尼日利亚贝宁城严重精神疾病患者照顾者的照顾负担。

Burden of caregiving among caregivers of patients with severe mental illnesses in Benin City, Nigeria.

机构信息

Department of Mental Health, University of Benin Phone number: +2348033823399.

Department of Mental Health, University of Benin Teaching Hospital, Benin City, Nigeria.

出版信息

Afr Health Sci. 2022 Jun;22(2):657-667. doi: 10.4314/ahs.v22i2.75.

DOI:10.4314/ahs.v22i2.75

PMID:36407400

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9652689/

Abstract

BACKGROUND

Severe mental illness exerts a tremendous burden on both the sufferer and caregiver. Such burden has been severally identified as enormous involving psychological, physical and economic challenges.

OBJECTIVES

This study examined the prevalence of burden of caregiving among caregivers of patients with severe mental illness; its relationship with the socio-demographic characteristics of the caregivers and patients, and the clinical variables of the patients.

METHODS

A cross-sectional descriptive design was employed, and participants included a dyad of 141 consecutive caregivers and patients who met the study inclusion criteria at the psychiatric out-patient clinic of a tertiary hospital. The Zarit Burden Interview was used to collect data from the caregivers; in addition, separate socio-demographic data collection sheets were used to collect data from caregivers and patients accordingly. Version 22 of SPSS was used to analyze the data at a statistically significant level of P< 0.05.

RESULTS

About 37.6% of the caregivers experienced moderate to severe burden of caregiving. Duration of caregiving had a weak positive correlation with burden of care (r=.298, p=.004). While adjusting for other variables, duration of caregiving (OR=1.163, P=.017, 95% CI=1.027-1.317), and poor social support (OR=.438, P=.047, 95% CI=.194-.199) retained independent, statistically significant association with burden of caregiving, explaining about 16% in the variance of burden of caregiving.

CONCLUSION

There is a need to provide social support for caregivers of persons suffering from mental illness. Subsidization of cost of medication and hospitalization can reduce the burden experienced.

摘要

背景

严重的精神疾病给患者和照顾者都带来了巨大的负担。这种负担被认为是巨大的，涉及心理、身体和经济方面的挑战。

目的

本研究调查了严重精神疾病患者照顾者的照顾负担的流行情况；它与照顾者和患者的社会人口统计学特征以及患者的临床变量的关系。

方法

采用横断面描述性设计，研究对象包括在一家三级医院的精神科门诊符合纳入标准的 141 对连续的照顾者和患者。使用 Zarit 负担访谈来收集照顾者的数据；此外，还分别使用社会人口统计学数据收集表来相应地收集照顾者和患者的数据。使用 SPSS 版本 22 在统计学上有意义的 P<0.05 水平上分析数据。

结果

约 37.6%的照顾者经历了中度到重度的照顾负担。照顾时间与照顾负担呈弱正相关(r=.298, p=.004)。在调整其他变量后，照顾时间(OR=1.163, P=.017, 95%CI=1.027-1.317)和较差的社会支持(OR=.438, P=.047, 95%CI=.194-.199)与照顾负担保持独立的、统计学上显著的关联，解释了照顾负担变化的约 16%。