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精神疾病与慢性内科疾病患者照顾者负担的比较研究。

A comparative study of caregiver burden in psychiatric illness and chronic medical illness.

机构信息

Department of Psychiatry, Andhra Medical College, Government Hospital for Mental Care, Visakhapatnam, Andhra Pradesh, India.

出版信息

Indian J Psychiatry. 2012 Jul;54(3):239-43. doi: 10.4103/0019-5545.102423.

Abstract

BACKGROUND

Caregivers of individuals suffering from psychiatric illness are at risk of being subjected to mental health consequences such as depression, anxiety and burnout. Community-based studies proved that 18-47% of caregivers land in depression. The caregiver burden can be quantified into objective, subjective and demand burdens. There is paucity of data comparing the caregiver burden of psychiatric patients and that of chronic medical illness patients.

AIMS AND OBJECTIVES

(1) To compare the caregiver burden in psychiatric illness and chronic medical illness. (2) To study the association of caregiver burden with demographic factors like age, gender, duration of caregiving.

MATERIALS AND METHODS

The study included two groups of caregivers, each of 50 members. Group 1 consisted of caregivers of psychiatric patients and group 2 consisted of caregivers of chronic medical illness patients. The Montgomery Borgatta Caregiver Burden scale was used to assess the burden in terms of objective, subjective and demand burdens.

RESULTS AND CONCLUSION

The caregiver burden scores in the caregivers of psychiatric patients were significantly higher than that of chronic medical illness (P<0.0001). The caregiver burden was found to increase with the duration of illness as well as with the age of caregiver. The caregiver burden in the sample population was less as the objective and demand burden did not cross the reference higher value in the given scale, whereas the emotional impact given by the subjective burden was on higher side.

摘要

背景

精神疾病患者的照顾者面临心理健康后果的风险,例如抑郁、焦虑和倦怠。基于社区的研究证明,18-47%的照顾者患有抑郁症。照顾者负担可以分为客观负担、主观负担和需求负担。关于精神疾病患者和慢性疾病患者的照顾者负担的比较数据很少。

目的和目标

(1)比较精神疾病和慢性疾病患者的照顾者负担。(2)研究照顾者负担与年龄、性别、照顾时间等人口统计学因素的关系。

材料和方法

该研究包括两组照顾者,每组 50 人。第 1 组由精神疾病患者的照顾者组成,第 2 组由慢性疾病患者的照顾者组成。使用蒙哥马利-伯格加特照顾者负担量表评估客观、主观和需求负担方面的负担。

结果和结论

精神疾病患者照顾者的负担评分明显高于慢性疾病患者(P<0.0001)。照顾者负担随着疾病持续时间和照顾者年龄的增加而增加。在样本人群中,照顾者负担较低,因为客观和需求负担没有超过给定量表的参考较高值,而主观负担所带来的情绪影响则较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c7a/3512360/485c4a12453f/IJPsy-54-239-g005.jpg

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