老年髋部骨折伴认知障碍患者家庭照顾者负担及其影响因素.

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]