尼日利亚拉各斯精神分裂症患者家庭成员照顾者负担的相关因素

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2013-01-01 Epub Date: 2013-10-03 DOI:10.1155/2013/353809
Increase Ibukun Adeosun
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引用次数: 91

摘要

精神分裂症患者的家庭成员在照顾患者方面扮演着巨大的角色,这可能会对他们的健康产生负面影响。制定旨在减轻非正式护理负担的干预措施取决于是否认识到与负担的各个方面有关的因素。本研究确定了尼日利亚拉各斯精神分裂症患者家庭成员中照顾者负担的相关关系。研究工具包括Zarit负担访谈(ZBI)和精神分裂症阳性与阴性综合征量表(PANSS)。探索性因子分析发现,ZBI具有“财务/身体压力”、“时间/依赖压力”、“情绪压力”、“不确定性”和“自我批评”五因子结构。多元回归分析显示,照顾者的PANSS总分、社会支持差和受教育程度低可预测照顾者在“经济/身体压力”、“时间/依赖”和“情绪压力”领域的负担得分较高。患病时间较长、患者与护理者接触时间较短以及女性护理者分别在“不确定性”、“自我批评”和“情绪紧张”领域预测较高的负担得分。有必要采取干预措施,减轻尼日利亚精神分裂症患者护理人员的负担。这些战略必须包括全面的社会支持,并改善患者及其护理人员获得服务的机会。
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Correlates of Caregiver Burden among Family Members of Patients with Schizophrenia in Lagos, Nigeria.

Family members of patients with schizophrenia have enormous roles in the care of their patients, which could negatively impact their well being. Development of interventions targeted at alleviating the burden of informal care giving is hinged on the recognition of the factors associated with the various dimensions of burden. This study determined the correlates of caregiver burden among family members of patients with schizophrenia in Lagos, Nigeria. The study instruments included the Zarit burden interview (ZBI) and the positive and negative syndrome scale for schizophrenia (PANSS). Exploratory factor analysis of the ZBI produced a five-factor structure with "financial/physical strain", "time/dependence strain", "emotional strain", "uncertainty", and "self-criticism" domains. On multiple regression analyses, total PANSS scores, poor social support, and lower educational levels of caregivers were predictive of higher burden scores on the "financial/physical strain", "time/dependence", and "emotional strain" domains. Longer duration of illness, shorter patient-caregiver contact time, and being a female caregiver were predictive of higher burden scores on the "uncertainty", "self-criticism", and "emotional strain" domains, respectively. There is need for interventions to alleviate the burden on caregivers of patients with schizophrenia in Nigeria. These strategies must include comprehensive social support and improve access to services for patients and their caregivers.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
期刊最新文献
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