过丽珍 卢根娣 田君

    [摘要] 脑卒中因其较高的发病率、致残率、致死率，已成为全球性的公共健康问题。脑卒中患者经过急性期治疗后，可留有不同程度的躯体、心理和情感障碍，且其多在家中康复和生活，需要照护者长期的支持与帮助，往往导致照护者承受巨大的生理、心理和社会压力，不利于患者的长期康复。本文从照护负担的概述、照护负担的动态变化及影响因素、照护负担过重的危害和减少照护负担的策略四个方面入手，以期为降低照护负担提供理论依据，为临床提高照护者情感支持奠定基础。

    [关键词] 脑卒中;非正式照顾者;照护负担;动态变化

    [中图分类号] R743.3 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2020)08(b)-0031-04

    [Abstract] Stroke has become a global public health problem due to its high incidence， disability and mortality rate. Stroke survivor may be left with different degrees of physical， mental or affective disorder after acute treatment. And most of them will make sustainable lifestyle and receive rehabilitation based on family， which require long-term support and help from their families. As a result， the caregiver endurance enormous physical， psychological and social pressure， which is not beneficial to the recovery of stroke survivor. This paper summarizes the characteristics of caring burden， the dynamic changes of caring burden with time flow and its related factors， the side effects of caring burden and the strategies on how to reduce the burden of caring. And eventually laying a theoretical suggestion on how to reduce care burden. Therefore ......