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中国北京初级保健机构中精神分裂症患者主要非专业照料者的社会支持的认知、利用情况及其影响因素:一项横断面研究

Awareness, utilization and influencing factors of social supports for main informal caregivers of schizophrenia patients: a cross-sectional study in primary care settings in Beijing, China.

机构信息

School of General Practice and Continuing Education, Capital Medical University, Fengtai district, No. 10, You An Men Wai Xi Tou Tiao, Beijing, 100069, China.

Xuan Wu Hospital of Capital Medical University, Beijing, China.

出版信息

BMC Fam Pract. 2020 Sep 17;21(1):192. doi: 10.1186/s12875-020-01257-z.

Abstract

BACKGROUND

Most schizophrenia patients are supported by main informal caregivers at home in China. This study aims to investigate the further needs of social supports for main informal caregivers of schizophrenia patients and to analyze influencing factors on the awareness and utilization of social supports in Beijing. The results of this study could potentially act as reference for health professionals to implement appropriate and effective support programs.

METHODS

A mixed-methods approach was used in this study. Awareness, utilization and influencing factors of social supports for main informal caregivers were investigated using questionnaires in 6 urban districts in Beijing. Meanwhile, individual in-depth interviews with 10 main informal caregivers from the urban districts of Beijing were conducted to identify the caregivers' perspective on social supports and their further needs.

RESULTS

Quantitative results showed that although the government provided multi-channel resources for schizophrenia patients and their families, awareness and utilization of the resources such as rehabilitation and relevant subsidies were less than 10.0 and 5.0% respectively. Most caregivers in in-depth interviews expressed that they had negative experiences with respect to obtaining social supports, and they emphasized that more support would be needed in terms of financial support, respect, and rehabilitation institutions.

CONCLUSIONS

The awareness and utilization of social supports are low for main informal caregivers of schizophrenia patients. More services and improved public attitudes are needed for schizophrenia patients and their caregivers.

摘要

背景

在中国,大多数精神分裂症患者在家中由主要非正式照顾者提供支持。本研究旨在调查精神分裂症患者主要非正式照顾者对社会支持的进一步需求,并分析北京地区影响其对社会支持的认知和利用的因素。本研究的结果可为卫生专业人员实施适当和有效的支持计划提供参考。

方法

本研究采用混合方法。通过在北京 6 个城区的问卷调查,调查主要非正式照顾者对社会支持的认知、利用及其影响因素。同时,对北京市城区的 10 名主要非正式照顾者进行了个人深入访谈,以了解照顾者对社会支持的看法及其进一步的需求。

结果

定量结果表明,尽管政府为精神分裂症患者及其家庭提供了多种渠道的资源,但对康复和相关补贴等资源的认知和利用率均低于 10.0%和 5.0%。深度访谈中的大多数照顾者表示,他们在获得社会支持方面有负面体验,并强调在经济支持、尊重和康复机构方面需要更多的支持。

结论

精神分裂症患者主要非正式照顾者对社会支持的认知和利用率较低。精神分裂症患者及其照顾者需要更多的服务和改善公众态度。

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