庆阳市严重精神障碍患者家庭负担现况及影响因素分析  

Current status and influencing factors of family burden of patients with severe mental disorders,Qingyang City

作　　者：田圆 罗雷[2,3] TIAN Yuan;LUO Lei(Department of Chronic Disease Prevention and Control,Qingyang City Center for Disease Control and Prevention,Qingyang,Gansu 745000,China;不详)

机构地区：[1]庆阳市疾病预防控制中心慢性病预防控制科,甘肃庆阳745000 [2]南方医科大学公共卫生学院 [3]广州市疾病预防控制中心传染病预防控制部

出　　处：《现代预防医学》2024年第18期3449-3456,共8页Modern Preventive Medicine

基　　金：广州市医学重点学科(2021-2023-11);广州市科技局校企联合资助项目(2023A03J0939)。

摘　　要：目的 探讨严重精神障碍患者家庭负担现状及影响因素。方法 采用多阶段分层整群随机抽样法,选取庆阳市715例在管严重精神障碍患者主要监护人作为研究对象,采用自制调查问卷调查监护人人口学资料、家庭情况、健康状况、患者人口学资料及患病治疗情况,采用疾病家庭负担量表(FBS)调查家庭负担现状。采用多重线性回归分析严重精神障碍患者家庭负担影响因素。结果 严重精神障碍患者疾病家庭负担FBS总分(22.42±13.11)分,中等及以上负担占50.57%,家庭经济负担最重;多重线性回归分析结果显示,患者学历、婚姻、每月花费药费、目前病情、服药情况、医疗保障情况、监护人健康状况、与患者关系、同住时间、家庭月收入是家庭负担的影响因素(P<0.05)。结论 庆阳市严重精神障碍患者疾病家庭负担偏高,应重点关注患者病情不稳定、每月花费药费高、家庭收入低、监护人身体处于亚健康或患慢性病、与患者长期同住的家庭,为其提供帮助和支持,减少家庭负担。Objective To explore the current situation and influencing factors of the family burden of patients with severe mental disorders.Methods The main guardians of 715 patients with severe mental disorders in Qingyang City were selected as the research object by the multi-stage stratified cluster random sampling method.A self-made questionnaire was applied to investigate the guardian's demographic data,family situation,health status,patient demographic data,and disease treatment.The current situation of family burden was investigated by the Family Burden Scale(FBS).Multiple linear regression analysis was applied to analyze the influencing factors of family burden for patients with severe mental disorders.Results The total FBS score was 22.36±13.11,and the burden of medium and above accounted for 50.57%.The financial burden on the family was the heaviest.The results of multiple linear regression analysis revealed that the patient's education level,marital status,monthly medication expenses,current condition,medication adherence,medical security,guardian's health status,relationship with the patient,cohabitation time,and monthly family income were the influencing factors of family burden(P<0.05).Conclusion The family burden of patients with serious mental disorders in Qingyang City is relatively heavy.Families with unstable patient conditions,high monthly medication expenses,low household income,guardians in sub-health or suffering from chronic disease,and long-term living with the patient require further attention.Providing these families with assistance and support is essential to alleviating their burden.

关 键 词：严重精神障碍 家庭负担 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]