痴呆照料者心理负担及干预研究  

Study on the burdens of caretakers for patients with dementia and the effects of psychological intervention on care takers

作　　者：张春平[1] 安翠霞[1] 杜义敏[1] 

机构地区：[1]河北省石家庄市第六医院,050051

出　　处：《河北医药》2009年第9期1043-1044,共2页Hebei Medical Journal

摘　　要：目的了解痴呆照料者的心理负担及心理干预效果。方法收集58名痴呆患者照料者,由经培训的调查员进行调查,评定工具包括焦虑自评量表(SAS)和抑郁自评量表(SDS)。58名照料者随机分为2组,干预组给予心理干预6个月,对照组处于自然状态,观察干预前后的SAS、SDS。结果痴呆照料者的心理负担重,SAS平均分(36±7)分,SDS平均分(37±8)分。干预后6个月,干预组SAS减轻至(33±4)分(P<0.05),SDS减轻至(36±4)分(P<0.05)。对照组照料者的SDS、SAS得分前后差异无统计学意义(P>0.05)。结论照料者的心理负担重,焦虑和抑郁情绪明显,心理干预可以减轻照料者的抑郁和焦虑情绪。Objective To investigate the burdens of caretakers for patients with dementia and to evaluate the effects of psychological intervention on caretakers＇ depression and anxiety status. Methods 58 caretakers for patients with dementia were collected. The investigations were performed for these caretakers by trained investigators with the evaluation means including SAS table（Zung＇s Anxiety Scale） and SDS（ Zung＇s Depression Scale） table. 58 caretakers were randomly divided into psyehological intervention group and control group. The intervention lasted for 6 months. The changes of SAS and SDS in all the caretakers were observed before and after intervention. Results The scores of SAS and SDS in all the caretakers were （ mean 36 ± 7 ） and （ mean 37 ± 8 ） respectively. After 6-month intervention the scores of SAS in intervention group were significantly reduced from （37 ± 7） before intervention to （33 ± 4） after intervention （ P 〈 0.05 ）, and those of SDS from （41 ± 6） before intervention to （36 ±4） after intervention （ P 〈0.05）. But there were no significant differences in the scores of SDS and SAS in control group （ P 〈 0.05）. Conclusion The burdens of caretakers for patients with dementia are quite heavy, with obvious depression and anxiety feelings. The psychological intervention can relieve the depression and anxiety feelings of caretakers.

关 键 词：痴呆照料者 抑郁情绪 焦虑情绪 心理干预 

分 类 号：R47[医药卫生—护理学]