Department of Psychiatry, Kastamonu University School of Medicine, Kastamonu, Turkey.
Department of Neurology, Kastamonu University School of Medicine, Kastamonu, Turkey.
Psychogeriatrics. 2024 Nov;24(6):1297-1304. doi: 10.1111/psyg.13191. Epub 2024 Sep 5.
Parkinson's disease (PD) increases patient load and requirements of care. Determining the burden on PD patients' caregivers and associated factors may help to identify methods to reduce caregiver burden. This study investigated the factors associated with caregiver burden among PD patients caregivers.
Eighty-five PD patients and 85 caregivers were included in the study. Zarit Burden Interview (ZBI) was used to measure caregiver burden; the Ways of Coping Scale (WCS) was used for coping; Modified Hoehn-Yahr Staging (MHYS) was used for staging patients. The International Parkinson and Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) parts 1 and 3 were used to evaluate non-motor and motor problems. Caregivers' depression and anxiety levels were evaluated with the Beck Depression Inventory and Beck Anxiety Inventory (BAI). Spearmen correlation coefficient was used to evaluate the relationship of variables with the ZBI score, and multiple linear regression analysis was used to determine the predictors of the ZBI score.
A positive significant relationship was found between the ZBI score and BAI score, MHYS score, WCS total score, and subscales: keeping to self, seeking refuge in fate, and seeking refuge in supernatural forces. MHYS score, WCS total score, BAI score, and MDS-UPDRS-1 were predictors of the ZBI score.
The anxiety levels of caregivers, their ways of coping, and the patient's stage of the disease are important in caregiver burden. Coping ways can be changed to reduce the care burden. Developing psychological interventions for caregivers to change their coping styles can be important.
帕金森病（PD）增加了患者的负担和护理需求。确定 PD 患者照顾者的负担及其相关因素，有助于确定减轻照顾者负担的方法。本研究旨在探讨与 PD 患者照顾者负担相关的因素。
本研究纳入了 85 名 PD 患者和 85 名照顾者。采用 Zarit 负担量表（ZBI）评估照顾者负担；采用应对方式量表（WCS）评估应对方式；采用改良 Hoehn-Yahr 分期（MHYS）评估患者分期。采用国际运动障碍协会统一帕金森病评定量表（MDS-UPDRS）第 1 部分和第 3 部分评估非运动和运动问题。采用贝克抑郁自评量表（BDI）和贝克焦虑自评量表（BAI）评估照顾者的抑郁和焦虑水平。Spearman 相关系数用于评估变量与 ZBI 评分的关系，多元线性回归分析用于确定 ZBI 评分的预测因素。
ZBI 评分与 BAI 评分、MHYS 评分、WCS 总分及各分量表（自我坚持、听天由命、寻求超自然力量）呈正相关。MHYS 评分、WCS 总分、BAI 评分和 MDS-UPDRS-1 是 ZBI 评分的预测因素。
照顾者的焦虑水平、应对方式和患者的疾病分期是照顾者负担的重要因素。可以通过改变应对方式来减轻照顾负担。为照顾者开展改变应对方式的心理干预可能很重要。
