Gulin Shaina L, Perrin Paul B, Stevens Lillian F, Villaseñor-Cabrera Teresita J, Jiménez-Maldonado Miriam, Martínez-Cortes Ma Luisa, Arango-Lasprilla Juan Carlos
Department of Psychology, Virginia Commonwealth University.
Hunter Holmes McGuire Veterans Affairs Medical Center.
Fam Syst Health. 2014 Mar;32(1):53-66. doi: 10.1037/a0032623. Epub 2014 Jan 13.
Research has documented the deleterious effects on caregivers of providing care for an individual with traumatic brain injury (TBI). TBI caregivers in Mexico specifically have reduced health-related quality of life (HRQOL) across both physical and mental health domains. The purpose of the current study was to uncover the system of connections between Mexican TBI caregivers' HRQOL and their mental health. A cross-sectional survey was conducted at a public medical facility in Guadalajara, México. Ninety family caregivers of individuals with TBI completed measures of HRQOL, satisfaction with life, depression, and burden. A canonical correlation analysis revealed that the better the caregivers' HRQOL, the better their mental health was, with the effect reaching a large-sized effect. A distinct pattern emerged linking caregivers' higher energy levels and better social functioning to lower depression and greater satisfaction with life. A series of multiple regressions similarly uncovered that the most robust independent HRQOL predictors of caregiver mental health were vitality and social functioning. Especially for TBI caregivers with poor health, behavioral health interventions in Latin America that target the HRQOL domains of social functioning and vitality may significantly improve caregiver mental health, and as a result, informal care for TBI.
研究已记录了为创伤性脑损伤（TBI）患者提供护理对护理人员的有害影响。具体而言，墨西哥的TBI护理人员在身心健康领域的健康相关生活质量（HRQOL）均有所下降。本研究的目的是揭示墨西哥TBI护理人员的HRQOL与其心理健康之间的联系系统。在墨西哥瓜达拉哈拉的一家公共医疗机构进行了一项横断面调查。90名TBI患者的家庭护理人员完成了HRQOL、生活满意度、抑郁和负担的测量。典型相关分析表明，护理人员的HRQOL越好，其心理健康状况就越好，这种影响达到了较大的效应量。出现了一种独特的模式，即护理人员较高的能量水平和较好的社会功能与较低的抑郁和较高程度的生活满意度相关联。一系列多元回归同样发现，护理人员心理健康最有力的独立HRQOL预测因素是活力和社会功能。特别是对于健康状况较差的TBI护理人员，拉丁美洲针对社会功能和活力的HRQOL领域的行为健康干预可能会显著改善护理人员的心理健康，从而改善对TBI患者的非正式护理。
