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Yıl:2012; Cilt: 13; Sayı: 1>> Özet
Anadolu Psikiyatri Dergisi; 2012;13(1):8-15
Şizofreni hastalarının bakım vericilerinin yük algısını ve duygu dışavurumunu etkileyen etkenler
H Arslantaş, F Adana
Adnan Menderes Üniversitesi, Aydın Sağlık Yüksekokulu, Aydın
Amaç: Bu çalışmanın amacı, şizofreni hastası üyesi bulunan ailelerde aile üyelerinin algıladıkları yükü, duygu dışavurumu düzeyini ve ilişkili etkenleri araştırmaktır. Yöntem: Çalışma, Adnan Menderes Üniversitesi Tıp Fakül-tesi Psikiyatri Anabilim Dalı Ayaktan ve Yatan Hasta Birimleri'nde şizofreni tanısıyla izlenen 72 hasta ve bakım verici konumundaki 72 hasta yakınıyla yürütülmüştür. Hastalar sosyodemografik özelliklerini sorgulayan anket formu ile, hasta yakınları ise sosyodemografik özelliklerini sorgulayan anket formu ve Algılanan Aile Yükü Ölçeği ve Duygu Dışavurumu Ölçeği ile değerlendirilmiştir. Sonuçlar: Araştırmaya katılan bakım vericilerin öznel yük puanı ortalaması 28.88±22.55; nesnel yük puanı ortalaması 8.70±5.83; duygu dışavurumu puanı ortalaması 15.90±6.10 bulunmuştur. Algılanan Aile Yükü Ölçeğinin alt ölçekleri ile Duygu Dışavurumu Ölçeği arasında orta veya yüksek düzeyde korelasyona rastlanmıştır. Bakım vericilerin ölçek puanlarıyla çeşitli sosyodemografik özel-likleri ve hastaların klinik özellikleri arasında ilişkiye rastlanmıştır. Tartışma: Hastanın erkek, ilkokul ve altı eğitim-de olması ile sosyal güvencelerinin olmamasının bakım vericilerin duygu dışavurumu puanlarını artırdığı saptan-mıştır. Hastanın sosyal güvencesinin olmamasının bakım vericinin öznel ve nesnel yükünü; hastanın erkek olma-sının ve ilaçlarını düzensiz kullanmasının ya da kullanmamasının bakım vericilerin öznel yükünü; boşanmış ya da dul olmasının, ilkokul ve altı eğitime ve 1. çekirdek aileye sahip olmasının bakım vericilerin nesnel yükünü arttırdığı bulunmuştur. Bakım vericinin mesleğinin olmamasının, eğitiminin ilköğretim ve altı olmasının, ailenin gelir düzeyinin yetersiz olmasının bakım vericide daha fazla duygu dışavurumu oluşturduğu görülmüştür. Bakım vericierin sosyodemografik özelliklerinin yük puanları ile ilişkisine rastlanmamıştır.
Factors affecting caregivers burden and emotional expression of patients with schizophrenia
Objective: The present study aims to investigate caregivers? burden and level of emotional expression and related factors in members of the families with schizophrenic patients. Methods: The study was conducted on seventy two schizophrenic patients and their caregivers under treatment at the Department of Psychiatry and Adnan Menderes University Faculty of Medicine. A sociodemographic inventory was administered to the patients and their caregivers. The perceived family burden scale and expressed emotion were also administered to the caregivers. Results: The caregivers? mean score and standard deviation were computed as 28.88±22.55 for the subject burden, 8.70±5.83 for the objective burden and 15.90±6.10 for the emotional expression scale. The emotional expression scores of the caregivers were found to be correlated with both the subjective burden and the objective burden scores. We observed significant difference between scores of the sub groups of caregivers defined by various sociodemographic characteristic and their patients? clinical characteristic. Conclusion: A care-giver is likely to present higher emotional expression if s/he is jobless and undereducated, if the family income is insufficient, and if the respected patient is male undereducated, with no social security. A caregiver is likely to peceive higher subjective burden if his/her patient is male and unable to conform with the treatment regimen, and
without social security. A caregiver is likely to perceive higher objective burden if s/he is divorced or widowed,
under educated, and living with his/her first nuclear familyr

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