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中国城市社区精神分裂症患者家庭成员中与照料者负担相关的因素。

Factors associated with caregiver burden among family members of persons with schizophrenia in urban communities of China.

作者信息

Liang Fangling, Du Hui, Liu Xin, Zheng Mengyao, He Changjiu

机构信息

School of Nursing, Chengdu Medical College, Chengdu, China.

The Fourth People's Hospital of Chengdu, Chengdu, China.

出版信息

Int J Psychiatry Med. 2025 Jul;60(4):378-394. doi: 10.1177/00912174241292702. Epub 2024 Oct 14.

Abstract

ObjectiveFamily members bear a heavy burden when caring for those with schizophrenia. The present study examined the degree of caregiver burden and characteristics related to it among family caregivers of persons with schizophrenia in Chinese urban settings.MethodsBetween August 2023 and June 2024, a cross-sectional study was conducted involving 401 family caregivers of persons with schizophrenia living in metropolitan settings. The following measures were administered: the Zarit Burden interview (ZBI), General Self-Efficacy Scale (GSES), Social Support Rating Scale (SSRS), and Simplified Coping Style Questionnaire (SCSQ). Linear regression analyses were used to identify independent correlates of caregiver burden.ResultsFamily caregivers of persons with schizophrenia had an average ZBI score of 32.90(SD = 17.53) on a 0-88 scale, with the majority (80.0%) reporting moderate caregiver burden (scores of 21-39). Independent correlates of caregiver burden were the person with schizophrenia's marital status (not married), impulsive or aggressive conduct in the previous year, the caregiver's physical health (poor), and not having multiple caregivers.ConclusionsFamily caregivers of persons with schizophrenia experience a moderate level of caregiver burden. To lessen the psychological suffering of and strain on caregivers, it is important to intervene early on impulsive and aggressive conduct of persons with schizophrenia, effectively treat physical health problems of caregivers, and provide support and practical assistance to those caring for persons with schizophrenia.

摘要

目的

在照顾精神分裂症患者时,家庭成员承受着沉重的负担。本研究调查了中国城市环境中精神分裂症患者家庭照顾者的照顾者负担程度及其相关特征。

方法

在2023年8月至2024年6月期间,进行了一项横断面研究,涉及401名居住在大城市的精神分裂症患者的家庭照顾者。采用了以下测量工具: Zarit照顾负担访谈量表(ZBI)、一般自我效能感量表(GSES)、社会支持评定量表(SSRS)和简易应对方式问卷(SCSQ)。使用线性回归分析来确定照顾者负担的独立相关因素。

结果

精神分裂症患者的家庭照顾者在0 - 88分的量表上,ZBI平均得分为32.90(标准差 = 17.53),大多数(80.0%)报告有中度照顾者负担(得分21 - 39)。照顾者负担的独立相关因素包括精神分裂症患者的婚姻状况(未婚)、前一年的冲动或攻击行为、照顾者的身体健康状况(差)以及没有多个照顾者。

结论

精神分裂症患者的家庭照顾者承受着中度的照顾者负担。为了减轻照顾者的心理痛苦和压力,早期干预精神分裂症患者的冲动和攻击行为、有效治疗照顾者的身体健康问题以及为照顾精神分裂症患者的人提供支持和实际帮助非常重要。

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