中国全科医学Issue(10)：1203-1207,5.DOI:10.3969/j.issn.1007-9572.2015.10.025
精神分裂症精神残疾患者主要照顾者照顾负担与健康状况的关系及影响因素研究
The Relationship Between Care Burden and Health Status of Primary Caregivers for Patients With Schizophrenia Mental Disability and Its Influencing Factors
摘要
Abstract
Objective To investigate the relationship between care burden and health status in primary caregivers for patients with schizophrenia mental disability and its influencing factors. Methods We enrolled 150 primary caregivers and 150 corresponding patients with schizophrenia mental disability who received regular clinic treatment in Anding Hospital of Chifeng and were in recovery from September 2012 to March 2014. By using simple randomized sampling method,150 healthy people were selected from local healthy population. A cross -sectional survey was made using questionnaires including general information questionnaire,positive and negative syndrome scale ( PANSS ), short form 36 health survey questionnaire ( SF-36 ) and Chinese version of Zarit caregiver burden interview ( ZBI ) . Correlation relevancy analysis was carried out on the relationship between care burden and health status. Univariate analysis and multiple linear regression analysis were conducted to analyze influencing factors for care burden. Results Questionnaires were returned by 146 patients( 97. 3%),146 primary caregivers (97. 3%)and all 150 healthy people. Primary caregivers were in poor health condition,with SF-36 score of each factor lower than healthy controls,especially the factors of emotion functions〔(48. 86 ± 13. 26)vs. (68. 67 ± 19. 29)〕,energy〔(39. 35 ±12. 13)vs. (50. 23 ± 19. 11)〕and mental health〔(51. 27 ± 16. 96)vs. (65. 17 ± 21. 16)〕;the differences were significant(P﹤0. 05). The number of caregivers who had light,medium and heavy burden was 111( 76. 0%),and highly negative correlation existed between care burden and health status(r = -0. 92,P ﹤0. 01). Among the factors of patients, times of hospitalization,age,symptoms of mental disorder( positive symptoms and negative symptoms)had influence on the care burden of primary caregivers(P ﹤0. 05). Among the factors of primary caregivers,gender,education background,relation with patients,vacation and marital status had influence on their care burden(P﹤0. 05). Multiple linear regression analysis showed that,influencing factors for the care burden of primary caregivers included education background and score of patients'positive and negative symptoms;the two factors were able to cause 68% of variance. Conclusion Care burden is the main influencing factor for the health status of primary caregivers for patients with schizophrenia mental disability. Therefore,in the health care of primary caregivers, the specific characteristics of each caregiver should be considered to make effective intervention.关键词
精神分裂症/精神残疾人/照顾负担/健康状况Key words
Schizophrenia/Mentally disabled persons/Care burden/Health status分类
医药卫生引用本文复制引用
孙玉静,王丽娜,周郁秋,宇虹..精神分裂症精神残疾患者主要照顾者照顾负担与健康状况的关系及影响因素研究[J].中国全科医学,2015,(10):1203-1207,5.基金项目
国家自然科学基金资助项目（71173065）；内蒙古自治区自然科学基金项目 （）
