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与严重精神疾病患者家庭护理相关的风险因素。

Risk factors associated with the family care of people with serious mental illness.

机构信息

Department of Social Work and Social Services, Tarongers Avenue 4B, 46022 Valencia, Office 1D19 - University of Valencia, (Spain),

出版信息

Med Oral Patol Oral Cir Bucal. 2019 Jul 1;24(4):e438-e443. doi: 10.4317/medoral.23133.

Abstract

BACKGROUND

The aim of the present study is to analyse the variables associated with the family care of people diagnosed with serious mental illness.

MATERIAL AND METHODS

A cross-sectional study was carried out involving caregivers of people with serious mental illness (SMI) who were known to the mental health services in Valencia (España) and associations for those with SMI. The sample comprised 417 caregivers who completed a sociodemographic questionnaire and the Zarit Burden Interview. Bivariate analyses (t-test, analysis of variance and Pearson correlation) were performed, as was a multiple linear regression model. Values of p < .05 were considered significant. The study was carried out in accordance with the recommendations of the ethics committees of the participating institutions.

RESULTS

The statistical analyses showed significant associations between the sociodemographic and clinical variables of the caregivers and patients and the burden felt by caregivers of people with SMI. The importance of both formal and informal social support stands out as a protective factor against the consequences of the illness's impact on the main caregiver.

CONCLUSIONS

The role of spaces of mutual support is crucial. The results suggest that family psychoeducational programmes should be created, applied and evaluated in all mental healthcare services so as to reinforce training in mental health matters and provide support and assessment to caregivers in order to ease their burden.

摘要

背景

本研究旨在分析与诊断患有严重精神疾病的人群的家庭护理相关的变量。

材料和方法

本研究采用了横断面研究设计,对象为瓦伦西亚(西班牙)精神卫生服务机构和严重精神疾病患者协会所熟知的严重精神疾病患者的照顾者。共纳入 417 名照顾者,他们完成了一份社会人口学问卷和 Zarit 负担量表。进行了单变量分析(t 检验、方差分析和 Pearson 相关分析)和多元线性回归模型。p 值<.05 被认为具有统计学意义。本研究是按照参与机构的伦理委员会的建议进行的。

结果

统计分析显示,照顾者和患者的社会人口学和临床变量与严重精神疾病患者照顾者的负担之间存在显著关联。正式和非正式的社会支持都非常重要,是减轻疾病对主要照顾者影响的保护因素。

结论

相互支持空间的作用至关重要。研究结果表明,应该在所有精神卫生保健服务中创建、应用和评估家庭心理教育方案,以加强精神卫生方面的培训,并为照顾者提供支持和评估,以减轻他们的负担。

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