Strunoiu L M, Strunoiu C M, Chirita A L, Pirlog M C, Tica A A
Doctoral School, University of Medicine and Pharmacy of Craiova, Romania, Outpatient Psychiatric Unit, Municipal Hospital "Filantropia" Craiova, Romania.
Department of Psychiatry, Slatina Emergency County Hospital, Romania.
Curr Health Sci J. 2019 Jul-Sep;45(3):301-310. doi: 10.12865/CHSJ.45.03.09. Epub 2019 Sep 30.
Schizophrenia, a term first introduced by Eugen Bleurer in 1911, is a controversial topic, a symbol of profound behavioral and personality disorders. Although schizophrenia mainly affects the patients, directly, it indirectly affects their caregivers. Because caregivers of subjects with schizophrenia experience significant burden in taking care of the patient, usually over a long period of time, we decided to analyze some of the factors that can impact the perceived level of stress. Our study group consisted of caregivers 124 patients with schizophrenia, interviewed between January 2018 and July 2019. We analyzed demographic, clinical and other medical variables of patients and caregivers. We also evaluated caregivers' burden, using the adapted Zarit interview. The average Zarit score in our study was 42.36±8.64, which shows moderate to high burden. Several factors that influence the perceived burden of the caregiver have been identified, such as patient gender, age of onset, patient and caregiver marital status, patient level of education and social functioning, caregiver age, somatic comorbidities and therapeutic compliance of the patient.
精神分裂症这一术语由尤金·布洛伊勒于1911年首次提出,是一个颇具争议的话题,是严重行为和人格障碍的象征。虽然精神分裂症主要直接影响患者,但它也会间接影响他们的照料者。由于精神分裂症患者的照料者在照顾患者时通常要经历很长时间的重大负担,我们决定分析一些可能影响压力感知水平的因素。我们的研究小组由124名精神分裂症患者的照料者组成,于2018年1月至2019年7月期间进行了访谈。我们分析了患者和照料者的人口统计学、临床及其他医学变量。我们还使用改编后的扎里特访谈评估了照料者的负担。我们研究中的扎里特平均得分是42.36±8.64,这表明负担为中度到重度。已经确定了几个影响照料者感知负担的因素,如患者性别、发病年龄、患者和照料者的婚姻状况、患者的教育水平和社会功能、照料者年龄、躯体合并症以及患者的治疗依从性。