Factors associated with caregiver burden in a child and adolescent psychiatric facility in Lagos, Nigeria: a descriptive cross sectional study.

Factors associated with caregiver burden in a child and adolescent psychiatric facility in Lagos, Nigeria: a descriptive cross sectional study.
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DOI:
10.1186/1471-2431-11-110
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发表时间:
2011-12-12
期刊:
影响因子:
2.4
通讯作者:
Bello-Mojeed MA
Bello-Mojeed MA
中科院分区:
医学3区
文献类型:
--
作者:
Dada MU;Okewole NO;Ogun OC;Bello-Mojeed MA

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护理负担的定义强调病人的精神疾病对家庭的影响。在这种环境下,对儿童/青少年精神疾病的照顾者负担的研究一般很少。本研究旨在确定与照顾者负担相关的患者和照顾者特征。在为期一个月的时间内,连续招募了拉各斯亚巴神经精神病医院儿童和青少年门诊患者的护理人员[n = 155]。护理人员进行了社会人口调查问卷,一般健康问卷,Zarit负担访谈,和哥伦比亚损害量表。由临床医生对儿童总体评估量表进行评分。在这项研究中观察到的大多数照顾者是女性(80.5%),患者的母亲占所有照顾者的78%。男性患者比例较高(52.8%)。25.2%的照顾者记录了中度至重度/重度负担。与照顾者负担相关的因素是患者的功能水平[r = 0.489,p < 0.001],照顾者的精神病发病率[r = 0.709,p < 0.001],照顾者评估的损害水平[r = 0.545,p < 0.001]和儿童的教育水平[t = 3.274,p = 0.001]。每一个独立预测照顾者的负担。研究表明,有心理健康问题的儿童和青少年的照顾者负担很重。
Definitions of burden of care stress the effect of the patient's mental illness on the family. There are generally very few studies in this environment on caregiver burden in child/adolescent mental ill-health. This study aimed to identify patient and caregiver characteristics that are associated with caregiver burden. Caregivers of patients attending the Child and Adolescent Clinic of the Neuropsychiatric Hospital, Yaba, Lagos [n = 155] were consecutively recruited over a one-month period. The caregivers were administered a sociodemographic questionnaire, the General Health Questionnaire, Zarit Burden Interview, and the Columbia Impairment Scale. Scoring on the Children's Global Assessment Scale was done by clinicians. Most caregivers observed in this study were females (80.5%), with mothers of the patients accounting for 78% of all the caregivers. A higher percentage of the patients were males (52.8%). Moderate to severe/severe burden was recorded among 25.2% of caregivers. Factors associated with caregiver burden were patient's level of functioning [r = 0.489, p < 0.001], psychiatric morbidity in the caregiver [r = 0.709, p < 0.001], level of impairment as assessed by the caregiver [r = 0.545, p < 0.001], and child's level of education [t = 3.274, p = 0.001]. Each one independently predicted caregiver burden. The study reveals a high level of burden among the caregivers of children and adolescents with mental health problems.
DOI: 10.1111/j.1469-7610.1995.tb01329.x
发表时间: 1995-07-01
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