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中国精神分裂症患者家庭主要照顾者的照顾知识与技能与照顾者负担、心理健康及应对方式的相关性

Associations of Caregiving Knowledge and Skills With Caregiver Burden, Psychological Well-Being, and Coping Styles Among Primary Family Caregivers of People Living With Schizophrenia in China.

作者信息

Zhou Zonglei, Wang Yao, Feng Ping, Li Tongxin, Tebes Jacob Kraemer, Luan Rongsheng, Yu Yu

机构信息

Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.

Xiangya School of Nursing, Central South University, Changsha, China.

出版信息

Front Psychiatry. 2021 May 26;12:631420. doi: 10.3389/fpsyt.2021.631420. eCollection 2021.

Abstract

There is a lack of clarity regarding the correlation of caregiving knowledge and skills with caregiving experiences of people living with schizophrenia (PLSs). To address this gap, this comprehensive study examines the relationships of caregiving knowledge and skills to the primary family caregiver's experiences of burden, psychological well-being (stress, anxiety, depression, caregiving rewarding feelings), and coping styles in China. A total of 395 primary family caregivers of PLSs were enrolled in a cross-sectional study between May 2019 and September 2019. Each family caregiver was independently assessed on caregiving knowledge and skills, caregiver burden, and psychological well-being, as well as coping styles. A higher level of caregiving knowledge and skills was positively correlated with less stress ( = -0.48, < 0.001), anxiety ( = -0.23, = 0.029), depression ( = -0.29, = 0.013), and more caregiving rewarding feelings ( = 0.54, < 0.001). Also, caregivers with more knowledge and skills were more inclined to adopt positive coping strategies ( = 0.44, < 0.001). Despite these differences, caregivers with different levels of caregiving knowledge and skills reported comparable caregiver burden ( = 0.11, = 0.705) and the use of a passive coping style ( = 0.10, = 0.169). Caregiving knowledge and skills are a reliable predictor of psychological well-being and active coping among the primary family caregivers of PLSs. These findings inform the development of psychoeducational interventions to support family caregivers of PLSs.

摘要

精神分裂症患者(PLSs)的照护知识与技能同其照护经历之间的关联尚不明晰。为填补这一空白,本项全面研究考察了中国主要家庭照护者的照护知识与技能同其负担体验、心理健康(压力、焦虑、抑郁、照护回报感)及应对方式之间的关系。2019年5月至2019年9月期间,共有395名精神分裂症患者的主要家庭照护者参与了一项横断面研究。每位家庭照护者均独立接受了照护知识与技能、照护者负担、心理健康以及应对方式的评估。较高水平的照护知识与技能与较低的压力(r = -0.48,p < 0.001)、焦虑(r = -0.23,p = 0.029)、抑郁(r = -0.29,p = 0.013)以及更多的照护回报感(r = 0.54,p < 0.001)呈正相关。此外,知识与技能更丰富的照护者更倾向于采用积极的应对策略(r = 0.44,p < 0.001)。尽管存在这些差异,但不同照护知识与技能水平的照护者报告的照护者负担(r = 0.11,p = 0.705)以及被动应对方式的使用情况(r = 0.10,p = 0.169)相当。照护知识与技能是精神分裂症患者主要家庭照护者心理健康和积极应对的可靠预测指标。这些发现为支持精神分裂症患者家庭照护者的心理教育干预措施的制定提供了依据。

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