双相情感障碍患者照顾者负担与心理弹性相关性分析

Correlation analysis between caregiver burden and psychological resilience in patients with bipolar disorder

目的了解双相情感障碍患者家庭照顾者心理弹性水平及照顾负担现状,并探讨两者间的相关性。方法选取2021年3月至2023年12月在肇庆市第三人民医院收治住院治疗双相情感障碍患者的固定家庭照顾者198名作为研究对象,采用一般情况调查表、Zairt照顾者负担量表及心理弹性量表对患者家庭照顾者的照顾负担现状及心理弹性水平进行问卷调查,并分析其照顾负担与心理弹性水平的相关性。结果双相情感障碍患者家庭照顾者照顾负担水平总分及各个维度得分均高于国内常模,差异有统计学意义(P<0.05);而其心理弹性总分及各个维度得分均低于国内常模,差异有统计学意义(P<0.05)。患者家庭照顾总负担程度与心理弹性水平呈负相关(r=-0.369,P<0.01)。结论家庭照顾者照顾负担相对较重,其心理弹性水平较低,二者呈负相关。精神卫生工作者应通过增强患者家庭照顾者心理弹性水平,促进自我情绪调节,有利于减轻其照顾负担。

Objective To understand the psychological resilience and care burden of family caregivers in patients with bipolar disorder,and to explore the correlation between the two.Methods A total of 198 fixed family caregivers of patients with bipolar disorder admitted to the Zhaoqing Third People’s Hospital from March 2021 to December 2023 for the treatment of bipolar disorder patients were selected as the research subjects.A questionnaire survey was conducted using the General Situation Questionnaire,Zairt Caregiver Burden Scale,and Psychological Resilience Scale to investigate the current situation of care burden and psychological resilience level of family caregivers,and to analyze the correlation between their care burden and psychological resilience level.Results The total score and scores in various dimensions of caregiver burden for patients with bipolar disorder were higher than the domestic norm,and the difference was statistically significant(P<0.05).The total score and scores in various dimensions of psychological resilience were lower than the domestic norm,and the difference was statistically significant(P<0.05).The total burden of family care for patients was significantly negatively correlated with their level of psychological resilience(r=-0.369,P<0.01).Conclusion Family caregivers have a relatively heavy care burden and lower levels of psychological resilience,with a significant negative correlation between the two.Mental health workers should effectively promote self-emotional regulation by enhancing the psychological resilience of family caregivers of patients,which is conducive to reducing their care burden.