Rahmani Farnaz, Ranjbar Fatemeh, Hosseinzadeh Mina, Razavi Seyed Sajjad, Dickens Geoffrey L, Vahidi Maryam
Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Health Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Nurs Sci. 2019 Mar 8;6(2):148-153. doi: 10.1016/j.ijnss.2019.03.006. eCollection 2019 Apr 10.
This study aimed to identify coping strategies used by family caregivers of patients with schizophrenia and their determinants.
This was a descriptive correlational study. Participants were 225 family caregivers of patients with schizophrenia who were referred to the psychiatric clinic at one large teaching referral hospital in Iran. They were selected through purposive sampling method. Data collection tools were demographic and clinical data form, the Zarit Burden Interview (ZBI) and the Family Coping Questionnaire (FCQ).
The score of caregiver burden was 65.14 ± 9.17. Of 225 family caregivers, 23.11% used an avoiding coping strategy. There was a significant relationship between caregiver burden and coping strategies ( < 0.001). The regression model showed that adaptive coping strategies were significantly associated with some demographic characteristics including age, education level, gender, employment status, losing the job because of caregiving responsibilities, perceived income adequacy, duration of illness, duration of caregiving and caregiver burden ( < 0.05).
Family caregivers of patients with schizophrenia experience a high level of burden, which can put them at risk of using maladaptive coping strategies. Mental health professionals should plan programs that support both family caregivers and patients in clinical and community settings.
本研究旨在确定精神分裂症患者家庭照顾者所采用的应对策略及其决定因素。
这是一项描述性相关性研究。参与者为225名精神分裂症患者的家庭照顾者，他们被转介至伊朗一家大型教学转诊医院的精神科诊所。通过目的抽样法进行选择。数据收集工具包括人口统计学和临床数据表格、扎里特负担访谈量表（ZBI）和家庭应对问卷（FCQ）。
照顾者负担得分为65.14±9.17。在225名家庭照顾者中，23.11%采用回避应对策略。照顾者负担与应对策略之间存在显著关系（<0.001）。回归模型显示，适应性应对策略与一些人口统计学特征显著相关，包括年龄、教育水平、性别、就业状况、因照顾责任而失业、感知收入充足程度、病程、照顾时长和照顾者负担（<0.05）。
精神分裂症患者的家庭照顾者负担水平较高，这可能使他们面临采用适应不良应对策略的风险。心理健康专业人员应制定计划，在临床和社区环境中为家庭照顾者和患者提供支持。
