检验医学与临床Issue(16)：2314-2317,4.DOI:10.3969/j.issn.1672-9455.2015.16.007
阿尔茨海默病患者照料者的心理健康状况及其影响因素的调查
Investigation of mental health status and influencing factors in caregivers of dementia patients with Alzheimer′s disease
摘要
Abstract
Objective To investigate the mental health status and influencing factors of caregivers of the pa‐tients with Alzheimer′s disease .Methods The Symptom Checklist‐90 (SCL‐90) ,Zarit Caregiver Burden Interview (ZBI) and Social Support Rating Scale(SSRS) were adopted to evaluate the disease caregivers .The Mini Mental State Examination (MMSE) ,Activities of Daily Living (ADL) and NeuroPsychiatric Inventory(NPI) were used to evaluate the patients with Alzheimer′s disease .The mental health status and influencing factors in each caregivers group were conducted the comparative analysis .Results (1) The total score(133 .76 ± 15 .58) of SCL‐90 in 192 dementia care‐givers and the scores of somatization ,depression and terror were significantly higher than Chinese norm (t=3 .380 , P<0 .05) ,in which the scores of somatization ,diet sleep and compulsion got the top three places .The total score of SCL‐90 and each dimension scores(except hostility) had statistically significant differences among the hospitalization group ,family group and the institution group (F=6 .680 ,P<0 .01) ,the SCL‐90 scores in the hospitalization group were significantly lower than those in the family group (t= -3 .525 ,P<0 .05) ,no statistically significant difference existed between the institution group with other two groups (P>0 .05) .(2) The total scores of SCL‐90 in the family caregivers were significantly positively correlated with the care time and SSRS score (P< 0 .05) ,and significantly positively correlated with age ,whether family members ,somatic disease and ZBI score (P<0 .01) .In the hospitaliza‐tion and family groups ,the SCL‐90 total scores were significantly positively correlated with the ZBI total score (P<0 .01) ,and significantly negatively correlated with subjective support (P<0 .01) ,the SCL‐90 total scores in the insti‐tution group were correlated with the ZBI scores and SSRS scores ,the difference had no statistical significance (P>0 .05) .(3) The total score of ZBI ,personal burden ,caregivers age ,somatic disease were the main predictor of SCL‐90 scores in dementia caregivers .Conclusion Alzheimer′s disease caregivers have obvious mental health problems ,the main influencing factors are care burden .关键词
阿尔茨海默病/照料者/心理健康/影响因素Key words
Alzheimer′s disease/dementia caregivers/mental health/influencing factors引用本文复制引用
谭小林,程雪,赵科,文宴,黄杰,李远,赵晋,张骁..阿尔茨海默病患者照料者的心理健康状况及其影响因素的调查[J].检验医学与临床,2015,(16):2314-2317,4.基金项目
重庆市卫生和计划生育委员会医学科研计划项目（2012-2-247）。 （）
