Psychiatric Research Unit, Region Zealand, DK-4000 Roskilde, Denmark.
Scand J Public Health. 2011 Aug;39(6):598-607. doi: 10.1177/1403494811414247. Epub 2011 Jul 13.
AIMS: This study investigates a possible added subjective burden among informal caregivers to care recipients with a mental illness or a combination of mental and somatic illnesses compared with caregivers to care recipients with a somatic illness. The study also investigates the subjective caregiver burden by caregivers' characteristics and objective burden. METHODS: The association between subjective caregiver burden and socio-demographic factors, objective burden, and health-related quality of life was analyzed in a population of 865 Dutch informal caregivers, using multiple linear regression analysis. RESULTS: Controlling for other factors in the analysis, we found that caring for a recipient with mental illness or a combination of mental and somatic illness was associated with an extra subjective caregiver burden (measured by Caregiver Strain Index). Objective burden, in terms of more than 50 hours of care provision per week, less than three years of caregiving, or living together with the care recipients was associated with higher subjective caregiver burden. Other factors associated with higher subjective caregiver burden were being partners or a child of care recipient, having a paid job, a low health-related quality of life (EQ-5D), or having an illness. CONCLUSIONS: This study suggests that caregivers to care recipients with a mental and especially a combination of mental and somatic illnesses have a higher subjective caregiver burden compared with caregivers to care recipients with a somatic illness. Because the study is not representative of all caregivers, more research focusing on identifying and contacting informal caregivers is needed to confirm the result.
目的:本研究旨在调查与照顾躯体疾病患者的照护者相比,照顾患有精神疾病或精神-躯体疾病混合患者的非专业照护者是否存在额外的主观负担。本研究还通过照护者的特征和客观负担来研究主观照护者负担。
方法:本研究采用多元线性回归分析,对 865 名荷兰非专业照护者的主观照护者负担与社会人口学因素、客观负担和健康相关生活质量之间的关系进行了分析。
结果:在分析中控制了其他因素后,我们发现,照顾患有精神疾病或精神-躯体疾病混合的患者与额外的主观照护者负担(通过照护者压力指数衡量)相关。客观负担方面,每周提供超过 50 小时的护理、护理时间不足 3 年或与照护对象同住,与更高的主观照护者负担相关。与更高的主观照护者负担相关的其他因素还包括与照护对象为伴侣或子女关系、有薪工作、健康相关生活质量(EQ-5D)较低或患有疾病。
结论:本研究表明,与照顾躯体疾病患者的照护者相比,照顾精神疾病患者,特别是精神-躯体疾病混合患者的照护者,主观照护者负担更高。由于该研究不能代表所有的照护者,因此需要更多关注于识别和联系非专业照护者的研究,以确认这一结果。
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