抑郁症患者陪护家属心理状态及其家庭功能状况的观察
摘要
目的调查抑郁症患者的陪护家属的心理状态及其家庭功能状况。方法选择抑郁症患者陪护家属70例作为观察组,采用社会招募及自愿报名招70名健康志愿者家属作为对照组,采用症状自评量表(SCL-90)和家庭功能评定量表(FAD)和对两组进行问卷调查。结果观察组SCL-90总分、躯体化、人际关系、抑郁及焦虑因子评分均明显高于对照组(均<0.01)。观察组FAD沟通、角色、情感反应、情感卷入、行为控制及总体功能6个维度上的平均得分均超过了分界值,观察组7个维度评分均显著高于对照组(均<0.05)。结论抑郁症患者陪护家属的心理健康水平要较低,家庭功能较差,有必要将抑郁症患者的陪护家属的干预作为抑郁症患者系统治疗的一部分。
引文
[1]郝燕妮,罗珊霞,余建英,等.青少年抑郁症患者一级亲属心理状态调查与护理干预对策[J].护理实践与研究,2013,10(6):131-132.
[2] Saeki T, Asukai N, Miyake Y, et al. Characteristics of family functioning in patients with endogenous monopolar depression[J].Hiroshima J Med Sci,2002,51:55-62.
[3]李勇洁,惠学健,徐江玲,等.重性精神疾病患者的家庭负担调查[J].中国康复理论与实践,2014,20(10):979-981.
[4]李培轩,蔡旭明,阮洪梅,等.住院精神分裂症患者家庭负担调查研究[J].西部医学,2012,24(112):2276-2279.
[5]李梅枝,龙浩文.抑郁症患者家属生活质量调查[J].临床精神医学杂志, 2005,15(1):9-10.
[6] Highet NJ, McNair BG, Davenport TA, et al. How much canwe lose? Carer and family Perspectives on living with a personwith depression[J]. Med J Aust,2004,181(7):6-9.
[7] Corring D. Quality of life:perspectives of people with mental illnesses and family members[J]. Psychiatric Rehabilitation Journal,2002,25:350-359.
[8] Yajima Y, Tsutsui T, Nakajima K, et al.The effects of caregiving resources on the incidence of depression over one year in family caregivers of disabled elderly[J].Acta Med Okayama,2007,61(2):71-80.
[9] Heru AM, Ryan CE. Burden,reward and family functioning of caregivers for relatives with mood disorders:1-year followup[J].J Affect Disord,2004,83:221-225.
[2] Saeki T, Asukai N, Miyake Y, et al. Characteristics of family functioning in patients with endogenous monopolar depression[J].Hiroshima J Med Sci,2002,51:55-62.
[3]李勇洁,惠学健,徐江玲,等.重性精神疾病患者的家庭负担调查[J].中国康复理论与实践,2014,20(10):979-981.
[4]李培轩,蔡旭明,阮洪梅,等.住院精神分裂症患者家庭负担调查研究[J].西部医学,2012,24(112):2276-2279.
[5]李梅枝,龙浩文.抑郁症患者家属生活质量调查[J].临床精神医学杂志, 2005,15(1):9-10.
[6] Highet NJ, McNair BG, Davenport TA, et al. How much canwe lose? Carer and family Perspectives on living with a personwith depression[J]. Med J Aust,2004,181(7):6-9.
[7] Corring D. Quality of life:perspectives of people with mental illnesses and family members[J]. Psychiatric Rehabilitation Journal,2002,25:350-359.
[8] Yajima Y, Tsutsui T, Nakajima K, et al.The effects of caregiving resources on the incidence of depression over one year in family caregivers of disabled elderly[J].Acta Med Okayama,2007,61(2):71-80.
[9] Heru AM, Ryan CE. Burden,reward and family functioning of caregivers for relatives with mood disorders:1-year followup[J].J Affect Disord,2004,83:221-225.