The Health of Companions: Evaluatıon of Care Burden, Psychologıcal Dıstress and Psychıatrıc Dısorders of the Companıons of Patıents ın the Medıcal Ward of Akdenız Unıversıty Hospıtal

Melahat Akdeniz, E. Acar, E. Kavukcu, Esma Eseroğlu, H. Avci
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Abstract

Objective: The aim of this study was to evaluate the care burden, psychological distress and psychiatric disorders of the companions of adult patients in the hospital. Method: This study is a cross-sectional descriptive study. A study questionnaire that included a sociodemographic information form, the Zarit Caregiver Burden Scale (ZCBS) and the Brief Symptom Inventory (BSI) were administered to the companions. Simple descriptive and inferential statistics were performed. The Mann-Whitney U test was used if comparisons between two independent groups were normal. Correlation coefficients and statistical significance were calculated by using the Spearman test for at least one normal nondistributed relationship. A multiple linear regression analysis was performed for determining factors associated with BSI scores. The type 1 error level was used as 5% for statistical significance. All P values of less than 0.05 were considered significant. Results: Three hundred companions were included in the study. Emotional commitment was the leading cause of companionship. The mean values of the companions’ ZCBS and BSI scores were 20.2 and 34.4, respectively. There was a moderately positive correlation (r=0.502) between the ZCBS and BSI scores, and it was statistically significant. ZCBS score were positively associated with BSI score. Conclusion: Psychological distress increases as the care burden of companions increases. Companions need more assistance from health care institutions, family members and the community. The support of health workers and family members reduced the companions’ care burden and psychological distress. Physicians working in the hospital should take into account that companions may be hidden patients.
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目的:探讨住院成人患者陪伴者的护理负担、心理困扰及精神障碍状况。方法:本研究采用横断面描述性研究。研究问卷包括社会人口学信息表、Zarit照顾者负担量表(ZCBS)和简短症状量表(BSI)。进行简单的描述性和推断性统计。如果两个独立组之间的比较是正常的,则使用Mann-Whitney U检验。使用Spearman检验计算至少一个正态非分布关系的相关系数和统计显著性。对影响BSI评分的因素进行多元线性回归分析。1型误差水平为5%,具有统计学显著性。P值小于0.05均为显著性。结果:300名同伴被纳入研究。情感承诺是陪伴的主要原因。同伴的ZCBS和BSI得分平均值分别为20.2和34.4。ZCBS与BSI评分呈中度正相关(r=0.502),有统计学意义。ZCBS评分与BSI评分呈正相关。结论:心理困扰随着同伴照顾负担的增加而增加。陪伴者需要卫生保健机构、家庭成员和社区提供更多帮助。卫生工作者和家庭成员的支持减轻了陪伴者的护理负担和心理困扰。在医院工作的医生应该考虑到同伴可能是隐藏的病人。
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