慢性酒精中毒患者家庭功能和直接照料者生活质量的研究

THE FAMILY FUNCTION IN PATIENTS WITH CHRONIC ALCOHOLISM AND QUALITY OF LIFE IN FAMILY CAREGIVERS

目的:评价慢性酒精中毒患者的家庭功能和直接照料者的生活质量。方法:采用家庭关怀度指数问卷(APGAR)和健康状况问卷(SF-36),对145例慢性酒精中毒患者的家庭功能和直接照料者的生活质量进行评定,并与132个一般家庭进行对照比较。结果:慢性酒精中毒患者家庭功能存在障碍的家庭显著多于对照组(P<0.001),患者组APGAR总分及各因子分均与对照组比较显著降低,差异具有显著性(P<0.01)。直接照料者生活质量评定,在SF-36的8个因子中,生理职能、一般健康、社会功能、情感职能和精神健康因子评分显著低于对照组(P<0.05或P<0.01)。女性直接照料者的生理机能和躯体疼痛2个因子评分显著低于男性(P<0.05)。结论:慢性酒精中毒对家庭功能和直接照料者的生活质量的影响是严重的和多层次的,需进行相应干预。

Objective：To evaluate the family function in patients with chronic alcoholism and the quality of life in family caregivers.Methods：A survey was conducted among 145 patients with chronic alcoholism and the family caregivers with Family APGAR Index（APGAR）and The MOS 36-item Short-form Health Survey（SF-36）to assess the patients＇ functions and the caregivers＇ quality of life,the results of which were compared with those of 132 cases of control.Results：There were more families having obstacles in family function in patients with chronic alcoholism compared with the control group（P〈0.001）.The total and factor scores of APGAR in patients were significantly lower than those in the control group（P〈0.01）.Direct caregivers＇ quality of life,SF-36 factors,physiological function,general health,social function,emotional function and mental health factor scores were significantly lower than those of the control group（P〈0.05 or P〈0.01）;physiological function and somatic pain factor scores of female caregivers were significantly lower than those of the male caregivers（P〈0.05）.Conclusion：Chronic alcoholism can induce serious and multi-level effects on the family function in patients and quality of life in family caregivers,which needs a corresponding intervention.