Department of Rehabilitation Medicine, Jeju National University School of Medicine, Jeju &Yonsei University Graduate School, Seoul, Korea.
Chin Med J (Engl). 2010 Feb 20;123(4):452-7.
Although some studies measured the burden of caregivers and the factors that influenced their feelings of burden, few studies have measured the quality of life (QOL) for primary caregivers of patients with muscular dystrophy (MD). We assessed the QOL for primary caregivers of patients with MD in South Korea and identified factors associated with caregivers' QOL.
Ninety dyads of patients with MD and their primary caregivers were enrolled in this study. The QOL of caregivers of patients with MD was assessed subjectively using the World Health Organization Quality of Life Assessment, Life Brief Form. Caregivers' emotional status was assessed using the Beck Depression Inventory (BDI) and family function level was evaluated using the Family APGAR scale. Patients reported their emotional status using the BDI or the Children's Depression Inventory. The functional levels of patients were evaluated by the modified Barthel Index.
Caregivers' QOL was statistically associated with family income, family function, emotional status of patients, level of education, and emotional status of caregivers (P < 0.05). Caregivers who were employed had a significantly higher QOL than those who were not (P < 0.05). In multiple regression analyses, emotional and employment status of caregivers was strongly associated with caregivers' QOL.
Rehabilitation teams should consider not only the physical factors of patients but also the psychological and demographic factors of primary caregivers of patients with MD.
尽管一些研究已经测量了照顾者的负担以及影响他们负担感的因素,但很少有研究测量肌营养不良症(MD)患者主要照顾者的生活质量(QOL)。我们评估了韩国 MD 患者主要照顾者的 QOL,并确定了与照顾者 QOL 相关的因素。
本研究纳入了 90 对 MD 患者及其主要照顾者。使用世界卫生组织生活质量评估简明量表(WHOQOL-BREF)主观评估 MD 患者照顾者的 QOL。使用贝克抑郁量表(BDI)评估照顾者的情绪状况,使用家庭 APGAR 量表评估家庭功能水平。患者使用 BDI 或儿童抑郁量表报告其情绪状况。使用改良巴氏指数评估患者的功能水平。
照顾者的 QOL 与家庭收入、家庭功能、患者的情绪状况、教育程度和照顾者的情绪状况呈统计学相关(P < 0.05)。有工作的照顾者的 QOL 明显高于没有工作的照顾者(P < 0.05)。在多元回归分析中,照顾者的情绪和就业状况与照顾者的 QOL 密切相关。
康复团队不仅应考虑患者的身体因素,还应考虑 MD 患者主要照顾者的心理和人口统计学因素。