实用临床医药杂志2024，Vol.28Issue(19)：129-133,5.DOI:10.7619/jcmp.20241522
同伴支持服务在精神障碍患者照护者中的应用
Application of peer support services for caregivers of mental disorder patients
摘要
Abstract
Objective To investigate the impact of a peer support model on the mental health of caregivers and the perceived social support and psychiatric symptoms of the mental disorder patients under their care.Methods Patients with mental disorders undergoing long-term community-based rehabilitation and their primary caregivers were recruited for this study.A total of 44 pairs of eligible patients and caregivers were selected based on a 1∶1 matching ratio.Systematic peer support activi-ties were conducted exclusively for the caregivers.The General Health Questionnaire(GHQ)and the Symptom Checklist-90(SCL-90)were administered before and after the intervention to assess the mental health status of caregivers.The Perceived Social Support Scale(PSSS)and the Brief Psychiat-ric Rating Scale(BPRS)were employed to evaluate the patients'perceived social support and psychi-atric conditions before and after the intervention.Results A total of 44 valid questionnaires from car-egivers and 42 from patients were collected.The GHQ score and the total scores,the number of positive item,positive total scores,and positive mean scores of and SCL-90 of caregivers were significantly low-er after the intervention compared to pre-intervention(P＜0.05 or P＜0.001).For patients,the fami-ly support score,extracurricular support score,and total score of the PSSS were significantly higher post-intervention compared to pre-intervention(P＜0.05 or P＜0.001).Compared to pre-intervention,patients'scores on anxiety and depression,lack of energy,thought disturbance,activation,hostility and suspicion,and the total score on the BPRS were significantly lower after the caregiver peer sup-port intervention(P＜0.001).Conclusion The peer support model contributes to improving the mental health of caregivers for patients with mental disorders and enhancing the patients'psychiatric conditions.关键词
精神障碍/照护者/同伴支持/康复/社区/心理健康Key words
mental disorders/caregivers/peer support/rehabilitation/community/mental health分类
医药卫生引用本文复制引用
叶心慧,朱磊,王稀琛,刘寒,陈玉明,马宁,姚灏..同伴支持服务在精神障碍患者照护者中的应用[J].实用临床医药杂志,2024,28(19):129-133,5.基金项目
国家社会科学基金青年课题(22CSH085) （22CSH085）
上海市青年科技英才扬帆计划(21YF1439600) （21YF1439600）
美国中华医学基金会开放竞争课题(22-480) （22-480）
