津巴布韦中风患者非正式照料者中社会支持与可能的常见精神障碍报告之间的关联:一项横断面调查。
Correlates of social support on report of probable common mental disorders in Zimbabwean informal caregivers of patients with stroke: a cross-sectional survey.
作者信息
Marima Phillipa, Gunduza Ropafadzo, Machando Debra, Dambi Jermaine M
机构信息
Department of Rehabilitation, University of Zimbabwe, College of Health Sciences, P.O Box A178, Avondale, Harare, Zimbabwe.
Ronelle Isaacs Physiotherapists, 91 Rhino Street, Windhoek, Namibia.
出版信息
BMC Res Notes. 2019 Aug 16;12(1):514. doi: 10.1186/s13104-019-4551-2.
OBJECTIVE
Stroke is a major global public health burden. Unfortunately, stroke invariably leads to functional limitations, consequently, most stroke survivors are hugely dependent on family members/informal caregivers in carrying out essential daily activities. The increased demands of caregiving negatively impact caregivers' mental health. Nevertheless, caregivers who receive an adequate amount of social support are likely to adjust better to the caregiving role. We sought to determine the impact of social support on the mental wellbeing of 71 caregivers of patients with stroke in Zimbabwe, a low-resourced country.
RESULTS
The mean caregiver age was 41.5 (SD 13.8) years. Patients had a mean age of 65.2 (SD 15.3) years with most being functionally dependent (93.2%). 45.1% of the caregivers showed excessive psychiatric morbidity. The mean Multidimensional Scale of Perceived Social Support (MSPSS) score was 44 (SD 9.4), denoting high levels of social support. Caregivers who received an adequate amount of social support were likely to report of lower psychiatric morbidity (Rho = - 0.285, p = 0.016). Furthermore, caregiver who were; poorer, were caring for more functionally-dependent patients, and did not receive additional assistance were likely to report of poor mental health functioning. There is therefore a strong need to implement context-specific caregivers wellness programs.
目的
中风是一项重大的全球公共卫生负担。不幸的是,中风总会导致功能受限,因此,大多数中风幸存者在进行基本日常活动时严重依赖家庭成员/非正式照料者。照料需求的增加对照料者的心理健康产生了负面影响。然而,获得足够社会支持的照料者可能会更好地适应照料角色。我们试图确定社会支持对津巴布韦(一个资源匮乏的国家)71名中风患者照料者心理健康的影响。
结果
照料者的平均年龄为41.5(标准差13.8)岁。患者的平均年龄为65.2(标准差15.3)岁,大多数患者存在功能依赖(93.2%)。45.1%的照料者表现出过度的精神疾病发病率。感知社会支持多维量表(MSPSS)的平均得分为44(标准差9.4),表明社会支持水平较高。获得足够社会支持的照料者报告的精神疾病发病率可能较低(相关系数=-0.285,p=0.016)。此外,较贫困、照料功能依赖程度更高的患者且未获得额外帮助的照料者报告的心理健康状况可能较差。因此,迫切需要实施针对具体情况的照料者健康项目。