Analysis on influencing factors for carer burdens from hospitalized pa-tients with hip fractures and the effects of cognitive behaviour interven-tion / 中国现代医生

ABSTRACT

Objective To explore the influencing factors for carer burdens from hospitalized patients with hip fractures and the effects of cognitive behaviour intervention. Methods A total of 120 key carers of 120 hospitalized patients with hip fractures were selected, and CBI, SAS and SDS were applied to carried out baseline investigation for carers. Influ-encing factors for carer burdens were analyzed, and they were afterwards randomly assigned to an intervention group and a control group with 60 patients in each. The intervention group was given cognitive behaviour intervention. CBI, SAS and SDS were compared between the two groups. Results Educational level, relation with the patients, common caregivers, caring time, household family income and patients' self-care ability were correlated with carer burdens (P<0.05), in which common caregivers, caring time and patients' self-care ability were independent influencing factors for carer burdens (P<0.05). After intervention, development limitation burdens, social burdens, emotional burdens and total burdens were all significantly lower than those in the control group (P<0.05), and SAS and SDS scores were signifi-cantly lower than those in the control group (P<0.05). CBI score was positively correlated with SAS and SDS scores (r=0.398, 0.318, P<0.05). Conclusion During caring period for carers for hospitalized patients with hip fractures, intensity, time, patients independence degree and anxiety and depression degrees are closely correlated with their burdens, and cognitive behaviour intervention is able to effectively improve carers' burdens and psychological states.