社区精神分裂症患者照料者的家庭负担及影响因素研究

发布时间：2018-05-14 22:40

本文选题：精神分裂症 + 家庭负担　；参考：《中国全科医学》2014年04期

【摘要】：目的了解城市社区精神分裂症患者照料者的家庭负担情况及其影响因素。方法采用方便抽样法,选择2013年4—5月来北京市某社区卫生服务机构取药及体检的精神分裂症患者的照料者109例为研究对象。采用自制的一般资料调查表(调查内容包括患者及其照料者的年龄、性别、文化程度、职业、婚姻状况等)和家庭负担量表(FBS,调查内容包括家庭经济负担、家庭日常生活、家庭娱乐活动、家庭关系、家庭成员躯体健康、家庭成员心理健康6个维度)进行问卷调查。结果 109例精神分裂症患者照料者的家庭负担总分为(21.80±11.01)分;阳性回答率由高到低依次为:家庭日常活动(97.2%),家庭经济负担(95.4%),家庭关系(87.2%),家庭娱乐活动(82.6%),家庭成员心理健康(80.7%),家庭成员躯体健康(75.2%)。多元线性回归分析结果显示:照料者的婚姻状况、患者患病后是否工作、每月用药花费及疾病稳定状态对家庭负担的影响有统计学意义(P0.05)。结论精神分裂症患者照料者的家庭负担较重,照料者的婚姻状况、患者患病后是否工作、每月用药花费及疾病稳定状态对家庭负担有影响。基层卫生保健工作者在照顾精神疾病患者的同时,也应关注其直接照料者的健康状况,采取有效的干预措施来减轻照料者的负担。
[Abstract]:Objective to investigate the family burden and its influencing factors of the caregivers of schizophrenic patients in urban community. Methods the convenience sampling method was used to select 109 schizophrenic patients who had taken drugs and checked up in a community health service institution in Beijing since April-May 2013. A self-made general information questionnaire (GIQ) (including age, sex, education, occupation, marital status, etc.) and family burden scale (FBSs) were used to investigate family economic burden, family daily life. Family recreation, family relationship, family members' physical health and family members' mental health were investigated by questionnaire. Results the total score of family burden in 109 patients with schizophrenia was 21.80 卤11.01; The order of positive answer rate from high to low is as follows: family daily activities, family economic burden, family relationship, family entertainment, family mental health, family members' physical health, and family members' physical health. The results of multiple linear regression analysis showed that the marital status of the carers, whether the patient worked after the illness, the influence of the monthly medication cost and the stable state of the disease on the family burden were statistically significant (P 0.05). Conclusion the family burden of the caregivers of schizophrenia patients is heavy, the marital status of the caregivers, whether the patients work after the illness, the cost of medication every month and the stable state of the disease have influence on the family burden. Primary health care workers should pay attention to the health status of their direct caregivers and take effective intervention measures to lighten the burden of carers while taking care of patients with mental illness.
【作者单位】：首都医科大学全科医学与继续教育学院;北京市西城区德胜社区卫生服务中心;
【基金】：北京市哲学社会科学规划项目(12SHB011)
【分类号】：R749.3

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