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医疗患者与精神科患者的照料者负担:一项横断面比较研究。

Caregiver Burden in Medical versus Psychiatric Patients: A Cross-sectional Comparative Study.

作者信息

Mital Anu Kant, Sabnis Sayali Ganesh, Kulkarni Vrushali Vishal

机构信息

Department of Psychiatry, Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra, India.

Third Year MBBS Student, Rajiv Gandhi Medical College, Kalwa, Thane, Maharashtra, India.

出版信息

Indian J Psychol Med. 2017 Nov-Dec;39(6):777-784. doi: 10.4103/IJPSYM.IJPSYM_335_17.

Abstract

BACKGROUND

An informal care-giver is generally an unpaid individual who looks after the personal and medical needs of the patient. India being a country of traditions and family values, this informal care-giver is usually a family member. These care-givers, being untrained in this job undergo tremendous stress. Available research studies the burden individually in the relatives of chronically medically ill patients and those of psychiatrically ill patients. Furthermore the previous research targets the burden in individual diseases. This study stands out as it makes a comparison between the two broad groups, taking into account almost all possible chronic diseases in each group.

METHODS

This is a cross-sectional analytical descriptive study that was conducted on the family caregivers of chronically medically ill and psychiatrically ill patients, using the Caregiver's Burden Scale. Data were analyzed by SPSS 20 statistical software and Pearson correlation coefficient tests. Significant difference between area of caregiver burden of medicine and psychiatric patients was tested using relative deviate "Z" of SEDM test at 5% level of significance.

RESULT

There is a significant difference between each category of Caregiver's Burden Scale among chronically medically ill and psychiatrically ill patients. ( < 0.05).

CONCLUSION

The outcome of this study may help the health care providers in designing stress relief programs for primary care-givers. Overall this study may help better delivery systems of care for both the chronically medically ill as well as psychiatrically ill patients, by proper specific framing and psycho education programs for the caregivers of specific chronic illnesses.

摘要

背景

非正式照料者通常是指无偿照顾患者个人和医疗需求的个体。印度是一个有着传统和家庭价值观的国家,这种非正式照料者通常是家庭成员。这些照料者由于未接受过相关工作培训,承受着巨大的压力。现有研究分别探讨了慢性病患者亲属和精神病患者亲属的负担情况。此外,以往的研究针对的是个别疾病的负担。本研究脱颖而出,因为它在两个广泛的群体之间进行了比较,同时考虑了每组中几乎所有可能的慢性病。

方法

这是一项横断面分析描述性研究,对慢性病患者和精神病患者的家庭照料者使用照料者负担量表进行研究。数据采用SPSS 20统计软件和Pearson相关系数检验进行分析。在5%的显著性水平下,使用SEDM检验的相对偏差“Z”检验医学和精神病患者照料者负担领域之间的显著差异。

结果

慢性病患者和精神病患者在照料者负担量表的各个类别之间存在显著差异(<0.05)。

结论

本研究结果可能有助于医疗保健提供者为初级照料者设计减压方案。总体而言,本研究通过为特定慢性病的照料者制定适当的具体框架和心理教育方案,可能有助于为慢性病患者和精神病患者提供更好的护理服务体系。

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