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照顾者的负担和职业倦怠综合征在埃及精神分裂症患者样本的照顾者中。

The burden of care and burn out syndrome in caregivers of an Egyptian sample of schizophrenia patients.

机构信息

Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Int J Soc Psychiatry. 2022 May;68(3):619-627. doi: 10.1177/0020764021993155. Epub 2021 Feb 10.

Abstract

BACKGROUND

The role of caregivers of schizophrenia patients in management and prognosis is crucial, caregivers are considered cornerstones in getting better outcome and quality of life.

AIM

To assess the burden of care and burn out syndrome in the caregivers of schizophrenia patients and its sociodemographic and clinical correlates.

METHODS

Recruiting all schizophrenia patients and their caregivers who sought help at El Mamoura hospital, Alexandria, Egypt, for assessment of burn out syndrome and burden of care and its sociodemographic and clinical correlates over full 6 months period.

RESULTS

The study included 120 schizophrenia patient and their 120 caregivers, Zarit Caregiver Burden Interview score was 25.758 ± 7.382, which Regarding the Maslach Burnout Inventory results, the mean score of Emotional Exhaustion was 50% of the caregivers have high Emotional Exhaustion scores, 35% have moderate scores; followed by 15% with low scores. The mean score of Depersonalization 46.67% of the caregivers have high (DP) scores, 30.83% have moderate scores; while 22.50% low scores. The mean score of Personal Accomplishment was 62.50% of the caregivers have low scores; 36.67% have moderate scores, while only 0.83% have high scores. Most important correlates were, male patient, positive symptoms, continuous course of illness, noncompliance, living in rural areas, and low family income.

CONCLUSIONS

Levels of Burn out syndrome and burden of care is high in caregivers of schizophrenia patients, caring for caregivers is very important for providing better mental health services, more research is still needed in this field.

摘要

背景

精神分裂症患者的照料者在管理和预后方面发挥着至关重要的作用,他们被认为是改善预后和生活质量的基石。

目的

评估精神分裂症患者照料者的负担和倦怠综合征及其社会人口学和临床相关性。

方法

在埃及亚历山大的 El Mamoura 医院招募所有寻求帮助评估倦怠综合征和负担的精神分裂症患者及其照料者,并在整整 6 个月的时间内评估其社会人口学和临床相关性。

结果

该研究纳入了 120 名精神分裂症患者及其 120 名照料者,Zarit 照料者负担量表得分为 25.758±7.382,其中 50%的照料者存在较高的情感耗竭,35%的照料者存在中度情感耗竭,15%的照料者存在较低的情感耗竭。情绪衰竭的平均分是 50%的照料者情绪耗竭评分较高,30.83%的照料者情绪耗竭评分中等,22.50%的照料者情绪耗竭评分较低。去人格化的平均分是 46.67%的照料者去人格化评分较高,30.83%的照料者去人格化评分中等,而 22.50%的照料者去人格化评分较低。个人成就感的平均分是 62.50%的照料者个人成就感评分较低,36.67%的照料者个人成就感评分中等,只有 0.83%的照料者个人成就感评分较高。最重要的相关性因素包括男性患者、阳性症状、持续病程、不遵医嘱、居住在农村地区和家庭收入低。

结论

精神分裂症患者照料者的倦怠综合征和负担水平较高,照顾照料者对于提供更好的精神卫生服务非常重要,这一领域仍需要更多的研究。

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