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评估医疗重症监护病房中主要照顾者的照顾负担:横断面研究。

Assessing caregiving burden among primary caregivers in a medical intensive care unit setup: Cross-sectional study.

作者信息

Ramdurg Santosh Iranna, Biradar Siddanagouda M, Reddy Pallavali Janardhana

机构信息

Department of Psychiatry, Shri B M Patil Medical College, Hospital and Research Centre, Vijayapur, Karnataka, India.

Department of Medicine, Shri B M Patil Medical College, Hospital and Research Centre, Vijayapur, Karnataka, India.

出版信息

Ind Psychiatry J. 2021 Jan-Jun;30(1):36-40. doi: 10.4103/ipj.ipj_27_20. Epub 2021 Jun 24.

DOI:10.4103/ipj.ipj_27_20
PMID:34483522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8395561/
Abstract

OBJECTIVE

Caregiver burden in caring patients in intensive care unit (ICU) settings are stressful and challenging place. Caregivers also play very important role in doctor-patient relationship. In India, there is a skewed trend in doctor-patient relationship. Without addressing caregiver's psychological issues, we may not able to deliver good medical services. "Caregiver burden in primary caregivers of patients admitted to medical ICU (MICU) was measured.

METHODOLOGY

Its cross-section observational study. We collected the information from total of 100 caregivers whose patient got admitted to MICU. We took only one caregiver. We administered socio-demographic data, Zarit Caregiver Burden Interview (ZBI) for assessing burden in caregivers.

RESULTS

The mean age of the caregivers was 38 years with 66% males were being primary caregivers and mean age of education was 8.61 years. The mean duration of patient stay in hospital was 4.67 days with range of 4-18 days. Mean duration of illness in patient was 466 days with range of 4 days to 10 years. Mean score caregivers burden as per ZBI was 5.10 with range of 0-25. Thirty-five percentage of caregiver were felt caregiving was the burden. Correlation analysis shows ZBI negative relationship with caregivers' age and education and patients total duration of illness. There was a positive co-relationship with the duration of ICU admission.

CONCLUSION

Higher burden was observed in caregivers and caregivers felt more burden if patients stays longer duration in ICU. More research is needed in this area.

摘要

目的

在重症监护病房(ICU)护理患者时,照顾者负担是一个压力巨大且充满挑战的情况。照顾者在医患关系中也起着非常重要的作用。在印度,医患关系存在偏差趋势。如果不解决照顾者的心理问题,我们可能无法提供优质的医疗服务。对入住内科重症监护病房(MICU)患者的主要照顾者的照顾者负担进行了测量。

方法

这是一项横断面观察性研究。我们从总共100名患者入住MICU的照顾者那里收集信息。我们只选取一名照顾者。我们收集了社会人口统计学数据,采用 Zarit 照顾者负担访谈量表(ZBI)来评估照顾者的负担。

结果

照顾者的平均年龄为38岁,66%的男性是主要照顾者,平均受教育年限为8.61年。患者住院的平均时长为4.67天,范围在4至18天。患者的平均患病时长为466天,范围从4天到10年。根据ZBI量表,照顾者负担的平均得分为5.10,范围在0至25分。35%的照顾者感觉照顾是一种负担。相关性分析显示,ZBI与照顾者的年龄和教育程度以及患者的总患病时长呈负相关。与入住ICU的时长呈正相关。

结论

观察到照顾者负担较高,并且如果患者在ICU停留时间更长,照顾者会感到负担更重。该领域需要更多研究。

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