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患病伴侣动物主人的照顾负担:一项横断面观察性研究。

Caregiver burden in owners of a sick companion animal: a cross-sectional observational study.

作者信息

Spitznagel Mary Beth, Jacobson Dana M, Cox Melanie D, Carlson Mark D

机构信息

Department of Psychological Sciences, Kent State University, Kent, Ohio, USA.

Metropolitan Veterinary Hospital, Akron, Ohio, USA.

出版信息

Vet Rec. 2017 Sep 21;181(12):321. doi: 10.1136/vr.104295. Epub 2017 Sep 4.

Abstract

Much recent work has focused on occupational stress in veterinary medicine, although little is known about the possible contribution of client-based factors. Clients providing care for a companion animal with protracted illness are likely to experience 'caregiver burden' and reduced psychosocial functioning, which may ultimately lead to increased veterinarian stress. This cross-sectional observational study assessed caregiver burden and psychosocial function in 238 owners of a dog or cat, comparing owners of an animal with chronic or terminal diseases (n=119) with healthy controls blindly matched for owner age/sex and animal species (n=119). Results showed greater burden, stress and symptoms of depression/anxiety, as well as poorer quality of life, in owners of companion animals with chronic or terminal disease (p<0.001 for all). Higher burden was correlated with reduced psychosocial function (p<0.001 for all). Owners of a sick companion animal exhibit elevated caregiver burden, which is linked to poorer psychosocial functioning. This knowledge may help veterinarians understand and more effectively handle client distress in the context of managing the challenges of sick companion animal caregiving. Future work is needed to determine whether clients with this presentation impact veterinarian stress and how burden in this population might be reduced.

摘要

近期的许多研究都聚焦于兽医学中的职业压力,尽管对于基于客户的因素可能产生的影响知之甚少。为患有慢性病的伴侣动物提供护理的客户很可能会经历“照顾者负担”,其心理社会功能也会下降,这最终可能会导致兽医压力增加。这项横断面观察性研究评估了238名猫或狗主人的照顾者负担和心理社会功能,将患有慢性或绝症的动物的主人(n = 119)与在主人年龄/性别和动物种类方面进行盲目匹配的健康对照组(n = 119)进行了比较。结果显示,患有慢性或绝症的伴侣动物的主人负担更重、压力更大、抑郁/焦虑症状更明显,生活质量也更差(所有指标p < 0.001)。更高的负担与心理社会功能下降相关(所有指标p < 0.001)。生病的伴侣动物的主人表现出更高的照顾者负担,并与较差的心理社会功能相关。这些认知可能有助于兽医在应对照顾生病的伴侣动物所面临的挑战时,更好地理解并更有效地处理客户的困扰。未来需要开展研究,以确定有这种表现的客户是否会影响兽医的压力,以及如何减轻这一群体的负担。

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