尼日利亚一家三级医院中2型糖尿病患者初级护理人员的护理负担与心理困扰
Burden of Care and Psychological Distress in Primary Caregivers of Patients with Type -2 Diabetes Mellitus in A Tertiary Hospital in Nigeria.
作者信息
Ogunmodede Adebusola Jane, Abiodun Olatunji, Makanjuola Alfred Bamiso, Olarinoye John Kola, Ogunmodede James Ayodele, Buhari Olubunmi Ideraoluwa
机构信息
Department of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
Department of Behavioural Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria.
出版信息
Ethiop J Health Sci. 2019 Nov;29(6):697-708. doi: 10.4314/ejhs.v29i6.6.
BACKGROUND
Caregivers play an important role in the management and care of individuals with chronic medical conditions. This is because; they provide emotional, physical, financial as well as spiritual support to their wards. However, the process of caregiving is usually associated with feelings of burden and psychological distress.
METHODS
This study was a descriptive, cross-sectional, clinic-based study done at the endocrinology clinic of a Teaching hospital in Northern Nigeria. It was done utilizing the Zarit Burden Interview, the General Health Questionnaire (12 item version) and a socio-demographic questionnaire designed by the authors. The levels of burden as well as the factors associated with burden and psychological distress in one hundred caregivers of patients with Type 2 Diabetes Mellitus were assessed. Statistical analysis was done using chi square, independent T test and linear regression.
RESULTS
Forty- two percent (42%) of caregivers experienced little or no burden, 47% had mild to moderate burden, 8% had moderate to severe burden, while 3% had severe burden. When the ZBI scores were dichotomized into 'low' and 'high' burden, 89% were found to experience low burden, while 11% experienced high burden. On logistic regression, females were found to be four times more likely to experience high burden, while Thirty-five (35%) percent of caregivers had a GHQ score of > 3, signifying psychological distress and psychological distress was found to be significantly associated with burden.
CONCLUSION
Many Nigerian caregivers of patients with Type 2 Diabetes Mellitus experience burden and psychological distress associated with caregiving, especially female caregivers and those taking care of those taking care of patients with complications. It is therefore important for clinicians to recognize burdened caregivers and intervene appropriately in order to improve the quality of care of these patients.
背景
照顾者在慢性病患者的管理和护理中发挥着重要作用。这是因为他们为其照顾对象提供情感、身体、经济以及精神上的支持。然而，照顾过程通常伴随着负担感和心理困扰。
方法
本研究是一项描述性、横断面、基于门诊的研究，在尼日利亚北部一家教学医院的内分泌门诊进行。研究使用了 Zarit 负担访谈量表、一般健康问卷（12 项版本）以及作者设计的社会人口学问卷。对 100 名 2 型糖尿病患者的照顾者的负担水平以及与负担和心理困扰相关的因素进行了评估。使用卡方检验、独立样本 t 检验和线性回归进行统计分析。
结果
42%的照顾者几乎没有负担，47%有轻度至中度负担，8%有中度至重度负担，3%有重度负担。当将 Zarit 负担访谈量表得分分为“低”和“高”负担时，发现 89%的照顾者负担较低，11%负担较高。逻辑回归分析显示，女性经历高负担的可能性是男性的四倍，35%的照顾者一般健康问卷得分>3，表明存在心理困扰，且心理困扰与负担显著相关。
结论
许多尼日利亚 2 型糖尿病患者的照顾者经历着与照顾相关的负担和心理困扰，尤其是女性照顾者以及照顾有并发症患者的照顾者。因此，临床医生认识到负担过重的照顾者并进行适当干预以提高这些患者的护理质量很重要。
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