居家精神分裂症患者直接照料者负担及相关因素  

The burden of direct caregivers of patients with schizophrenia staying at home and related factors

作　　者：付凤珍[1] 张丽[1] 詹来英[1] 

机构地区：[1]山东省济宁市精神病防治院,272051

出　　处：《国际护理学杂志》2010年第11期1638-1641,共4页international journal of nursing

摘　　要：目的探讨居家精神分裂症患者直接照料者所承受的负担及其影响因素。方法应用问卷对106名精神分裂症患者的直接照料者进行调查。结果精神分裂症患者直接照料者经济、心理方面的负荷较大。经配对t检验，经济负担、心理健康因子与其它因子两两之间的差异均具有统计学意义（P〈0．05）。与常模相比，直接照料者更多采用消极应对方式，并与照料者负担呈正相关（P〈0．0．5）；照料者负担还与患者的病程、康复状况、生活满意度、家庭关怀度指数相关（均P〈0．0．5）。结论应重视精神分裂症患者直接照料者负担，指导其采用积极应对方式，加强其家庭支持系统，积极鼓励患者自理，以减轻直接照料者负担。Objective To explored the burden of direct earegivers of patients with schizophrenia staying at home and related factors. Methods A total of 106 direct caregivers of patients with schizophrenia were investigated by questionnaires. Results The economic and psychological burden of direct caregivers of patients with schizophrenia were heavier. By the paired t - test, there were significant differences between economic burden, mental factor and the other factors （P 〈0. 05 ） . Compared to the norm, the negative coping styles were used by the caregivers more frequently, and there was a positive correlation with the caregivers＇burden （ P 〈 0.05 ） ; The burden was correlated with the patients＇ course, rehabilitation status, life satisfaction and family care degrees （P 〈 0. 05 ） . Conclusions We must pay attention to the caregivers＇ burden, guide to use an active coping style, strengthen their social support system, encourage patients to take care of themselves and alleviate the burden of caregivers.

关 键 词：精神分裂症 疾病负担 直接照料者 影响因素 

分 类 号：R473.74[医药卫生—护理学]