CAJ | 학술논문

目的：探讨重性精神疾病患者的疾病家庭负担。方法采用疾病家庭负担量表(FBS)，对148例符合ICD-10诊断标准的精神分裂症和双相障碍患者的照顾者进行评定。结果精神分裂症和双相障碍患者的疾病家庭负担普遍存在，涉及多个维度。各维度影响达中度以上的分别为家庭关系(51%)、家庭娱乐活动(50%)、家庭日常活动(45%)、经济负担(43%)、家庭成员心理健康(36%)、家庭成员身体健康(32%)。年轻、自费及无个人收入患者的疾病家庭负担更重。结论提示需制定综合的心理社会干预措施，有效减轻照顾者的家庭负担。
목적：탐토중성정신질병환자적질병가정부담。방법채용질병가정부담량표(FBS)，대148례부합ICD-10진단표준적정신분렬증화쌍상장애환자적조고자진행평정。결과정신분렬증화쌍상장애환자적질병가정부담보편존재，섭급다개유도。각유도영향체중도이상적분별위가정관계(51%)、가정오악활동(50%)、가정일상활동(45%)、경제부담(43%)、가정성원심리건강(36%)、가정성원신체건강(32%)。년경、자비급무개인수입환자적질병가정부담경중。결론제시수제정종합적심리사회간예조시，유효감경조고자적가정부담。
Objective To investigate the family burden of patients with severe mental illness. Methods 148 patients with schizophrenia and bipolar disorder were assessed with Family Burden Scale of disease (FBS). Results Family burden broadly exists among those patients with schizophrenia and bipolar disorder, and the burden tends to involve several dimensions, including family relations (51%), home enter-tainment (50%), daily routine (45%), economic burden (43%), mental health of family members (36%) and physical health of family mem-bers (32%). Conclusion Integrated psychological and social intervention should be made to reduce the family burden of patients with schizo-phrenia and bipolar disorder.