Albani Eleni N, Toska Aikaterini, Togas Constantinos, Rigatos Spyridon, Vus Viktor, Fradelos Evangelos C, Tzenalis Anastasios, Saridi Maria
Department of Nursing, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece.
Department of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece.
Nurs Rep. 2024 Jul 3;14(3):1633-1646. doi: 10.3390/nursrep14030122.
In the world of elderly people and people with chronic diseases, caregivers give a solution to caring at home. This study aimed to evaluate the burden of caregivers of patients with chronic diseases in primary health care and identify possible demographic and other determinants of it.
This was a cross-sectional study with a convenience sample, which was conducted in two health centers. The sample comprised 291 caregivers who visited the aforementioned health centers in Patra, Greece. A composite questionnaire was utilized: the first part included demographic data and care-related information and the second included the Zarit Burden Interview and the Depression, Anxiety, and Stress Scale-21 (DASS-21).
The highest mean score in the DASS was recorded in the depression subscale and the lowest in the stress subscale. Concerning the Zarit Burden Interview, the highest mean score was recorded in the personal strain subscale and the lowest in the management of care subscale. The highest correlation was recorded between role strain and anxiety and the lowest was between management of care and stress. Similarly, the total score in the Zarit Burden Interview correlated significantly (in a positive direction) with depression, anxiety, and stress.
Most of the caregivers of patients with chronic diseases in primary health care experienced a moderate to severe burden (especially in the dimension of personal strain) and moderate depression. The experienced burden was positively associated with depression, anxiety, and stress. There were significant differences in the caregivers' burden according to several demographic and care-related characteristics.
在老年人和慢性病患者群体中，照护者为居家护理提供了一种解决方案。本研究旨在评估初级卫生保健中慢性病患者照护者的负担，并确定其可能的人口统计学及其他影响因素。
这是一项采用便利抽样的横断面研究，在两个健康中心开展。样本包括291名前往希腊帕特雷上述健康中心就诊的照护者。使用了一份综合问卷：第一部分包括人口统计学数据和与照护相关的信息，第二部分包括 Zarit 负担访谈量表和抑郁、焦虑和压力量表-21（DASS-21）。
DASS量表中，抑郁分量表的平均得分最高，压力分量表的平均得分最低。关于 Zarit 负担访谈量表，个人压力分量表的平均得分最高，照护管理分量表的平均得分最低。角色压力与焦虑之间的相关性最高，照护管理与压力之间的相关性最低。同样，Zarit 负担访谈量表的总分与抑郁、焦虑和压力显著正相关。
初级卫生保健中大多数慢性病患者的照护者经历了中度至重度负担（尤其是在个人压力方面）和中度抑郁。所经历的负担与抑郁、焦虑和压力呈正相关。根据一些人口统计学和与照护相关的特征，照护者的负担存在显著差异。
