Caregiver burden and coping strategies for patients with schizophrenia: Comparison between Japan and Korea
Caregiver burden and coping strategies for patients with schizophrenia: Comparison between Japan and Korea
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DOI：
10.1111/j.1440-1819.2010.02104.x
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发表时间：
2010-01-01
影响因子：
11.9
通讯作者：
Ohta, Yasuyuki
中科院分区：
文献类型：
--
作者：
Hanzawa, Setsuko;Bae, Jeong-Kyu;Ohta, Yasuyuki
目的：随着目前向以社区为中心的精神卫生服务的转变，发达国家对照顾精神分裂症患者的家庭负担进行了大量研究。然而，没有对具有日本或韩国社会文化背景的家庭进行调查。因此，本研究比较了日本和韩国精神分裂症患者家庭的照顾者负担和应对策略，以阐明影响东北亚家庭照顾体验的社会文化因素的相似性和差异。方法：99日本人（长崎）和92名韩国人（首尔，大邱）对精神分裂症患者的家庭成员进行了关于照顾者负担，应对策略，结果：分析显示：（1）虽然在照顾者负担和应对策略方面，两国之间没有差异，但日本对家庭照顾者角色的护理意识明显高于韩国;（ii）在这两个国家，照顾者负担与患者的社会功能和照顾需求显著相关;（iii）在这两个国家，照顾者负担与社会利益减少、胁迫、回避、辞职和护理人员对照顾者角色的认识显著相关。虽然日本和韩国对家庭在照顾精神分裂症患者中的作用的护理意识不同，但在照顾者负担的原因方面观察到了相似的趋势。这些研究结果表明，为了提供有效的支持，减轻照顾者的负担，这种支持的必要性，必须强调在这两个国家。
Aim: With the current shift to community-centered mental health services, considerable research on the family burden of caring for patients with schizophrenia has been conducted in developed countries. However, there has been no investigation of families with Japanese or Korean sociocultural backgrounds. Therefore, the present study compared the caregiver burden and coping strategies of families of patients with schizophrenia in Japan and Korea in order to elucidate similarities and differences in the sociocultural factors that affect the care experience of families in Northeast Asia.Methods: A total of 99 Japanese (Nagasaki) and 92 Korean (Seoul, Daegu) family members of patients with schizophrenia were surveyed in regards to caregiver burden, coping strategies, and nursing awareness of the caregiver role regarding the patient with schizophrenia.Results: Analysis revealed the following: (i) although no difference in caregiver burden and coping strategy was observed between the countries, the nursing awareness of families' caregiver role was significantly higher in Japan than in Korea; (ii) caregiver burden was significantly associated with the patient's social functioning and care needs in both countries; and (iii) caregiver burden was significantly associated with reduction of social interests, coercion, avoidance, resignation, and nursing awareness of caregiver role in both countries.Conclusion: Although the nursing awareness of families' roles in caring for patients with schizophrenia differed between Japan and Korea, similar trends were observed for the causes of caregiver burden. These findings suggest that in order to provide effective support for reducing caregiver burden, the necessity of such support must be emphasized in both countries.