关键词: Burden Caregiver Mental disease Mental disorder

Mesh : Adaptation, Psychological Adult Aged Brazil Caregivers / psychology Cost of Illness Cross-Sectional Studies Depression / psychology Family / psychology Female Humans Male Mental Disorders / nursing psychology Middle Aged Multivariate Analysis Surveys and Questionnaires Young Adult

来  源:   DOI:10.1186/s12888-017-1501-1   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Caregivers are responsible for the home care of family members with mental-health disorders often experience changes in their life that can generate stress and burden. The aim of this study was to identify factors associated with the burden of caregivers of family members with mental disorders.
This cross-sectional study was conducted with a non-probability sample of family caregivers, whose patients attended a community services program, the Psychosocial Care Centers, in three cities in the southwest region of Goiás State, Central Brazil. Data collection took place from June 2014 to June 2015. The participants were 281 caregivers who completed a sociodemographic questionnaire and the Zarit Burden Interview (ZBI). Bivariate analyses (t test, analysis of variance, and Pearson correlation) were performed, and variables with values of p < 0.10 and gender were included in a multiple-linear regression model. Values of p < 0.05 were considered significant.
The caregivers were mostly female and parents of the patients, were married, with low education, and of low income. The mean ZBI score was 27.66. The factors independently associated with caregivers\' burden were depression, being over 60 years of age, receiving no help with caregiving, recent patient crisis, contact days, and having other family members needing care.
This study identified factors that deserve the attention of community services and can guide programs, such as family psycho-education groups, which may help to minimize or prevent the effects of burden on family caregivers responsible for patients\' home care.
摘要:
照顾者负责家庭照顾患有精神疾病的家庭成员,他们经常经历生活中的变化,这可能会产生压力和负担。这项研究的目的是确定与患有精神障碍的家庭成员的照顾者负担相关的因素。
这项横断面研究是以家庭照顾者的非概率样本进行的,他的病人参加了社区服务项目,社会心理护理中心,在戈亚斯州西南部的三个城市,巴西中部。数据收集于2014年6月至2015年6月进行。参与者是281名护理人员,他们完成了社会人口统计问卷和Zarit负担访谈(ZBI)。双变量分析(t检验,方差分析,和Pearson相关性)进行,以及p<0.10值和性别的变量被纳入多元线性回归模型。p<0.05的值被认为是显著的。
看护者大多是女性和患者的父母,结婚了,受教育程度低,和低收入。平均ZBI评分为27.66。与照顾者负担独立相关的因素是抑郁,超过60岁,没有得到照顾方面的帮助,最近的病人危机,联系日,还有其他家庭成员需要照顾.
这项研究确定了值得社区服务关注的因素,可以指导项目,比如家庭心理教育团体,这可能有助于最小化或防止负担对负责患者家庭护理的家庭护理人员的影响。
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