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The Study On The Caregivers' Life Quality Between Two Aged Living Patterns Among CACS Patients

Posted on:2008-01-27Degree:MasterType:Thesis
Country:ChinaCandidate:L H YangFull Text:PDF
GTID:2144360212994636Subject:Nursing
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BACKGROUNDCerebral apoplexy is one of the aged commonly encountered diseases. The memory and the daily living ability of CACS as well as the cognitive function are falling. Caregivers spent most time and effort on taking care of the patients and they often felt tired, nervous, anxious, depressed and hostile which led them to bear great pressure on body and mentality as well as economics. For a long time, great attention has been paid on the patients when we study the life quality but the inspection and inquiry on the caregivers has been ignored. Attaching importance to the life quality of the caregivers and helping them to keep physical and mental health as well as better social adaptive faculty. This could affectively avoid the caregivers to become patients too, and at the same time improve the care quality and decrease the medical requirement indirectly. OBJECTIVETo survey the influence on the main caregivers quality of life between two aged living in lodging and at home among the CACS patients, including the influence on body, mentality, society and economics. METHODSTo select 50 main caregivers of CACS patients who lived in the Ji Nan First Aged Lodging Department during September to October, 2006. At the same time, to select 50 main caregivers of CACS patients who left the hospital before February, 2006. The aged living in lodging main caregivers' ages were over 18 years old and would be responsible for taking care of the CACS patients if the CACS patients hadn't been sent to the lodging. The main caregivers' ages of the aged living at home were over 18 years old too, and needed eating, living together with the CACS patients and spent most time to take care of the patients (assigning one of the caregivers as the main caregiver if they spent the same time).The care time of the two groups must be over 6 months. Using ADL, SF-36, SCSQ and the scales of self-made "questionnaire for the status quo of family nursing of CACS patients", "questionnaire for the status quo of family caregivers' mental health ", "questionnaire for the status quo of family caregivers' physical health", The original data were put into the computer and dada warehouse was formed using EXCEL 2003 and the statistical tool was SAS 9.0. MAIN RESULTS1. The status quo of family nursing of CACS patients: The conditions between the two groups had not obviously difference in gender, ages, educational level, part-time job and the portions of patients-paid medical fee. But their average monthly income and monthly family-paid had wide gap. The lodging caregivers had more hypertension, coronary atherosclerotic heart disease, cerebrovascular disease, diabetes mellitus etc.(P<0.05). The lodging caregivers gained more help and support from family and society and the patients functional recovery training was better (P<0.05).2 . Results of caregivers' mental health and physical health. two groups had no difference on mental health and physical health.( P>0.05).Though the lodging caregivers had heavier diseases, their health condition was not worse than that of the family caregivers .This indicated that the aged living in lodging indeedly relieved the physical and mental burden of the caregivers.3 . Results of the assessment of quality of life of caregivers .the lodging caregivers' bodily pain was more serious than that of another group s , but their quality of life were superior to another groups' on social function (P<0.05).The dependent variables included the total score, physical function, role physical, bodily pain, general health, vitality, social function, role emotional and mental health. The independent variables included gender, the ages education, average monthly income , employment , etc. and the multivariate stepwise regression analysis was done. The results showed that the 17 main factors that affected the quality of caregivers lives were gender, the ages, education, average monthly income, employment, the care items of the patients, health status of the (?)aregivers, health status of the patients, care time, the visit frequency, the guide items when they left the hospital, the portion of patients-paid medical fee, the emotion with spouse and family dependents, housework, communication with other family members, degree of satisfaction to his own family responsibility, social support, the relationships with around people.4. Results of the copying styles of the two groups caregivers: the lodging caregivers did better than that of the family caregivers when they faced the stress(P<0.05). CONCLUSION1. The lodging caregivers had higher average monthly income and monthly family-paid. They had more hypertension, coronary atherosclerotic heart disease, cerebrovascular disease, diabetes mellitus. This was the reason they sent the patients to lodging. The lodging caregivers gained more help and support from family and society than the family caregivers, and the patients acquired more recovery training chance. These showed the family caregivers should get more social support and help and we should enhance the CACS patients' recovery training chance.2 . Two groups had no difference on mental health and physical health Though the lodging caregivers had heavier diseases, their health condition was not worse than that of the family caregivers. This indicated that the aged living in lodging indeedly relieved the physical burden of the caregivers. Though the lodging caregivers bodily pain was more serious than that of family group s, their social function was superior to another groups . If the caregivers have heavier diseases, the aged living in lodging is a better style.3 .The lodging caregivers copying style was active and they did their best to readapt the life after the stress.
Keywords/Search Tags:Cerebral Apoplexy Commemorative Sign, Aged living in lodging, Aged living at home, Caregiver, Quality of life
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