Caregiver burden and psychotic patients' perception of social support in a Nigerian setting
Caregiver burden and psychotic patients' perception of social support in a Nigerian setting
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DOI：
10.1007/s001270050294
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发表时间：
2001-02-01
影响因子：
4.4
通讯作者：
Ohaeri, JU
中科院分区：
文献类型：
--
作者：
Ohaeri, JU
40.背景：在尼日利亚，没有针对精神病患者的国家社会福利和社区康复方案。家庭必须承担主要的护理负担。本研究旨在评估75名精神分裂症患者和20名重性情感障碍患者亲属的负担指数的严重程度，确定与负担相关的因素，评估照顾者负担与患者对社会支持的感知之间的关系，并将这些与癌症患者亲属的同等数据进行比较。护理人员进行了评估，使用负担问卷和戈德堡的一般健康问卷（GHQ-12）。患者进行了评估，从大family.Results的社会支持的感知：临床严重程度和负担指数是相似的精神疾病组。然而，患者的精神病症状，不合作的行为，婚姻不稳定和失业的亲属有显着较高的GHQ分数，而患者从这样的家庭认为一个更广泛的社会支持网络。经济负担大于对家庭日常生活的影响。家庭日常生活的中断、GHQ评分和患者期望获得的家庭网络规模（反之亦然）预测了全球负担评级。虽然癌症患者的临床严重程度和家庭常规中断较高;精神病患者的亲属有较高的GHQ分数，更多的家庭不和谐和更大的社会stigment.Conclusions：不安的行为是一个更大的决定因素的严重程度的负担比精神病诊断，因此，充分的治疗是第一步，在减少照顾者的负担。这类亲属所表现出的宽容意味着他们有很强的潜力在社区护理中发挥有益的作用。研究和政策应考虑采取措施，加强发展中国家大家庭网络的联系。
Background: In Nigeria, there are no national social welfare and community rehabilitation programmes for the mentally ill. Families have to bear the major burden of care. The present study aimed to assess the severity of indices of burden among relatives of 75 schizophrenics and 20 major affective disorder cases, to identify the factors associated with burden, to assess the relationship between caregiver burden and patients' perception of social support, and to compare these with equivalent data for cancer patients' relatives.Method: Caregivers were assessed, using a burden questionnaire and Goldberg's General Health Questionnaire (GHQ-12). Patients were assessed for perception of social support from the extended family.Results: Clinical severity and burden indices were similar for the psychiatric illness groups. However, relatives of patients with psychotic symptoms, unco-operative behaviour, marital instability and unemployment had significantly higher GHQ scores; while patients from such families perceived a wider social support network. Financial burden was greater than effect on family routines. Disruption of family routines, GHQ scores and (inversely) size of family network patient expected support from, predicted global rating of burden. Although clinical severity and disruption of family routines for cancer patients were higher; relatives of psychiatric patients had higher GHQ scores, more family disharmony and greater social stigma.Conclusions: Disturbed behaviour is a greater determinant of severity of burden than psychiatric diagnosis; hence adequacy of treatment is a first step in reducing caregiver burden. The tolerance shown by this group of relatives implies that they have strong potentials for playing useful roles in community care. Research and policy should consider measures to strengthen extended family network ties in developing countries.