摘要目的 了解股骨头坏死保髋治疗患者的焦虑情况和家庭照顾者的负担现状及影响因素.方法 2016年1—7月采用便利抽样的方法,对上海交通大学附属第六人民医院骨科符合入选标准的90例住院患者进行调查,采用Zung制定的焦虑自评量表、视觉模拟评分法对90例住院患者进行问卷调查,采用中文版Zarit护理负担量表(ZBI)、简易应对方式问卷对90例照顾者进行问卷调查.结果 股骨头坏死保髋治疗患者焦虑发生率为32.2%.不同性别患者焦虑情绪差异有统计学意义(P<0.05).股骨头坏死患者的照顾负担总分为(48.88±11.59)分,75.6%患者处于中度以上水平;不同性别、文化程度、家庭角色的照顾者照顾负荷差异有统计学意义(P<0.05);不同特征照顾者的应对方式不同,不同性别、文化程度、家庭角色照顾者的积极应对方式得分情况差异有统计学意义(P<0.05).结论 股骨头坏死保髋治疗患者存在焦虑情绪,其家庭照顾者均存在不同程度的负担,护士在为患者提供服务的同时,也应该关注患者和照顾者的身心健康,减轻其照顾负担,提高其生活质量.家庭角色的照顾者照顾负荷差异有统计学意义(P<0.05);不同特征照顾者的应对方式不同,不同性别、文化程度、家庭角色照顾者的积极应对方式得分情况差异有统计学意义(P<0.05).结论股骨头坏死保髋治疗患者存在焦虑情绪,其家庭照顾者均存在不同程度的负担,护士在为患者提供服务的同时,也应该关注患者和照顾者的身心健康,减轻其照顾负担,提高其生活质量.

abstractsObjective To investigate the anxiety level, caregivers' burden level and its influence factors of patients undergoing conservative treatment with osteonecrosis of the femoral head(ONFH). Methods A total of 90 hospitalized patients undergoing ONFH in orthopedics in Shanghai Sixth People's Hospital were included using convenient sampling from January 2016 to July 2016. Zung self-rating anxiety scale (SAS), visual analogue scale (VAS), Chinese version of Zarit Burden Interview(ZBI) and Simplified Coping Style Questionnaire were used for the questionnaire.Results The incidence rate of anxiety was 32.2%, whereas statistically significant differences were observed between male and female patients(P<0.05). The score of ZBl was (48.88±11.59) and 75.6% of caregivers showed moderate to high level of burden. There were statistically significant differences in the levels of caregiver burden among patients with different genders, educational levels and family caregivers (P<0.05). Caregivers with different characters had different coping styles. The coping style scores of caregivers with different genders, educational levels and family roles caregivers were statistically significant different (P<0.05).Conclusions Patients undergoing ONFH have anxiety. The caregivers also suffer from different levels of burden. Nurses should provide services for patients, pay attention to the physical and mental health of patients and caregivers and reduce their care burden so as to improve their quality of life.