The Study On Burden And General Self-Efficacy Seale In Heart Failure Family Caregivers

Objectives1. Discuss family caregiver’s burden, self-efficacy and influence of heartfailure patients2. Research the correlation of family caregiver’s burden, self-efficacy andcongestive heart failure patients’ living quality.3. Explore heart failure patients’ family caregiver’s real experience in greatdepth.4. To present corresponding measures and solution in order to reducepatients caregiver’s burden and enhance congestive heart failure patients’ livingquality.Methods1. This study used quantitative research and qualitative research method, the research objects are120patients with heart failure in hospital who had metthe standard of first hospital cardiovascular division of jilin university duringFebruary2012to December2012.2. Quantity part adopts the method of questionnaire survey, to understandthe basic condition of the heart failure patients and their family caregiversthrough general information, to assess the Burden of family Caregivers ofpatients with heart failure Through the caregiver Burden questionnaire(Caregivers Burden Inventory CBI), to assess family caregivers of patients withheart failure self-efficacy through the General self-efficacy scale (General self-Efficacy scale, GSES); to investigate quality of life in heart failure patientsthrough the Minnesota questionnaire of heart failure patients quality of life.3. In qualitative part, the research adopts the purpose sampling methodfrom semi structured interview standard, to interview family caregivers of12heart failure patients by face-to-face in-depth to obtain the psychologicalexperience of their true feelings.4. By using SPSS17.0software package, to make the descriptive statisticalanalysis of the questionnaire result, variance analysis, correlation analysis, etc. to sorting, analysis, summed up the theme of interview material guided by thephenomenology method of qualitative research.Result1. Score distribution of the burden of Heart failure patients’ familycaregivers scope in1~69, an average of score are26.53and16.70, fivedimensions of the highest burden scores are time dependency burden and limiteddevelopment burden, followed by the physicial burden, the lowest for socialburden and affective burden.2. Caregivers of patients gender, age, and patients age, illness age, culture,and medical payment way have an impact on the burden of caregivers.3. Correlated analysis showed that the burden of caregivers, negativecorrelation with self-efficacy and closely relative to the quality of life of heartfailure patients, while caregivers of self-efficacy is negatively related to thequality of life of patients with heart failure.4. Five topics are appear from family caregivers feeling of heart failurepatients through the analysis of the interviews:(1) emotional response;(2) thecaregivers themselves be affected through the careness;(3)heavy economic burdens;(4) the lack of related knowledge;(5)caregivers positive feelings.Conclusion1. There are prevail different degree of burden among the family caregiverswho take care of the heart failure patients. The heavest burden is timedependence burden, followed by limited development of burden, the physicalburden and social burden, minimum burden is related to affective. And the mainfactors that affect caregiver burden basically are the caregiver’s age,relationships with patients, whether living with patients, working conditions,consuming time, the number of people who they need to take care of and soforth..2. If caregivers of heart failure patients self-efficacy is low, the caregiver’sburden is heavier, patients quality of life become worse; on the contrary, ifcaregivers of self-efficacy is higher, the burden lighter; The caregiver burdenlighter, and the patients have higher quality of life.3. The semi structure interview further supplement the quantity of the result,and also reveal the true feeling of the caregivers and the main sources and the impact of their burden.4, by improving the knowledge of the caregivers of heart failure, medicalpersonnel should establish corresponding propaganda, education and follow-upvisit system. In addition, social support can improve the self-efficacy, reduce theburden of caregivers, caregiver can provide high quality continuity care,improve the quality life of patients with heart failure, and improve the quality oftheir own life as well.