【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。更多还原

【Abstract】 Objective 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.更多还原