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精神分裂症患者照料者的负担及相关因素

Burden on Caregivers of Patients with Schizophrenia and Related Factors.

作者信息

Yazici Esra, Karabulut Ümit, Yildiz Mustafa, Baskan Tekeş Sinem, Inan Eda, Çakir Uğur, Boşgelmez Şükriye, Turgut Celaleddin

机构信息

Department of Psychiatry, Sakarya University Faculty of Medicine, Sakarya, Turkey.

Clinic of Psychiatry, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.

出版信息

Noro Psikiyatr Ars. 2016 Jun;53(2):96-101. doi: 10.5152/npa.2015.9963. Epub 2016 Jun 1.

Abstract

INTRODUCTION

Caregivers of patients with schizophrenia are under the burden of continuous and difficult processes. Determination of the factors related to caregiver burden in schizophrenia may help find strategies to decrease the burden. This study aimed at investigating the factors associated with caregiver burden among relatives of patients with schizophrenia.

METHODS

Eighty-eight caregivers of patients under treatment for schizophrenia for at least 1 year were included in the study. The Zarit Caregiver Burden Interview was used for the assessment of caregiver burden. Sociodemographical data, the level of knowledge about schizophrenia, clinical impression scale, and global assessment of functioning were used to evaluate the related factors.

RESULTS

Caregiver burden was negatively correlated with income level and functionality of the patient and was positively correlated with the age of the caregiver, the daily time spent with the patient, and the number of hospitalizations of the patient (p<0.05). There was no significant correlation between the caregivers' knowledge about schizophrenia and caregiver burden (p<0.05). Living in the same house with the patient was a positive predictor, whereas functionality and income level of the patient and education level of the caregiver were negative predictors (p<0.05).

CONCLUSION

This study highlighted the importance of setting targets for improving the functionality of patients in the design and implementation of rehabilitation and support programs for patients with schizophrenia. Additionally, providing higher income for patients, creating conditions for an independent life, and increasing incentives for younger caregivers with a higher educational level may help decrease caregiver burden.

摘要

引言

精神分裂症患者的照料者承受着持续且艰难的过程带来的负担。确定与精神分裂症照料者负担相关的因素可能有助于找到减轻负担的策略。本研究旨在调查精神分裂症患者亲属中与照料者负担相关的因素。

方法

本研究纳入了88名对精神分裂症患者进行至少1年治疗的照料者。使用扎里特照料者负担访谈来评估照料者负担。社会人口统计学数据、对精神分裂症的了解程度、临床印象量表和功能总体评估用于评估相关因素。

结果

照料者负担与患者的收入水平和功能呈负相关,与照料者的年龄、与患者相处的每日时长以及患者的住院次数呈正相关(p<0.05)。照料者对精神分裂症的了解与照料者负担之间无显著相关性(p<0.05)。与患者同住是一个积极预测因素,而患者的功能和收入水平以及照料者的教育水平是消极预测因素(p<0.05)。

结论

本研究强调了在为精神分裂症患者设计和实施康复及支持项目时,设定改善患者功能目标的重要性。此外,为患者提供更高收入、创造独立生活条件以及增加对教育水平较高的年轻照料者的激励措施可能有助于减轻照料者负担。

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