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(目的 调查老年住院患者照顾者与护理人员协作关系的总体状况, 分析两者之间协作关系的影响因素, 从而为进一步采取措施促进双方有效协作提供指导和依据。方法 采用随机抽样方法, 于2022年4月—2023年4月选取北京市5家三甲医院的老年患者的照顾者230例作为研究对象, 采用患者及照顾者的一般情况调查表及跨文化调适后的家庭协作量表(FCS)进行调查。结果 老年住院患者的照顾者与护士的协作得分为(91. 1±10. 04)分, 其中照顾者的文化程度、是否与患者同住等因素影响照顾者与护士的协作水平(P＜0. 05)。结论 住院老年患者的照顾者与护士的协作水平处于中等偏上水平。护理人员应关注照顾者的文化水平、是否与患者同住等方面, 根据情况给予个体化指导, 并不断提高护理人员自身水平, 及时识别照顾者需要, 为提高护理质量及满足老年人对日常延续照料的需求提供依据。)

Objective: To understand suicide behavior in caregivers of patients with end-stage cancer and to explore the relationship between sleep-related symptoms, quality of life, depressive symptoms, and suicide behavior. Methods: Two hundred and thirteen caregivers of end-stage cancer patients were assessed with the World Health Organization Quality of Life(WHOQOL-BREF), Patient Health Questionnaire(PHQ-9), 3 standardized questions for sleep-related symptoms, and 3 standardized questions for suicide behavior. Results: The detection rate of suicide behavior was 16.43%.Quality of life scores were negatively correlated with depressive symptom scores, sleep-related symptoms, and suicide behavior(r=-0.66, -0.29, -0.44, Ps ＜0.01), and positive correlations were found between depressive symptom scores, sleep-related symptoms, and suicide behavior(r=0.27, 0.51, 0.10, Ps ＜0.01).The mediating effect of quality of life scores in the relationship between depressive symptom scores and sleep-related symptoms was statistically significant(r=0.29), with the mediating effect accounting for55% of the total effect; depressive symptom scores played a full mediating effect in the effect of sleep-related symptoms on suicide behavior(r=0.34, P ＜0.05).Conclusions: Among caregivers of patients with end-stage cancer, suicide behavior is detected at a high rate, and sleep-related symptoms, quality of life, and depressive symptoms may be correlates of suicide behavior. [ABSTRACT FROM AUTHOR]

Objective To assess the current situation of caregivers' benefit finding in senile dementia patients and analyze its related influencing factors. Methods A total of 79 senile dementia patients and their caregivers admitted to the hospital from January 2021 to February 2023 were included in the study. The caregiver Benefit Finding Questionnaire (BFQ) was used to assess the caregiver' benefit finding, and a self-designed general information questionnaire was administered. Linear regression analysis was conducted to identify the factors influencing benefit finding among caregivers of senile dementia patients. Results The BFQ scores of the 79 caregivers of senile dementia patients were (95. 58±8. 76), indicating a moderate level of caregivers' benefit finding. There were statistically significant differences in BFQ scores among caregivers with different occupational statuses, caregiving durations, levels of social support, and levels of self-efficacy (P < 0. 05). However, no statistically significant differences were found in BFQ scores among caregivers with different demographic characteristics (P >0. 05). Linear regression analysis revealed that non-employment status, caregiving duration less than one year, low levels of social support, and low levels of self-efficacy were influencing factors for benefit finding among caregivers of senile dementia patients (P <0. 05). Conclusion Benefit finding among caregivers of senile dementia patients is at a moderate level and may be influenced by factors such as occupational status, caregiving duration, social support, and self-efficacy. [ABSTRACT FROM AUTHOR]

0bjective To explore the effectiveness of caregivers based on health education under the guidance of timing theory in the nursing of elderly patients after hip replacement. Methods By convenient sampling method, eighty elderly patients undergoing hip replacement were divided into control group and observation group, 40 cases in each group. The control group was given routine orthopedic care, and the observation group was based on health management under the guidance of the timing theory ( total hip replacement, TIR) based on routine orthopedic care. The Harris Hip Score, Activities of Daily Living Scale ( Barthel index), Caregiver Burden Inventory and Family Caregiver Task Inventory were used to compare and evaluate the application effect of health education of two groups of caregivers in the nursing of elderly patients after hip replacement. Results The patients were observed one month and three months after discharge, the Harris score and Barthel index of the observation group were significantly higher than those of the control group (P < 0.01). At discharge, 1 month after discharge and 3 months after discharge, the FCTI score ( P < 0.01) and CBI score ( P < 0.01) of family caregivers in the observation group were significantly lower than those in the control group. Conclusion Caregivers based on health education under the guidance of timing theory can effectively reduce the care burden of caregivers, enhance the care ability of caregivers, improve the rehabilitation effect of patients, and ameliorative the quality of life of patients. [ABSTRACT FROM AUTHOR]

Objective To investigate the depression status of de facto orphan caregivers in Sichuan and analyze its influencing factors. Methods By using the social support rating scale and the simplified version of depression scale, a questionnaire survey was conducted on the social support and depression status of 374 de facto orphan caregivers in a city of Sichuan Province. A structural equation model was used to explore the factors influencing depression and their function routes. Results The depression score of orphan caregivers was (13.76 ±5.24) points, and 286 (76.5%) had depressive symptoms. The prevalence of chronic diseases in caregivers (B=0.316, P<0.001), gender (B=0.098, P=0.038), education (B=-0.154, P=0.002), current residence (B=-0.150, P=0.001), care time (3=0.117, P=0.011), and relationship with de facto orphans (B=-0.141, P= 0.013) had direct effects on depression. Caregivers who suffered from chronic diseases, female, poorly educated, residence in rural areas, long-term care, and being the orphan's grandparents had high depression scores. Caregivers' marital status (B=-0.027, P-0.030), personal monthly income (B=-0.042, P=0.001), and care style (B=-0.037, P=0.004) had indirect effects on depression through social support (B=-0.190, P< 0.001). Caregivers in marriage, with higher monthly income, and assistance from others had higher scores of social supports. The better the status of social support, the lower the score of depression. Conclusion The prevalence rate of depressive symptoms of de facto orphan caregivers in Sichuan is high, and the situation of depression is severe, which calls for the attention of the whole society and early intervention. [ABSTRACT FROM AUTHOR]

Objective To understand the current situation, hotspot and development trend of the research about mutuality in the past 20 years in China and abroad, so as to provide reference for the research about mutuality in China. Methods CiteSpace software and bibliometric online analysis platform were used to visually analyze the literature about mutuality research published between January 1, 2003 and March 1, 2023. Results A total of 11 Chinese literatures and 1374 English literatures were included. The number of annual publications is on the rise, and the countries with large research contributions were the United States, the UK and Canada. Foreign research institutions were mainly concentrated in colleges and universities, with close exchanges and cooperation, while domestic research institutions were few and dispersed, with less cooperation and exchange. The frontiers of mutuality research were “quality of life” and “caregivers” in China. Foreign study of mutuality mainly focused on impact and caregivers, and extended the scope of the study to nursing of cancer and chronic diseases, as wells as interplay of mental health between patients and their caregivers. Conclusion The study of mutuality has a wide scope. It has been used extensively in psychology, medicine and other fields in foreign countries. However, the study of dependency relationship has just been started in our country. Therefore, Chinese scholars should combine our national conditions and culture, draw lessons from mature research abroad, and innovate and deepen on this basis. (目的 了解国内外近20年相依关系研究的现状、热点和发展趋势, 为我国相依关系研究提供参考和借鉴。方法 使用CiteSpace软件和文献计量在线分析平台对国内外2003年1月1日至2023年3月1日相依关系研究文献进行可视化分析。结果 中文文献共纳入11篇, 英文文献共纳入1374篇。年度发文量呈上升趋势, 研究贡献较大的国家是美国、英国和加拿大; 国外研究机构主要集中于高校, 交流合作较紧密; 国内研究机构较少, 且分布相对分散, 合作交流较少。国内相依关系的护理研究前沿为“生活质量”和“照顾者”, 已在相关疾病领域, 国外集中于将相依关系应用于研究前沿为“impact”、“caregivers”, 并已延伸到癌症、慢性病等护理等领域, 对患者和照顾者心理健康问题的相互影响进行了深入了解。结论 相依关系研究范围较为广泛, 国外已将其大量应用于心理学、医学等多个领域, 而我国对于相依关系的研究才起步不久。国内学者应结合我国国情和文化, 借鉴国外成熟研究, 在此基础上创新和深入。)

At present, the nursing intervention methods of anticipatory grief (AG) in caregivers of patients with chronic diseases mainly include narrative intervention, psychosocial intervention, cognitive behavioral therapy, mindfulness intervene, family dignity intervention, and expressive writing. This paper reviews the relevant research at home and abroad, in order to provide reference for the development of AG nursing intervention programs for caregivers of patients with chronic diseases in China. [ABSTRACT FROM AUTHOR]

Background Most of the researches on continuous nursing education is from the perspective of patients, and there is a lack of studies on the impact of continuous nursing education on patient caregivers, and the care quality of caregivers is closely related to postoperative rehabilitation status of the patients.Objective To investigate the effect of continuous nursing education on anxiety relief of caregivers of patients with all-robot coronary artery bypass surgery, and to provide references for improving caregivers’ anxiety and promoting patients’ recovery.Methods A total of 120 caregivers of patients with all-robot coronary artery bypass surgery at the First and Sixth Center of 301 Chinese PLA General Hospital were included from January 1, 2021 to December 31, 2022. The caregivers were randomly divided into study group and control group with 60 cases in each group by systematic random sampling method. Before the patient discharge from the hospital, all caregivers received routine nursing education.The study group received continuous nursing education for 4 weeks after patient discharged. Self-rating Anxiety Scale（SAS） was used to evaluate the two groups before and one month after discharge.Results One month after discharge, SAS score in the study group was significantly lower than that in the control group [（57. 77±14. 08） vs.（70. 19±13. 60）, t=-4. 913, P＜0. 01], and the proportion of SAS score above 60 in the study group was significantly lower than that in the control group（41. 67% vs. 75. 00%, χ~2=-13. 714, P＜0. 01）.Conclusion Continuous nursing education may help reduce the level of anxiety in caregivers of patients with all-robot coronary artery bypass surgery. [ABSTRACT FROM AUTHOR]

目的 以文献计量学为基础，应用CiteSpace软件对国内外卒中患者照顾者领域研究现状及热点问题进行分析，为深入开展该领域的研究提供参考。 方法 在中国知网和Web of Science数据库中检索从建库至2021年12月31日卒中患者照顾者领域的中英文文献，文献类型包括论著、综述、学位论文、会议论文。去除重复文献后，从发文量、作者、机构、国家、关键词等方面进行文献计量学分析。 结果 共纳入1298篇中文文献（中国知网），1763篇英文文献（Web of Science）。对于卒中患者照顾者的研究，中英文文献发表均整体呈逐年上升趋势，中国知网数据库中，发文量从2002年的4篇增至2021年的164篇；郑州大学张振香是发文量最多（48篇）的作者，郑州大学护理与健康学院（50篇）是该领域发文量最多的机构；除主题词外，“影响因素”“照顾能力”“照顾负担”“抑郁”“焦虑”“自我感受负担”等为高频关键词。在Web of Science数据库中，发文量从2009年的103篇增至2021年的201篇；美国发文量最多（565篇），约翰霍普金斯医学院的Roth在作者中发文量最多，Univ Toronto（55篇）在发文机构中居首位；“quality of life”“rehabilitation”“support”“burden”“care”“depression symptom”“survivor”等为高频关键词。 结论 国内外卒中患者照顾者领域的研究处于稳定发展阶段，发文作者、发文机构均呈现以高校和地域为中心的特点，但缺乏跨区域和跨单位合作；国内外研究热点不同，照顾负担及照顾能力的影响因素、卒中照顾者负性情绪为国内研究热点，照顾者生活质量的影响因素、照顾负担和抑郁症状、照顾者主导的康复对卒中患者的影响是国外研究热点。临床或科研工作者应加强各研究机构之间的合作，关注该领域的研究前沿和热点，提高研究深度和广度。 Abstract: Objective Based on bibliometrics, CiteSpace software was used to analyze the current research status and hot issues in the field of caregivers of stroke patients at home and abroad, to provide reference for further research in this field. Methods The relevant literature in the field of caregivers of stroke patients was retrieved from the China National Knowledge Network (CNKI) and Web of Science database from the database inception to December 31, 2021. The types of articles included clinical trials, reviews, dissertations and conference papers. Bibliometric analysis was conducted in terms of the number of papers, authors, institutions, countries and keywords. Results A total of 1298 Chinese and 1763 English literature were included. The number of these published articles is on the rise year by year both at home and abroad. In the database of CNKI, the number of published articles increased from 4 in 2002 to 164 in 2021. Zhang Zhenxiang of Zhengzhou University published the most (48 articles), and the Nursing and Health College of Zhengzhou University published the most (50 articles). In addition to the subject words, "influencing factors" "caring ability" "caring burden" "depression" "anxiety" and "self-perceived burden" were high-frequency keywords. In the Web of Science database, the number of published articles increased from 103 in 2009 to 201 in 2021, and the United States published the most (565 articles); Dr. ROTH D L of Johns Hopkins School of Medicine published the most; the Univ Toronto had the most publications (55 articles). "Quality of life" "rehabilitation" "support" "burden" "care" "depression symptom" and "survivor" were high-frequency keywords. Conclusion The research on caregivers of stroke patients at home and abroad was in a stable development stage in the recent ten years. The authors and institutions of these papers were all characterized by universities and regions, and lack of cross-regional and cross-unit cooperation. Domestic and foreign research hotspots were different. The influencing factors of caring burden and caring ability, and negative emotion of stroke caregivers were hot issues in China. The influencing factors of stroke caregivers' quality of life, caring burden and depressive symptoms of caregivers, and the influence of rehabilitation led by caregivers on stroke patients were hot issues abroad. The clinical and research workers should strengthen the cooperation among research institutions, pay attention to the research frontiers and hotspots, to improve the depth and breadth of research.

Objective To investigate the care burden and its influencing factors in caregivers of patients with intracranial aneurysms. Methods The convenience sampling method was used to select 144 patients with intracranial aneurysms and their primary caregivers in the neurosurgery department as the research objects, and the caregivers were surveyed by Zrait Burden Scale (ZBI), Social Support Rating Scale (SSRS), Hospital Anxiety Depression Scale(HADS). Results The averaged score of ZBI was (39. 15±7. 61) , which was higher than the norm (P＜0. 01). The score of anxiety(10. 89±3. 16) and depression (11. 04±2. 97)was higher than the norm, respectively (P＜0. 01). The overall score of SSRS(26. 27±4. 23), subjective support(9. 46±2. 42), objective support(8. 99±2. 51)and social support availability(7. 81±1. 51)was higher than the norm, respectively (P＜0. 01). Age of patient, way of payment, surgical type and postoperative complications were associated with degree of care burdens(P＜0. 05). Conclusion Findings of the study indicated a varying degree of care burden among caregivers of patients with intracranial aneurysms. Attention should be paid on the mental health of caregivers, and efforts should be made to care-giving skills training, social and financial support, in order to improve the nursing quality and rehabilitation of patients. (目的 分析颅内动脉瘤患者照顾者照顾负担水平及其影响因素。方法 采用方便抽样法选取2021年5月—11月医院神经外科 144 名颅内动脉瘤患者及其主要照顾者为研究对象, 采用Zarit护理者负担量表(ZBI)、社会支持评定量表(SSRS)、医院焦虑抑郁量表(HAD)对照顾者进行调查。结果 照顾者ZBI量表得分平均(39. 15±7. 61)分, HAD量表中焦虑维度得分(10. 89±3. 16)分, 抑郁维度得分(11. 04±2. 97), 均高于常模(P＜0. 01); SSRS量表总分(26. 27±4. 23)分, 主观支持维度得分(9. 46±2. 42)分, 客观支持维度得分(8. 99±2. 51)分, 社会支持利用度维度得分(7. 81±1. 51)分, 均低于常模(P＜0. 01)。患者年龄、付费方式、手术方式和术后并发症对照顾负担有影响(P＜0. 05)。结论 颅内动脉瘤患者照顾者存在不同程度照顾负担。应关注照顾者心理状态, 通过开展技能培训, 完善社会支持和经济帮助, 减轻照顾者负担, 进而提升照护质量, 促进患者康复。)

Objective To understand the status quo and correlation of eating knowledge and skills needs of caregivers of patients with dysphagia after stroke, and to provide reference for medical workers to carry out targeted nursing training for caregivers. Methods From November 2021 to May 2022, 302 caregivers of patients with dysphagia after stroke were selected from two tertiary hospitals in Yunnan Province by convenience sampling. Data were analyzed using median and interquartile range M (P25, P75) descriptions, Mann-Whitney U test, KruskalWallis test, and Spearman correlation. Results The dimensions in the questionnaire ranked from high to low as swallowing training method [5.00 (4.80, 5.00) ], oral eating knowledge [5.00 (4.69, 5.00) ], dysphagia knowledge [5.00 (4.60, 5.00)], tube feeding nursing knowledge [4.71 (4.35, 4.84)], complication nursing [4.67 (4.50, 5.00)], and nutrition knowledge [4.50 (4.16, 4.83)]. The total score of the demand questionnaire was [222 (213, 228)]. Conclusion Caregivers of stroke patients with dysphagia have a high demand for eating knowledge and skills. Medical workers should pay attention to the caregiver population of patients with dysphagia and give intervention measures according to the actual needs of caregivers, so as to promote the rehabilitation of patients. [ABSTRACT FROM AUTHOR]

目的 分析急性缺血性卒中患者的照顾者出现焦虑、抑郁情绪的影响因素，早期识别缺血性卒中照顾者的心理状态，为后续的干预措施提供参考。 方法 连续纳入急性缺血性卒中患者住院期间的照顾者，进行焦虑自评量表（self-rating anxiety scale，SAS）和抑郁自评量表（self-rating depression scale，SDS）评估，根据SAS分值分为焦虑组（SAS≥50分）和非焦虑组（SAS

Copyright of Chinese Journal of Stroke is the property of Chinese Journal of Stroke Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To investigate the correlation between the self-compassion and psychological resilience among the main caregivers of children patients with type 1 diabetes mellitus(T1DM) to provide a theoretical basis for formulating the clinical psychological intervention scheme. Methods The convenience sampling method was adopted to select 92 caregivers of children patients with T1DM as the respondents. The general data questionnaire, self-compassion scale (SCS-C) and Conner Davidson Resilience Scale(CD-RISC) were used to collect the data. The self-compassion ability and psychological resilience level of the caregivers conducted the univariate analysis. The correlation between the self-compassion ability and psychological resilience was analyzed. Results A total of 92 valid questionnaires were recovered, with an effective recovery rate of 100%. The mean score of self-compassion ability was (89. 20±21.01) points, and the mean score of psychological resilience level was (59. 60±20. 82) points. There was a positive correlation between the self-compassion ability and psychological resilience (r=0.992, P <0.05). Conclusion The higher the caregiver's self compassion ability, the better the level of psychological resilience. The nursing workers should pay attention to the caregivers' self-compassion ability and conduct the intervention in a scientific way so as to continuously increase the psychological resilience level and promote the mental health development of caregivers [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic is an unprecedented stressor for frontline healthcare workers, notably increasing acute stress disorder and depression rates. Emotion regulation and social support could be major protective factors against such psychopathological states, but their role has not been explored outside Western contexts. Objective: To assess the association between emotion regulation, social support, acute stress disorder, and depression among healthcare workers directly confronted with the first wave of COVID-19 pandemic in the eastern Democratic Republic of the Congo. Method: A cross-sectional study assessed acute stress disorder, depression, adaptive (i.e. acceptance, positive refocusing, ...) and maladaptive (i.e. self-blame, rumination, catastrophizing, ...) emotion regulation strategies, social support (instrumental, emotional, and informational levels), as well as self-reported situations and feelings related to COVID-19, in a population of 252 frontline healthcare workers (121 women; 131 men; mean age: 39 ± 11 years old) at the Referral General Hospital of Bukavu. We also explored the relations between these variables through bivariate and multivariate logistic regression. Results: Forty percent of participants presented symptoms of depression, and 16% presented acute stress disorder. In bivariate logistic regression, these psychiatric outcomes were associated with the availability of a COVID-19 protection kit [OR = 0.24 (0.12–0.98)], hostility toward health workers [OR = 3.21 (1.23–4.21)], putting into perspective [OR = 0.91 (0.43–0.98)], self-blame [OR = 1.44 (1.11–2.39)], catastrophizing [OR = 1.85 (1.01–4.28)], blaming others [OR = 1.77 (1.04–3.32)], emotional support [OR = 0.83 (0.49–0.98)], instrumental support [OR = 0.74 (0.28–0.94)], and informational support [OR = 0.73 (0.43–0.98)]. In multivariate logistic regression, hostility [OR = 2.21 (1.54–3.78)], self-blame [OR = 1.57 (1.02-2.11)], rumination [OR = 1.49 (1.11-3.13)] and emotional support [OR = 0.94 (0.65-0.98)] remained significantly associated with psychiatric outcomes. Conclusion: Depression and acute stress disorder were highly prevalent among Congolese healthcare workers during the first wave of the COVID-19 health pandemic. Hostility, self-blame, rumination, and social support were associated with depression and/or acute stress disorder and should be targeted by interventions aiming to support health workers' wellbeing. Frontline health workers presented high prevalence of acute stress disorder (16%) and depression (40%) during the first wave of COVID-19 pandemic in the Eastern Democratic Republic of the Congo, as they were working in hostile environment without enough protection kits. Acute stress disorder and depression were negatively associated with adaptive emotion regulation and social support; and positively with maladaptive emotion regulation. Intervention aiming to support health workers in pandemics should target emotion regulation and social support. [ABSTRACT FROM AUTHOR]

Objective To understand the status and development trend of research on caregivers of patients with colorectal cancer in China,and to provide a basis for further research on caregivers of patients with colorectal cancer.Methods Literature related to caregivers of colorectal cancer patients were retrieved from China National Knowledge Database（CNKI）,VIP Chinese Science and Technology Journal database and Wanfang database since the establishment of the database.By bibliometrics,Excel,Bib excel and Ucinet software were used to conduct quantitative analysis on the year of publication,journal source,author and institution,literature research type,key words,and funding of the included literature.Results A total of 90articles about colorectal cancer caregivers were retrieved,which were published in 50journals.And the literature cooperation degree was 2.7,forty articles（44.44%）were mainly cross-sectional studies,and twenty-three articles（25.56%）were supported by the fund.Conclusion The related literature is on the rise,and the attention of domestic scholars has increased,and the fund investment is still insufficient.In the future,it is necessary to strengthen the links between different institutions,increase the funding,and broaden the depth and breadth of research. [ABSTRACT FROM AUTHOR]

目的 研究聚焦解决模式对首发脑卒中患者家庭主要照顾者疲劳感与疾病获益感的影响。方 法 选取 2018 年 5 月至 2020 年 6 月河南科技大学第一附属医院治疗的79例脑卒中患者家庭主要照顾者作为 研究对象。选取该院 2 个神经内科病区,观察组为其中一个病区符合纳入标准的患者及照顾者,对照组为另一 病区符合纳入标准的患者及照顾者。对照组 39 例,实施常规护理;观察组40例,在常规护理的基础上采取聚 焦解决模式,对比2组干预前后照顾者的疲劳感水平和疾病获益感水平。结果 2 组研究对象在干预前疲劳感 得分比较差异无统计学意义 (P >0.05)。干预后,观察组疲劳感得分低于对照组,差异有统计学意义 (P < 0.05)。2 组研究对象在干预前疾病获益感得分比较差异无统计学意义(P >0.05); 干预后观察组照顾者疾病 获益感得分高于对照组,差异有统计学意义 (P <0.05)。结论 聚焦解决模式可降低首发脑卒中患者家庭主要 照顾者的疲劳感水平,有利于提高其疾病获益感水平。 [ABSTRACT FROM AUTHOR]

Copyright of Practical Oncology Journal is the property of Journal of Practical Oncology Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the burden status and influencing factors of family caregivers in elderly patients with hip fracture and cognitive impairment. Methods Using the convenient sampling method and Zarit Caregiver Burden Scale to investigate the family caregivers of the elderly hip fracture patients with cognitive impairment admitted to the orthopaedic department of a tertiary hospital in Chengdu, Sichuan Province. Results The family caregivers' care burden score of elderly hip fracture patients with cognitive impairment was（39.65±13.89). The results of multiple stepwise regression analysis showed that the main influencing factors of care burden were whether the caregivers had chronic diseases and Barthel index (R2 = 0.539, F = 20.206, P < 0.001). Conclusion More than 59.9% of the elderly patients with hip fracture and cognitive impairment are in the middle or above level of family caregiver burden. The caregiver's own chronic disease and Barthel Index (BI) of the caregiver are the influencing factors of caregiver burden level. Therefore，medical staff should not only pay attention to the elderly hip fracture patients with cognitive impairment, but also understand the burden level and influencing factors of caregivers, and take personalized nursing measures to decrease the burden level of caregivers，in order to further improve the function of family care and the quality of their life. [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of China Medical University is the property of Journal of China Medical University Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的 探讨照顾者健康教育模式对人工髋关节置换术(THA)患者院外康复的影响。方法 选取2016年8月至 2018年8月该院收治的人工髋关节置换术患者,根据患者入院顺序编号,按单双号将患者(128例)及其照顾者(128例)分为观察 组和对照组。对照组采用常规健康教育模式,观察组按照顾者健康教育路径模式进行健康教育,比较2组患者Harris评分,同时 采用照顾者积极感受量表(PAC)对2组照顾者进行评估。结果 2组患者出院后3、6个月Harris评分高于出院时,且观察组出 院后6个月Harris评分高于出院后3个月,差异均有统计学意义(P <0.05)。观察组出院后3、6个月Harris评分明显高于对照 组,差异均有统计学意义(P <0.05)。2组照顾者出院时PAC评分比较,差异无统计学意义(P >0.05)。观察组出院后3个月自 我肯定和生活展望评分均高于出院时,差异有统计学意义(P <0.05)。对照组出院后3个月自我肯定评分高于出院时,且出院后 6个月自我肯定和生活展望评分均低于出院后3个月,差异有统计学意义(P <0.05)。观察组出院后3、6个月时自我肯定和生活 展望评分均明显高于对照组,差异有统计学意义(P <0.05)。结论 照顾者健康教育路径模式可有效提高照顾者对院外康复的 认知,并增强其在长期康复过程中的积极感受,从而辅助THA患者获得更佳的关节功能恢复效果。 [ABSTRACT FROM AUTHOR]

目的观察脑卒中患者家庭主要照顾者接受延续护理模式对其照顾压力、照顾能力的影响。方法将在该院2017年1月至2018年12月收治的脑卒中住院患者家庭主要照顾者94例,按随机数字表法分成对照组(47例)与试验组(47例)。对照组对其行常规出院康复指导,试验组对其行延续护理模式。对比两组脑卒中患者家庭主要照顾者的照顾压力、照顾能力,患者出院后危险事件的发生情况。结果试验组心理状况,身体、社交状况照顾压力评分明显少于对照组,且各项照顾能力正确护理率明显高于对照组,患者不良事件总发生率(6.38%)明显低于对照组(22.64%),差异均有统计学意义(P<0.05)。而两组工作、经济状况照顾压力评分比较,差异均无统计学意义(P>0.05)。结论脑卒中患者家庭主要照顾者接受延续护理模式,可明显减少其照顾压力,提高照顾能力,减少患者出院后危险事件的发生,效果理想。 [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives:To analyze the level and related factors of quality of life, caregiver burden in primary caregivers of adolescents with depression, and to explore the relationship between quality of life and caregiver burden. Methods: Totally 180 caregivers of adolescents with depression were investigated in the Second Xiangya Hospital of Central South University in Changsha, Hunan province. The Hamilton Depression Scalc-17( HAMD-17), Short Form 36 Health survey Questionnaire (SF-36) and Zarit Caregiver Burden Interview (ZBI)wcrc used to assess depressive symptoms of patients, the quality of life and caregiver burden of primary caregivers of adolescents with depression. Results: The scores of SF-36 dimensions were lower in caregivers than in the national norm (P < 0. 01). The average score of ZBI was (32 ± 15), while 73. 7% caregiver's burden was in the low and moderate level. The SF-36 scores were lower in caregivers taking care of patients with longer course of disease and suicide history, with lower education level, with lower family income (P < 0. 05). The ZBI scores were higher in those taking care of the patients in hospital, with a long course of disease, with higher IIAMD scores, and those with major c-vents in the past 3 months, and being on-the-job, (P<0. 05). The caregiver burden (personal burden and role burden) of caregivers was negatively related to the scores of quality of life (physical health and mental health) (r = - 0. 56--0. 24, Ps <0. 01). Conclusion: The quality of life of caregivers of adolescents with depression is severely impaired, and they have obvious caregiver burden. The caregivers with lower education level, lower family income, and being on-the-job, with major events in the past 3 months, and those taking care of patients with a long course of disease, suicide history, and higher IIAMD score may have heavy burden and low quality of life. The caregiver burden of caregivers of adolescents with depression is negatively related to their quality of life. [ABSTRACT FROM AUTHOR]

Trauma-focused Cognitive Behavioural Therapy (TF-CBT) has been utilized with children of a wide age range and with diverse trauma experiences. This article will focus on the application of TF-CBT to young children. After presenting an overview of the model, challenges and developmentally-sensitive and creative strategies for engaging young children and their caregivers in TF-CBT PRACTICE components will be highlighted. A brief review of the strong empirical support for TF-CBT will then be provided. [ABSTRACT FROM AUTHOR]

目的探讨糖尿病足患者的照顾者生存质量及其影响因素。方法采用便利抽样法选取糖尿病足患者的照顾者200例,采用健康调查简表SF-36量表进行问卷调查,评价照顾者的生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康、生理健康总评及精神健康总评,并与常模人群进行比较。采用多元逐步回归法分析照顾者生存质量的影响因素。结果照顾者生存质量各维度得分中,活力维度得分最低,生理功能维度得分最高。除社会功能维度外,其余各维度得分均低于常模人群(P均<0.05)。多元逐步回归分析显示,患者年龄、照顾者照顾负担及照顾时间、照顾者健康自评、照顾者文化程度及性别是照顾者生理健康的影响因素(调整R2=0.559,P均<0.05);提供支持帮助、照顾负担、照顾者健康自评及照顾者年龄、患者年龄及性别是照顾者精神健康的影响因素(调整R2=0.671,P均<0.05)。结论糖尿病足患者照顾者生存质量普遍偏低,患者年龄及性别、照顾者健康自评、年龄、文化程度及性别、提供支持帮助、照顾负担及照顾时间均是其影响因素。 [ABSTRACT FROM AUTHOR]

目的 分析慢性病患者对照顾者护理能力的期望，为照顾者的护理干预提供依据，提升其护理能力。 方法 以2013年12月至2014年2月在该院内科病房住院、符合慢性非传染性疾病诊断标准的157例患者为调查对象，采用自拟调查问卷从专注力、沟通、合作、关爱、技术、评估、评判性思维等7个方面共13个项目调查内科病房慢性病患者对其照顾者护理能力的期望，识字能力差的患者采取问答式调查，其余自行填写问卷。 结果 共发出157份问卷，收回157份问卷，有效问卷157份，其中沟通、技术、评估分别被勾选155（98.73%）、129（82.17%）、118（75.16%）例次，位列7个调查要素的前3位。不同职业、不同文化程度、不同病程慢性病患者对其照顾者护理能力的期望存在差异，但无统计学意义（P＞0.05）。不同病程慢性病患者对照顾者沟通能力的期望差异有统计学意义（F=3.86，P=0.02），病程短的患者对照顾者与医护人员沟通能力的期望高于病程长的患者，而对与家人沟通能力的期望则是病程长的患者高于病程短的患者。 结论 慢性病患者对照顾者的护理能力期望以沟通、技术、评估3个要素为主，护理人员应针对性地给予护理干预，提升照顾者的护理能力，提高护理质量。 [ABSTRACT FROM AUTHOR]