100 - Analysis on the Burden of Primary Caregivers of Preschool Children with Scoliosis and Its Affecting Factors
Clinical Issue: The incidence of scoliosis is about 0.62%and that scoliosis not only affects the appearances of child patients, such as unequal shoulders and chest or back deformities, but also squeeze vital organs, causing dysfunction of respiratory system and circulatory system, greatly reducing the patients’ life quality patients, and eventually threatening their lives. Since most preschool children can’t express themselves well, they need more attentions from caregivers during the hospitalization and rehabilitation. For scoliosis, orthopedic surgery is the most direct and effective treatment, but the surgery is complicated and expensive and may lead to surgical trauma. Therefore, surgery usually brings heavy psychological and economic burden to the caregivers, which directly affects not only the life quality of patients but also the life quality for their families and ultimately lowers the treatment effect. Description of Team: The team comes from the operating room of The First Affiliated Hospital of Sun Yat-sen University, China. There is a total of 4 members (Deputy Director Nurses: Gong fengqiu, Nurses: Yao Dianye, Chen Xiaojun, Liao Shufen).Preparation and Planning: The aim of this study was to investigate the burden of primary caregivers of preschool children with scoliosis and to explore the sources of burden and its affecting factors.Implementation: The descriptive study was conducted using a generalized questionnaire. The caregiver burden interview (CBI) was conducted with 1225 primary caregivers of preschool children with scoliosis. The burden factors were analyzed with multiple linear regression method. Outcome: The average CBI score of 1225 primary caregivers was 64.63 ± 9.17. Major affecting factors are the daily care time, the per capita monthly income, the number of people involved in care, caregiver gender, educational level, and the age of children (P <0.05). Implications for Perioperative Nursing: The study on the primary caregivers of the preschool children with scoliosis provided a theoretic basis for further clinical research in this field. In brief, when we provide treatment and care for pediatric patients with scoliosis, we also should pay attention to the primary caregivers, provide them with personalized support and health education to relieve their stress, reduce the care burden, and improve life quality of caregivers, which will eventually promote the early rehabilitation of pediatric patients.