CAJ | 학술논문

目的：探讨阿尔茨海默病患者的主要照料者心理健康与生活质量的关系及影响因素。方法采用便利抽样方法，以症状自评量表（ SCL-90）、世界卫生组织生活质量测定简表（WHOQOL-BREF）、Zarit 照料负担问卷（ZBI）、社会支持评定量表（SSRS）、简易智力状态检查（MMSE）、日常生活能力量表（ADL）以及神经精神科问卷（NPI）作为评定工具，对192例阿尔茨海默病患者及其主要照料者进行评定，并分析其相关影响因素。同时选取60名慢性心力衰竭（CHF）患者的主要照料者作对照，比较两组的心理健康与生活质量。结果（1）阿尔茨海默病组SCL-90总分得分显著高于CHF组（Z=－9.967，P=0.000）；两组间WHOQOL-BREF总分得分比较，差异无统计学意义（Z=－1.838，P=0.066），其心理领域、环境领域得分差异有统计学意义（t=4.514， P=0.000；Z=－2.209，P=0.027）。（2）月收入低、有慢性躯体疾病、照料负担重、社会支持低的阿尔茨海默病照料者较月收入高、无慢性躯体疾病、照料负担轻、社会支持高的阿尔茨海默病照料者生活质量低（ P＜0.05）。（3）阿尔茨海默病照料者 SCL-90总分得分及抑郁、敌对得分与WHOQOL-BREF 总分得分显著负相关（P＜0.01），其躯体化、强迫、焦虑得分与 WHOQOL-BREF总分得分呈负相关（P＜0.05）。（4）社会支持、照料负担、经济收入、敌对、躯体化和躯体疾病等因素进入生活质量为应变量的回归方程（R2=0.305）。结论阿尔茨海默病患者的主要照料者心理健康与生活质量密切相关，通过加强医疗卫生服务、提升社会支持、减轻照料负担等，有助于促进照料者心理健康，并且提高其生活质量。
목적：탐토아이자해묵병환자적주요조료자심리건강여생활질량적관계급영향인소。방법채용편리추양방법，이증상자평량표（ SCL-90）、세계위생조직생활질량측정간표（WHOQOL-BREF）、Zarit 조료부담문권（ZBI）、사회지지평정량표（SSRS）、간역지력상태검사（MMSE）、일상생활능역량표（ADL）이급신경정신과문권（NPI）작위평정공구，대192례아이자해묵병환자급기주요조료자진행평정，병분석기상관영향인소。동시선취60명만성심력쇠갈（CHF）환자적주요조료자작대조，비교량조적심리건강여생활질량。결과（1）아이자해묵병조SCL-90총분득분현저고우CHF조（Z=－9.967，P=0.000）；량조간WHOQOL-BREF총분득분비교，차이무통계학의의（Z=－1.838，P=0.066），기심리영역、배경영역득분차이유통계학의의（t=4.514， P=0.000；Z=－2.209，P=0.027）。（2）월수입저、유만성구체질병、조료부담중、사회지지저적아이자해묵병조료자교월수입고、무만성구체질병、조료부담경、사회지지고적아이자해묵병조료자생활질량저（ P＜0.05）。（3）아이자해묵병조료자 SCL-90총분득분급억욱、활대득분여WHOQOL-BREF 총분득분현저부상관（P＜0.01），기구체화、강박、초필득분여 WHOQOL-BREF총분득분정부상관（P＜0.05）。（4）사회지지、조료부담、경제수입、활대、구체화화구체질병등인소진입생활질량위응변량적회귀방정（R2=0.305）。결론아이자해묵병환자적주요조료자심리건강여생활질량밀절상관，통과가강의료위생복무、제승사회지지、감경조료부담등，유조우촉진조료자심리건강，병차제고기생활질량。
Objective To investigate the relationship between psychological states and quality of life and theirs influencing factors of the primary caregivers of Alzheimer disease (AD) patients. Methods 192 cases of AD patients and their primary caregivers were collected by convenience sampling method, assessed by 90 Symptom Checklist (SCL-90), World Health Organization Quality of life was measured profiles (WHOQOL-BREF), Zarit Burden of Care Questionnaire (ZBI), Social Support Rating Scale (SSRS), mini-mental state examination (MMSE), Activities of Daily Living scale (ADL) and Neuropsychiatry questionnaire (NPI) to analyze the mental health and quality of life and theirs influencing factors. While 60 primary caregivers of chronic heart failure (CHF) were as a control to compare the two groups of mental health and quality of life. Results The SCL-90 total scores of AD group were significantly higher than the CRF group (Z=-9.967, P=0.000), the WHOQOL-BREF total score of the two groups had no statistical significance (Z=-1.838, P=0.066), there were statistical difference in psychological, environmental field score between the two groups (t=4.514, P=0.000;Z=-2.209, P=0.027). Quality of life of AD caregivers who with lower monthly income, chronic physical illness, heavier care burden, lower social support were lower than who with higher monthly income, without chronic physical illness, lighter care burden, higher social support. The SCL-90 total score, depression and hostility scores of AD caregivers were significantly negatively correlated with WHOQOL-BREF scores (P<0.01), the somatization, compulsion, anxiety scores were negatively correlated with WHOQOL-BREF scores (P<0.05). Social support, care burden, economic income, hostility, somatization and physical illness, etc, were got into the regression equation in which the quality of life as the dependent variable (R2=0.305). Conclusion The mental health of primary caregivers of AD patients was closely related to the quality of life, we could promote mental health and improve the quality of life by strengthening the medical and health services, improving social support, reducing the burden of care, etc.