【摘要】 目的调查分析洛阳市洛龙区老年痴呆患者家庭照顾者的心理现状与影响因素,为开展心理健康干预及制定医疗卫生保健政策提供依据。方法选取2017年12月—2018年4月洛阳市洛龙区老年痴呆患者及其家庭照顾者60例(1名患者和1名照顾者为1例)为研究对象。先以一般资料调查表为研究基础,包括照顾者和患者的社会人口学资料及疾病情况。再以症状自评量表(SCL-90)作为研究照顾者的主要工具。结果共发放问卷60份,回收58份,有效回收率为96.7%。照顾者躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、精神病性、睡眠及饮食、SCL-90总分与全国常模比较,差异有统计学意义(P<0.05);照顾者敌对、偏执得分与全国常模比较,差异无统计学意义(P>0.05)。不同性别、已照顾时长、自觉健康状况、现合并急慢性疾病照顾者SCL-90总分比较,差异有统计学意义(P<0.05);不同年龄、与患者关系、宗教信仰、文化程度、婚姻状况、对疾病了解情况照顾者SCL-90总分比较,差异无统计学意义(P>0.05)。不同现合并急慢性疾病种数患者SCL-90总分比较,差异有统计学意义(P<0.05);不同性别、年龄、婚姻状况、文化程度、病程、疾病程度、自理情况患者SCL-90总分比较,差异无统计学意义(P>0.05)。结论部分老年痴呆症患者家庭照顾者存在焦虑、抑郁、强迫等症状,此状况应引起相关部门关注。通过完善医疗卫生保健政策,健全社会供养体系,采取有效措施以减轻照顾者的心理问题,提高其心理健康水平。更多还原

【Abstract】 Objective The purpose of this study is to investigate the psychological status of family caregivers of senile dementia patients in Luolong district, Luoyang city, provide intervention measures for them and scientific theoretical basis to formulate relevant medical and health care policies. Methods The methodology includes the general data questionnaires and the SCL-90 Scale which are applied to investigate 60 senile dementia patients and their family caregivers in Luolong district, Luoyang city.In addition, SPSS22.0 is used for data analysis. Results With a total of 60 questionnaires were issued and 58 were recovered, the study has an effective recovery rate of 96.7%.Compared with the national norms, scl-90 scores of the caregivers’ somatization symptoms, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, terror, psychosis, sleep and diet, have statistical significance(P<0.05).There is no significant difference in scores of hostility and paranoia among caregivers(P>0.05).The total score of scl-90 is statistically significant among caretakers of different genders, duration of care, conscious health status, and combined acute and chronic diseases(P<0.05). There is no significant difference in the total score of scl-90 among caregivers of different ages, relationship with patients, religious belief, educational level, marital status and understanding of the disease(P>0.05). Conclusion It is concluded that some family caregivers of senile dementia patients have symptoms such as anxiety, depression and compulsion, which should be concerned by relevant departments.Through the improvement of medical and health care policies and social support system, effective measures should be taken to alleviate the psychological problems of caregivers and improve their mental health level.更多还原