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预防医学  2018, Vol. 30 Issue (7): 693-695    DOI: 10.19485/j.cnki.issn2096-5087.2018.07.011
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抑郁症患者照料人心理负担及影响因素研究
杨科华,沈群燕,沈晓靖,骆丹丹,廖晓静,杨丹红
浙江大学医学院附属邵逸夫医院精神卫生科,浙江 杭州 310016
Influencing factors for the psychological burden of depressive patients' caregivers
YANG Ke-hua,SHEN Qun-yan,SHEN Xiao-jing,LUO Dan-dan,LIAO Xiao-jing,YANG Dan-hong
Department of Psychiatry,Sir Run Run Shaw Hospital,Hangzhou,Zhejiang 310016,China
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摘要 目的 探讨抑郁症患者照料人心理负担及影响因素。方法 选取在邵逸夫医院住院治疗的抑郁症患者主要照料人为调查对象。采用参考家庭负担访谈问卷中文简化版、照顾者负担问卷设计的抑郁症患者主要照料人负担调查表、社会支持评定量表、汉密尔顿抑郁量表和自杀风险评估量表进行问卷调查,采用多重线性回归模型分析抑郁症患者照料人心理负担的影响因素。结果 调查101人,回收有效问卷96份,问卷有效率为95.04%。96名照料人的心理负担总分为(24.88±12.94)分,其中54人有心理负担(≥20分),占56.25%。心理压力阳性率最低,为65.63%,社交负担最高,为93.75%。多重线性回归分析结果显示,抑郁症患者照料人的心理负担与客观支持(β=-1.856,P=0.002)、主观支持(β=0.526,P=0.008)和被照料患者的高自杀评分(β=0.290,P=0.048)存在统计学关联。结论 超过半数的抑郁症患者照料人存在心理负担,并与被照料患者的主、客观支持度及自杀评分高低有关。
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杨科华,沈群燕,沈晓靖,骆丹丹,廖晓静,杨丹红
关键词 抑郁症照料人心理负担社会支持评定量表汉密尔顿抑郁量表自杀风险评估量表    
AbstractObjective To investigate the influencing factors for the psychological burden of depressive patients' caregivers. Methods We enrolled the chief caregivers of depressive patients who were hospitalized in Sir Run Run Shaw Hospital as our subjects. We investigated them by Caregiver Burden Inventory, Social Support Revalued Scale(SSRS),Hamilton Depression Scale(HAMD)and Suicide Risk Assessment Scale,and learned influencing factors for the psychological burden of these caregivers by multiple linear regression analysis. Results We totally enrolled 101 subjects and collected 96 questionnaires (95.04%). The 96 respondents scored (24.88±12.94)points in the psychological burden and 54 of which scored more than 20 points, accounted for 56.25%. The positive rate of mental pressure was 65.63%, which was the lowest; the positive rate of social burden was 93.75%, which was the highest. Multiple linear regression analysis showed that the objective support(β=-1.856,P=0.002),subjective support(β=0.526,P=0.008) and high suicidal score of depressive patients(β=0.290,P=0.048)were the influencing factors for the psychological burden of depressive patients' caregivers. Conclusion More than half of the caregivers have psychological burden, which is associated with objective support, subjective support and high suicidal score of depressive patients.
Key wordsDepression    Caregiver    Psychological burden    Social Support Revalued Scale    Hamilton Depression Scale    Suicide Risk Assessment Scale
     出版日期: 2018-07-06
ZTFLH:  R749.41  
基金资助:浙江省教育厅项目(Y201533928)
通信作者: 沈群燕,E-mail:4X008@zju.edu.cn   
作者简介: 杨科华,本科,主管护师,主要从事精神科护理管理工作
引用本文:   
杨科华,沈群燕,沈晓靖,骆丹丹,廖晓静,杨丹红. 抑郁症患者照料人心理负担及影响因素研究[J]. 预防医学, 2018, 30(7): 693-695.
YANG Ke-hua,SHEN Qun-yan,SHEN Xiao-jing,LUO Dan-dan,LIAO Xiao-jing,YANG Dan-hong. Influencing factors for the psychological burden of depressive patients' caregivers. Preventive Medicine, 2018, 30(7): 693-695.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.07.011      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I7/693
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