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目的了解类风湿关节炎(rheumatoid arthritis,RA)患者照顾者的负担及抑郁倾向情况,并分析两者关系。方法调查195例RA患者及其照顾者的一般资料,采用健康评估问卷、Zarit照顾者负担量表、流行病学调查中心用抑郁自评量表对195名RA患者照顾者进行问卷调查。结果 195名RA患者照顾者负担得分为(34.07±15.13)分,73.84%(144/195)照顾者的负担处于中、重度水平;整体抑郁倾向得分为(12.13±9.07)分,27.18%(53/195)照顾者抑郁得分≥16分,存在抑郁风险;照顾者负担各维度得分与抑郁倾向各维度得分均有相关性(P<0.01)。结论 RA患者照顾者承受中度照顾负担,照顾者负担越重,其发生抑郁的可能性越大。护理工作者应重视RA患者照顾者的照顾负担及心理状态,鼓励患者自理,指导照顾者采取积极的应对方式。
Objective To understand the burden and depressive tendency of caregivers in patients with rheumatoid arthritis (RA) and to analyze their relationship. Methods The general data of 195 RA patients and their caregivers were surveyed. 195 health care questionnaires, Zarit Caregivers’ Burden Scale and Epidemiological Surveillance Center were used to survey 195 caregivers of RA patients. Results The burden of caregivers in 195 RA patients was (34.07 ± 15.13) points and the burden of caregivers was moderate and severe in 73.84% (144/195). The overall depression predictor scores were (12.13 ± 9.07) and 27.18% (53 / 195) The depression score of the caregivers ≥ 16 points, there is a risk of depression; all dimensions of caregivers burden and depression tendencies were correlated (P <0.01). Conclusion Caregivers of RA patients have a moderate burden of care and caregivers are more likely to be depressed. Care workers should pay attention to caregiver burden and psychological status of patients with RA, to encourage patients to take care of themselves, and guide caregivers to take a positive response.