Tian Jin An Ding Hospital, Tianjin 300000, China.
Liaocheng Fourth People's Hospital, Liaocheng 252000, China.
J Healthc Eng. 2022 Jan 17;2022:9434820. doi: 10.1155/2022/9434820. eCollection 2022.
The aim of this paper is to understand the current situation of the care burden of patients with mental illness in remission and the factors affecting it in order to provide a scientific basis for targeted interventions. This paper reviews the concept of telemedicine, the application of telemedicine in home hospice care, and the remaining problems and improvement strategies of telemedicine in home hospice care, with the aim of providing a reference for the application of telemedicine in home hospice care in China. The Zarit Burden Scale, Family Care Scale, and Social Functioning Scale were used to conduct one-to-one interviews with 201 schizophrenic patients in remission and their primary caregivers in Hubei Province. Among them, 66, 72, and 25 cases (32.8%, 35.9%, and 12.4%) had mild, moderate, and severe burdens, respectively. Caregivers' family care and patients' social functioning were generally poor. The results of multiple linear regression analysis showed that caregiver age, caregiver education, caregiver family care, patient medical costs, and patient social functioning were factors influencing the burden of care for patients with schizophrenia in remission ( < 0.05). The government, mental health centers, and families should understand the level of caregiving burden of patients with schizophrenia in remission and the factors influencing it and provide targeted measures to reduce the caregiving burden.
本文旨在了解缓解期精神疾病患者的照护负担现状及其影响因素，为有针对性的干预提供科学依据。本文回顾了远程医疗的概念、远程医疗在家庭临终关怀中的应用以及远程医疗在家庭临终关怀中存在的问题和改进策略，旨在为远程医疗在我国家庭临终关怀中的应用提供参考。采用Zarit 负担量表、家庭关怀量表和社会功能量表，对湖北省 201 例缓解期精神分裂症患者及其主要照顾者进行一对一访谈。其中轻度、中度和重度负担者分别为 66、72 和 25 例（32.8%、35.9%和 12.4%）。照顾者的家庭关怀和患者的社会功能普遍较差。多元线性回归分析结果显示，照顾者年龄、照顾者教育程度、照顾者家庭关怀、患者医疗费用和患者社会功能是影响缓解期精神分裂症患者照护负担的因素（<0.05）。政府、心理健康中心和家庭应了解缓解期精神分裂症患者的照护负担水平及其影响因素，并提供有针对性的措施来减轻照护负担。
