住院抑郁症患者的家庭负担及其与家属社会支持的相关性研究

Research on Family Burden of Depression Inpatients and Its Correlation with Family Social Support

目的了解住院抑郁症患者的家庭负担现状,分析其影响因素,探索减轻家庭负担的方法。方法对2008年1～12月期间在四川大学华西医院心理卫生中心住院的200例抑郁症的患者家属进行现场调查。调查工具包括:自编的抑郁症患者和家属一般情况调查表,根据Pai等设计的疾病家庭负担量表改编而成的抑郁症家庭负担量表(得分范围为0～48分,包括经济负担、日常活动、娱乐活动、家庭关系、家庭成员的躯体健康、家庭成员的心理健康6个维度,24个条目;采用3级评分:0为没有负担,1为中度负担,2为严重负担),以及肖水源设计的社会支持评定量表(共10个条目,得分越高,表示社会支持越好)。所有调查表均为自评量表,由患者家属填写。采用SPSS 13.0软件进行统计分析。结果抑郁症患者的家庭负担总分为26.3±12.6分;抑郁症患者家庭负担总分的阳性率为100%,6个维度得分的阳性率均在80.0%以上,父母与配偶的家庭负担得分均高于子女(P<0.05)。社会支持总分为40.22±9.06分,家庭负担与家属获得的社会支持相关系数为–0.485(P<0.001)。结论抑郁症患者家属普遍存在不同程度的家庭负担,家属获得的社会支持越高,其家庭负担越轻。

Objective To investigate the family burden of depression inpatients,analyze the influencing factors and explore the approach to reduce the family burden.Methods On-the-spot investigation was conducted for the family members of 200 depression inpatients in Mental Health Center of West China Hospital of Sichuan University from January to December,2008.Following questionnaires used for investigation were all self-scale and filled out by the family members： ＂Basic Information Scale of Patients and Family Members＂,＂Family Burden Scale of Patients with Depression＂ revised from Pai＇s scale of ＂Burden on the Family of Disease＂（scoring 0-48 points and covering 24 items under 6 dimensions,namely,financial burden,disruption of routine family activities,disruption of family leisure,disruption of family interactions,effect on physical health of family members,and effect on mental health of family members;rating each item on a 3-class scale,namely,zero for no burden,one for moderate burden,and two for severe burden）,and Xiao Shuiyuan＇s ＂Social Support Scale＂（10 items in total,a higher score indicates a better social support）.SPSS 13.0 software was adopted to perform statistical analyses.Results The total score of family burden was 26.3±12.6,the positive answer rate of family burden was 100.0%,and the positive answer rate of the every dimension was above 80%.The score of family burden for parents and spouse was higher than that of children（P0.05）.The total score of social support was 40.22±9.06,and the correlation coefficient between family burden and family social support was –0.485（P0.001）.Conclusion It is common for family members of depression patients to get family burden at different levels.The more social support family members get,the less the family burden is.