Anxiety and caregivers′ burden level of patients undergoing conservative treatment with osteonecrosis of the femoral head

Abstract

Objective To investigate the anxiety level, caregivers′ burden level and its influence factors of patients undergoing conservative treatment with osteonecrosis of the femoral head (ONFH) . Methods A total of 90 hospitalized patients undergoing ONFH in orthopedics in Shanghai Sixth People′s Hospital were included using convenient sampling from January 2016 to July 2016. Zung self-rating anxiety scale (SAS) , visual analogue scale (VAS) , Chinese version of Zarit Burden Interview (ZBI) and Simplified Coping Style Questionnaire were used for the questionnaire. Results The incidence rate of anxiety was 32.2%, whereas statistically significant differences were observed between male and female patients (P<0.05) . The score of ZBl was (48.88±11.59) and 75.6% of caregivers showed moderate to high level of burden. There were statistically significant differences in the levels of caregiver burden among patients with different genders, educational levels and family caregivers (P<0.05) . Caregivers with different characters had different coping styles. The coping style scores of caregivers with different genders, educational levels and family roles caregivers were statistically significant different (P<0.05) . Conclusions Patients undergoing ONFH have anxiety. The caregivers also suffer from different levels of burden. Nurses should provide services for patients, pay attention to the physical and mental health of patients and caregivers and reduce their care burden so as to improve their quality of life. Key words: Femur head necrosis; Anxiety; Caregivers; Care burden