中国临床心理学杂志

物质依赖与精神分裂症患者主要照料者疾病家庭负担对照研究

作者：徐彩娟汪胤杨梅戴媛媛郝伟

单位：1. 中南大学湘雅二医院精神卫生研究所长沙 410011 2. 湖南省胸科医院长沙 410000 3. 深圳市精神卫生中心深圳 518003 4. 湖南省第二人民医院长沙 410007

分类号：R395.6

出版年,卷(期):页码：2017,25(2):386-389

摘要：

目的：探讨物质依赖和精神分裂症患者主要照料者的家庭负担及其差异。方法：用疾病家庭负担量表评估65例物质依赖者及64例精神分裂症者的主要照料者的家庭负担量。结果：物质依赖组和精神分裂症组总分达到中等及以上程度负担的比例分别为61.45%、57.81%，总分分别为27.06±10.19、25.09±11.36分，两组家庭总负担相当。物质依赖组主要照料者的躯体健康较精神分裂症组差（P=0.000），物质依赖组主要照料者与患者的关系为夫妻比关系为父母总负担重（P=0.007），精神分裂症组照料者居住在农村比居住地为城市经济负担重、总负担重（P=0.004、0.030）。结论：物质依赖与精神分裂症患者主要照料者疾病家庭负担均重，应为患者的主要照料者提供多方面的帮助，以便减轻疾病家庭负担，降低患者的复发/复吸。

Objective: To compare the disease family burden on primary caregivers between patients with drug addiction and with schizophrenia. Methods: 65 caregivers for patient's with drug addicts and 64 caregivers for patient's with schizophrenia were interviewed using the Family Burden Scale of Disease[FBS]. Results: The proportion reached or surpass medium degree was 61.45% and 57.81% respectively and the total FBS scores was 27.06±10.19 and 25.09±11.36 respectively, two groups had equal heavy family burden. Drug addicts's caregivers had heaver burden on physical health than those of schizophrenia. Drug addicts' caregivers with spouse relationship have a heaver burden than those who have parent role on total burden. Schizophrenia's caregivers who living in countryside had heaver economical burden and total burden than town. Conclusion: Schizophrenia's caregivers and drug addicts's caregivers both had heavy family burden of disease, We should provide multiaspect helps to reduce the family burden and the disease recrruancece/relapse.

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