Yu Yu, Liu Zi-Wei, Tang Bing-Wei, Zhao Mei, Liu Xi-Guang, Xiao Shui-Yuan
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan province, China.
Hospital evaluation office of Xiangya hospital, Central South University, Changsha, Hunan province, China.
PLoS One. 2017 Jun 19;12(6):e0179425. doi: 10.1371/journal.pone.0179425. eCollection 2017.
We aim to assess the level of family burden of schizophrenia patients and identify its predicting factors in a rural community sample of China. A sample of 327 primary caregivers was recruited through a one-stage cluster sampling in Ningxiang County of Hunan province, China. Family burden was assessed using the Family Burden Interview Schedule (FBIS) of Pai and Kapur. Our results showed that the mean score of FBIS was 23.62±9.76 (range, 0-48), with over half (52%) caregivers reported their family burden being moderate and severe. Among the six domains of family burden, financial burden (76%) was the commonest burden, while disruption of family interactions (37%) was the least mentioned. A multivariate analysis of family burden revealed that patient being admitted for over 3 times, caregiver being female, having a middle school education, and with additional dependents, as well as higher care network function were positive predictors of family burden, while higher patient function and family function, and increasing patient age were negative predictors of family burden. Intervention to decrease family burden may be best served by improving family function and exploring alternative care model instead of hospitalization.
我们旨在评估中国农村社区样本中精神分裂症患者的家庭负担水平，并确定其预测因素。通过在中国湖南省宁乡县进行的单阶段整群抽样，招募了327名主要照顾者作为样本。使用Pai和Kapur的家庭负担访谈量表（FBIS）评估家庭负担。我们的结果显示，FBIS的平均得分为23.62±9.76（范围为0 - 48），超过一半（52%）的照顾者报告其家庭负担为中度和重度。在家庭负担的六个领域中，经济负担（76%）是最常见的负担，而家庭互动中断（37%）是提及最少的。家庭负担的多因素分析显示，患者住院超过3次、照顾者为女性、具有中学教育程度、有额外的受抚养人，以及较高的照护网络功能是家庭负担的正向预测因素，而较高的患者功能和家庭功能，以及患者年龄的增加是家庭负担的负向预测因素。减轻家庭负担的干预措施可能最好通过改善家庭功能和探索替代照护模式而非住院治疗来实现。
