澳大利亚私立精神病住院患者的痛苦与负担评估。
Assessment of distress and burden in Australian private psychiatric inpatients.
作者信息
Page Andrew, Hooke Geoff, O'Brien Natalie, de Felice Nick
机构信息
School of Psychology, University of Western Australia, Crawley, WA, Australia.
出版信息
Australas Psychiatry. 2006 Sep;14(3):285-90. doi: 10.1080/j.1440-1665.2006.02293.x.
OBJECTIVES
The study aimed to examine (i) the extent of the objective and subjective burden of care experienced by carers of individuals attending Australian private psychiatric hospitals, (ii) the degree to which a carer's distress was influenced by the patient's symptoms and the burden of care experienced.
METHODS
A group of 135 inpatient-carer dyads, for inpatients who attended three Australian private psychiatric clinics, completed measures of distress (Depression Anxiety Stress Scales) and caregiver burden (Burden Assessment Scale; BAS) during an inpatient admission to a private psychiatric hospital.
RESULTS
The level of burden reported by carers was comparable with overseas data. Factor analysis was used to identify the key dimensions of the BAS. The chief concerns of carers related to worries about the patient and disruption to activities.
CONCLUSION
The burden experienced by carers needs to be recognized and addressed to ensure that they are able to continue to provide the care and support required by psychiatric inpatients. Present data are discussed in terms of the best way to support the carers of psychiatric inpatients.
目的
本研究旨在探讨：（i）澳大利亚私立精神病院患者的照料者所经历的客观和主观照料负担程度；（ii）照料者的痛苦程度受患者症状及所经历照料负担的影响程度。
方法
一组由135对住院患者与照料者组成的样本，这些住院患者来自澳大利亚的三家私立精神科诊所，他们在私立精神病院住院期间完成了痛苦程度测量（抑郁焦虑压力量表）和照料者负担测量（负担评估量表；BAS）。
结果
照料者报告的负担水平与海外数据相当。采用因子分析来确定负担评估量表的关键维度。照料者主要关心的是对患者的担忧以及活动受到干扰。
结论
需要认识到并解决照料者所经历的负担问题，以确保他们能够继续为精神病住院患者提供所需的照料和支持。本文根据支持精神病住院患者照料者的最佳方式对现有数据进行了讨论。
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