015.1068739
[14]	娄燕, 陈雪萍, 陈佳佳, 等. 成年心智障碍者家庭照顾者的照顾负担及影响因素研究[J]. 中华护理教育, 2019, 16(3):219-224.
	Lou Y, Chen XP, Chen JJ, et al. Caregivers’ burden of caring for adults with mental disabilities[J]. Chin J Nurs Educ, 2019, 16(3):219-224.
[15]	Britton K, Galioto R, Tremont G, et al. Caregiving for a companion animal compared to a family member:burden and positive experiences in caregivers[J]. Front Vet Sci, 2018, 5:325. doi: 10.3389/fvets.2018.00325 pmid: 30619903

The positive feelings and its influencing factors of family caregivers of patients with maintenance hemodialysis

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 15

Related Articles 15

Metrics

Comments

Recommended 10

[1]	SONG Jia, ZHANG Wang, SHAO Yajuan, WANG Xinhong. Analysis of mediating role of sense of coherence in the relationship between illness intrusiveness and demoralization syndrome among young and middle-aged maintenance hemodialysis patients [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1113-1119.
[2]	CHEN Xiangjun, HU Fang, TANG Li, TAN Xiaomei. Analysis of reflective practice level and its influencing factors in clinical nurses [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1120-1125.
[3]	CHAI Jianli, WU Chunyan, YUAN Aiqin, LUO Puying, FENG Jian, LU Mingxi. Application of the buttonhole puncture management program for difficult autologous arteriovenous fistula in hemodialysis patients [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1132-1140.
[4]	SUN Yumei, ZHOU Qiang, YE Minghui, SUN Hongyu, ZHAO Guodong. An investigation on the learning approaches of nursing undergraduates in the blended learning [J]. Chinese Journal of Nursing Education, 2024, 21(5): 557-561.
[5]	ZHANG Jian, JING Jie, GAI Yubiao, XUE Xue, LIU Qingwei, WEI Lili, ZHANG Yuchen, LI Zunzhu, SUN Jianhua, LIU Yanyan, LUO Hongbo. Study on the current situation about ICU nurses’ knowledge，attitude and practice of acute skin failure and its influencing factors [J]. Chinese Journal of Nursing Education, 2024, 21(3): 336-341.
[6]	ZHANG Fan, LIU Tuanhui, XU Zhaoning, LÜ Jingwen, ZHANG Lei, LI Yahong, JIANG Wenhui. The mediating effect of ego-resiliency between perceived stress and occupational commitment in newly graduated nurses [J]. Chinese Journal of Nursing Education, 2024, 21(2): 159-164.
[7]	BAO Bin, CAO Meijuan, HE Xin, XIE Chunqi, LI Qiang. The current status and influencing factors of ethical sensitivity of nursing students [J]. Chinese Journal of Nursing Education, 2024, 21(2): 183-188.
[8]	WANG Honglian, XIE Wenjuan, HUANG Hui, LIU Yuyao, YOU Xuelian, CHEN Hui. Translation and validation of the Adaptive Capacity Index for advanced cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(2): 218-223.
[9]	MEI Yongxia,LIU Zhiwei,ZHANG Zhenxiang,WANG Zhengjun,LIN Beilei,CHEN Suyan,ZHAO Zhixin,ZHANG Weihong. Investigation of ideological and political quality in 9 978 nursing students [J]. Chinese Journal of Nursing Education, 2024, 21(1): 37-41.
[10]	CAI Jianzheng, WANG Haifang, HU Xiuying, MAO Lifen, ZHAO Xiaoqing, QIN Ziyu. Analysis on the characteristics of nurses who suffer from workplace violence repeatedly [J]. Chinese Journal of Nursing Education, 2023, 20(8): 919-924.
[11]	FAN Wenhai, YU Mingming. Research progress of dyadic symptom evaluation in patients with chronic diseases and their caregivers [J]. Chinese Journal of Nursing Education, 2023, 20(8): 1014-1018.
[12]	DONG Xuting, CHEN Xiaoli, LI Zhengjie, SHI Xuehui, SUN Min. Status and influencing factors of nursing interns’ affective domain ability in grade A tertiary hospitals [J]. Chinese Journal of Nursing Education, 2023, 20(7): 824-828.
[13]	HUANG Jiayi, WU Zhishan, JIANG Liping. Investigation of status and demands of continuous renal replacement therapy training for ICU nurses [J]. Chinese Journal of Nursing Education, 2023, 20(7): 835-839.
[14]	WANG Fang, QI Juan, CHEN Chunli, CAI Renyan, ZHAO Yang, XIE Lunfang. Investigation on the status of first aid knowledge，beliefs and behaviors of community residents [J]. Chinese Journal of Nursing Education, 2023, 20(7): 852-856.
[15]	CHEN Tingting, HOU Chaoming, GAO Jing, CHEN Huan, LUO Huan, CHEN Xinyu. Chinese version of the self-management scale for patients with hemodialysis：a systematic review [J]. Chinese Journal of Nursing Education, 2023, 20(7): 857-863.