评估加德满都医学院精神分裂症和双相情感障碍患者照料者的照料负担
Assessing Caregiver Burden in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder in Kathmandu Medical College.
作者信息
Sharma Rachana, Sharma Subhash Chandra, Pradhan Sudarshan Narsingh
机构信息
Department of Psychiatry, Kathmandu Medical College Sinamangal, Kathmandu, Nepal.
出版信息
J Nepal Health Res Counc. 2018 Jan 1;15(3):258-263. doi: 10.3126/jnhrc.v15i3.18851.
BACKGROUND
Schizophrenia and bipolar affective disorder are chronic psychiatric illness that requires long term care. This study tends to measure psychological burden and factors associated with it among caregivers of these two illnesses.
METHODS
This is a cross- sectional study that included participants by purposive sampling method. Self designed performa was used to collect the socio-demographic details of the caregivers. Modified caregiver strain index was used to assess the overall stress. Becks depression inventory and Becks anxiety inventory was used to assess depression and anxiety respectively.
RESULTS
Hundred caregivers, 50 each of schizophrenia and bipolar affective disorder were enrolled. Seventy-two percent of caregivers were found to have higher level of stress. Twenty-five percent had depression and 29% anxiety related problems. Stress was found to be significantly associated with being in debt, longer duration of illness, education level, marital status, subjective feeling of psychological stress and self- acknowledgement of need of professional help. Caregivers of both group experienced similar level of stress.
CONCLUSIONS
Psychological burden is seen to be high in caregivers of patients of Schizophrenia and Bipolar Affective Disorder.
背景
精神分裂症和双相情感障碍是需要长期护理的慢性精神疾病。本研究旨在衡量这两种疾病患者的照料者的心理负担及其相关因素。
方法
这是一项横断面研究，采用目的抽样法纳入参与者。使用自行设计的表格收集照料者的社会人口学细节。采用改良的照料者压力指数评估总体压力。分别使用贝克抑郁量表和贝克焦虑量表评估抑郁和焦虑情况。
结果
共招募了100名照料者，其中精神分裂症和双相情感障碍患者的照料者各50名。发现72%的照料者压力水平较高。25%有抑郁问题，29%有焦虑相关问题。压力与负债、疾病持续时间较长、教育水平、婚姻状况、心理压力主观感受以及对专业帮助需求的自我认知显著相关。两组照料者经历的压力水平相似。
结论
精神分裂症和双相情感障碍患者的照料者心理负担较重。
Zotero 插件