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首页> 外文期刊>Nursing research >Correlates of caregiver burden after coronary artery bypass surgery.
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Correlates of caregiver burden after coronary artery bypass surgery.

机译：冠状动脉搭桥手术后照顾者负担的相关性。

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BACKGROUND: Coronary artery bypass (CAB) patients often rely on spouses for care and assistance during recovery after surgery. Caregiving can be stressful and meaningful depending upon the interplay of many factors not completely understood. These factors may affect the spouse caregiver's health-related quality of life (HRQL), which may impact ability to care for the CAB patient. OBJECTIVE: To investigate patient-spouse caregiver relationship and role variables associated with caregiver burden during the first year after CAB surgery. METHODS: Using a cross-sectional design, a convenience sample of CAB spouses was recruited at 3, 6, or 12 months. Spouses (n = 166) completed a survey that included perceptions of patient health status, caregiver burden and other caregiving variables, and caregiver HRQL. RESULTS: Higher burden scores were associated with patient's gender (female), poorer patient health status, lower caregiver mental HRQL, increased personal gain, and increased caregiver competence. These correlates explained 38% of the variance in caregiver burden. DISCUSSION: Only poorer patient health status and lower caregiver mental HRQL were supported by previous research in this population. Positive relationships between burden and caregiver competence and personal gain may be a reflection that spouse caregivers were invested and working hard. They felt satisfied from enhancement of self but were burdened from their caregiving role, providing support for a previously described two-domain caregiving model. Caregiver screening is essential to identify spouses at high risk for negative outcomes. Longitudinal research is needed to identify the correlates and predictors most likely to influence burden and caregiver gain over time, and to more fully understand caregiving in the CAB population.
机译：背景：冠状动脉搭桥术（CAB）患者在手术后的康复过程中通常依靠配偶提供护理和协助。根据许多尚未完全理解的因素之间的相互作用，照料可能是压力大且有意义的。这些因素可能会影响配偶照顾者的健康相关生活质量（HRQL），这可能会影响对CAB患者的护理能力。目的：调查CAB手术后第一年患者与配偶之间的关系以及与照顾者负担相关的角色变量。方法：采用横断面设计，在3、6或12个月时收集CAB配偶的便利样本。配偶（n = 166）完成了一项调查，其中包括对患者健康状况，护理人员负担和其他护理变量以及护理人员HRQL的看法。结果：较高的负担得分与患者的性别（女性），患者的健康状况较差，护理者的心理HRQL较低，个人收益增加和护理者的能力增强相关。这些相关性说明了照料者负担差异的38％。讨论：以前的研究仅支持较差的患者健康状况和较低的照顾者心理HRQL。负担与照顾者能力和个人收益之间的积极关系可能反映了配偶照顾者已投入并努力工作。他们对自我提升感到满意，但因其照顾角色而感到负担，为先前描述的两域照顾模型提供了支持。照顾者筛查对于确定负结果高风险的配偶至关重要。需要进行纵向研究来确定最有可能随着时间的推移而影响负担和照料者获得的相关因素和预测因素，并更充分地了解CAB人群中的照料。

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