护理SCI晨读：精神分裂症患者看护者的疾病严重程度和困扰：内在的污名和看护负担是否介导了这种关系？
精神分裂症患者看护者的疾病严重程度和困扰：
内在的污名和看护负担是否介导了这种关系？
摘要
目的
为了检验精神分裂症患者的家庭照料者的疾病严重程度与家庭困扰之间的内在污名和照料负担的多重中介模型。
设计
横断面研究。
方法
2018年4月至8月之间，收集344位中国精神分裂症患者的家庭照护者的样本。该研究使用的工具包括临床总体印象-疾病严重度，心理疾病的内在污名量表，看护者负担清单，和困扰测量问卷。使用描述性统计，Spearman相关性、bootstrap回归、bootstrap分析进行数据分析，来估计直接和间接影响。
结果
研究发现，内在的污名和照料负担可以分别和顺序地介导疾病严重程度与困扰之间的关系。此外，内部化的污名的调解在多种调解中起着最大的作用。
结论
疾病的严重程度、内在的污名化和照料负担是精神分裂症患者家庭照料者困扰的重要因素。针对这三个因素而设计的未来干预研究可能对精神分裂症患者的家庭照顾者有益。
影响力
这项研究探讨了困扰的心理社会发展，并指出改善患者症状，减少内在的污名和照顾负担的干预措施可以帮助预防或减轻家庭照顾者的困扰。
英文摘要
Aims
To test a multiple mediation model of internalized stigma and caregiving burden in the relationship between severity of illness and distress among family caregivers of persons living with schizophrenia.
Design
This is a cross‐sectional study.
Methods
Data were collected from a consecutive sample of 344 Chinese family caregivers of persons living with schizophrenia between April‐August 2018. Instruments used in this research included the Clinical Global Impression‐Severity of Illness, the Internalized Stigma of Mental Illness Scale, the Caregiver Burden Inventory, and the Distress Thermometer. Data analysis was conducted using descriptive statistics, the Spearman correlation, and regression analysis to estimate direct and indirect effects using bootstrap analysis.
Results
This research found that internalized stigma and caregiving burden can separately and sequentially mediate the relationship between severity of illness and distress. Moreover the mediation of internalized stigma plays the largest role among the multiple mediations.
Conclusion
The severity of illness, internalized stigma, and caregiving burden are significant factors of distress among family caregivers of persons living with schizophrenia. The future intervention studies which be designed aiming at the three factors may be beneficial for family caregivers of persons living with schizophrenia.
Impact
This research examined the psychosocial development of distress and indicated that interventions improving patients’ symptoms and decreasing internalized stigma and caregiving burden can help to prevent or reduce distress among family caregivers.
原文链接：
https://onlinelibrary.wiley.com/doi/10.1111/jan.14648
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