阿尔茨海默病患者照料者的负担与应对方式及社会支持的相关性  

Relationship among burden,coping style and social support in caregivers of Alzheimer disease patients

作　　者：黄凤霞[1] 陈丽坚[2] 胡彩容[2] 黄杏笑 文启琴[4] Huang Fengxia;Chen Lijian;Hu Cairong;Huang Xingxiao;Wen Qiqin(The First Ward of Neurology Department,the Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou Hui'ai Hospital,Guangzhou 510370,China;Neurology Department,the Affiliated Brain Hospital of Guangzhou Medical University,Giumgzhou Hui'ai Hospital,Guangzhou 510370,China;Geriatrics Department,the Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou Hui'ai Hospital,Guangzhou 510370,China;Psychiatry Department,the Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou Hui'ai Hospital,Guangzhou 510370,China)

机构地区：[1]广州医科大学附属脑科医院广州市惠爱医院神经内科一区,510370 [2]广州医科大学附属脑科医院广州市惠爱医院神经科,510370 [3]广州医科大学附属脑科医院广州市惠爱医院老年科,510370 [4]广州医科大学附属脑科医院广州市惠爱医院精神科,510370

出　　处：《神经疾病与精神卫生》2018年第12期842-845,共4页Journal of Neuroscience and Mental Health

基　　金：广东省医学科研基金项目(A2017417).

摘　　要：目的探讨阿尔茨海默病患者照料者的负担与应对方式及社会支持的相关性。方法选取广州医科大学附属脑科医院2015年5月—2017年9月门诊就诊的阿尔茨海默病患者84例,根据患者照料者情况,将患者分为住院组(n=28)、家庭照料组(家庭组)(n=35)和养老机构痴呆患者的照料组(机构组)(n=21),采用扎瑞特照料负担量表(ZBI)、社会支持评定量表(SSRS)、特质应对方式问卷(TCSQ)测量各组照料者负担量、社会支持、应对方式情况并比较。结果家庭组照料者ZBI总分、个人负担、责任负担、消极应对评分和SSRS总分明显高于住院组、机构组;机构组照料者积极应对评分明显高于家庭组、住院组,差异有统计学意义(P<0.05);ZBI总分、个人负担、责任负担与消极应对呈正相关(r值分别为0.85、0.86、0.82,P<0.05),与积极应对(r值分别为-0.30、-0.29、-0.28,P<0.05)和SSRS总分呈负相关(r值分别为-0.31、-0.27、-0.29,P<0.05);多元逐步回归分析显示,消极应对、积极应对、SSRS总分可解释照料者负担总分变异的44.9%。结论阿尔茨海默病患者照料者的负担与消极应对呈正相关,与积极应对及社会支持呈负相关。Objective To investigate the relationship among burden,coping style and social support in caregivers of Alzheimer disease patients.Methods A total of 84 patients with Alzheimer disease of the outpatients department of the Affiliated Brain Hospital of Guangzhou Medical University from May 2015 to September 2017 were selected.According to the situation of caregivers,all the subjects were divided into hospitalization group(n=28),family group(n=35),and institutional group(n=21).Zarit Caregiver Burden Interview(ZBI),Social Support Rating Scale(SSRS)and Trait Coping Style Questionnaire(TCSQ)were used to investigate and compare the burden,social support and coping style in caregivers.Results The total score of ZBI,scores of personal burden,responsibility burden,negative coping style and the total score of SSRS in the family group were significantly higher than those in the hospitalization group and the institutional group.The score of positive coping style in the institutional group was higher than that in the family group and hospitalization group,and the difference was statistically significant(P<0.05).The ZBI total score,individual burden,responsibility burden were positively correlated with positive coping style(r=0.85,0.86,0.82;P<0.05),and were negatively correlated with negative coping style(r=-0.30,-0.29,-0.28;P<0.05)and SSRS score(r=-0.31,-0.27,-0.29;P<0.05).Multivariate stepwise regression analysis showed that negative coping,positive coping and total SSRS scores could explain 44.9%of the variation in total burden of caregivers.Conclusions The caregiver burden of Alzheimer disease patient is positively correlated with negative coping style,and positively correlated with positive coping style and social support.

关 键 词：阿尔茨海默病 照料者负担 应对方式 社会支持 相关性 

分 类 号：R749.16[医药卫生—神经病学与精神病学]