Buchanan Robert J, Huang Chunfeng
Department of Political Science and Public Administration, Mississippi State University, Mississippi State, MS, USA (RJB); and the Department of Statistics, Indiana University, Bloomington, IN, USA (CH). Dr. Buchanan is now with the John Glenn School of Public Affairs, Ohio State University, Columbus, OH, USA.
Int J MS Care. 2013 Summer;15(2):56-64. doi: 10.7224/1537-2073.2012-030.
The objective of this study was to identify characteristics of informal caregivers and people with multiple sclerosis (MS) receiving assistance that are associated with the caregiver's perceived need for mental health care. Survey data were collected in interviews with 530 caregivers and analyzed using a logistic regression model. We found that older caregiver age significantly decreased the odds of caregivers' perceived need for mental health treatment. Better mental health domains of health-related quality of life among caregivers, as measured by the 8-item Short Form Health Status Survey (SF-8), also were associated with decreased odds of the need for mental health care. In contrast, the caregiver's feeling that providing assistance was emotionally draining or the belief that this assistance threatened the caregiver/care recipient relationship significantly increased the odds of caregivers' needing mental health treatment. Health professionals treating informal caregivers should be sensitive to the impact that providing assistance has on the emotions, relationships, and mental health needs of caregivers.
本研究的目的是确定非正式照料者以及接受援助的多发性硬化症（MS）患者的特征，这些特征与照料者感知到的心理健康护理需求相关。通过对530名照料者进行访谈收集了调查数据，并使用逻辑回归模型进行分析。我们发现，照料者年龄较大显著降低了照料者感知到的心理健康治疗需求几率。通过8项简短健康状况调查问卷（SF - 8）衡量，照料者健康相关生活质量中较好的心理健康领域也与心理健康护理需求几率降低相关。相比之下，照料者感觉提供援助会消耗情感，或者认为这种援助会威胁照料者/受照料者关系，这显著增加了照料者需要心理健康治疗的几率。治疗非正式照料者的健康专业人员应敏感意识到提供援助对照料者的情绪、关系和心理健康需求所产生的影响。
