An evaluation of family burden and family function on major depression
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Abstract:
Objective To study the family burden and family function of major depression.Methods 150 major depressive patients who met with DSM-Ⅳ criteria were enrolled randomly and investigated.Family Burden Scale (FBS) was used to evaluate the family burden,Family APGAR Index(APGAR) was used to evaluate the family function of major depressive patients,comparing to the control group.Results Positive rate (the family proportion whose factor score no less the average score) in four factors of FBS such as family economic burden,family daily activities,family entertainment and mental health of family member were higher(57.1%,51.6%,61.9%,78.6%).In rural patients,the factor score of family economic burden was higher than that of urban patients(1.14±0.09 vs 0.89±0.07,t =2.687,P ＜0.05),and the factor score of mental health of family member was lower(0.42±0.36 vs 0.60±0.58,t =3.375,P ＜0.01).There was no significant difference between premorbid family dysfunction of major depression and control group(24.6% vs 17.3%;χ2＝0.108,P ＞0.05).Significant differences were found in family dysfunction not only between premorbid and postmorbid(63.4% vs 24.6%,χ2＝70.045,P ＜0.01)but also between postmorbid and control group( P ＜0.01).The total scores and each factor score of APGAR in postmorbid were lower than premorbid(all P ＜0.01).Conclusion The family burden and family dysfunction of major depression were serious and multiple,which must be payed close attention and give effective intervention.
Key words:
Burden of disease; Major depression; Family burden; Family functionKeywords:
Depression
Dysfunctional family
Family health
Family member
Objective
To explore the effects of family function on depression, activities of daily living, happiness index and quality of life among elderly hypertension patients.
Methods
From October 2015 to October 2017, we selected 80 elderly hypertension patients of Cardiovascular Department in the First Affiliated Hospital of Xinjiang Medical University by convenient sampling. All of the patients were divided into group of good family function and group of family dysfunction according to the Family Adaptation, Partnership, Growth, Affection and Resolve (APGAR) . The scores were compared with the Self-Rating Depression Scale (SDS) , Activities of Daily Living (ADL) , Index of Well-Being Scale and 36-item Short form Health Survey (SF-36) . SPSS 21.0 was used to statistical analysis.
Results
There were 47 (58.75%) patients in group of good family function and 33 (41.25%) patients in group of family dysfunction. The adaptation, intimacy, affection, growth and partnership of patients in group of good family function and the total score were superior to those in group of family dysfunction with statistical differences (P<0.01) . The scores of SDS and ADL of patients in group of good family function were lower than those in group of family dysfunction; the happiness index of group of good family function was higher than that of group of family dysfunction with a statistical difference (P<0.01) . The dimension scores of life quality of patients in group of good family function were higher than those of group of family dysfunction with statistical differences (P<0.01) .
Conclusions
We should pay attention to the family function of elderly hypertension patients, improve patients' happiness index, depression and ADL, so as to promote rehabilitation of hypertension patients.
Key words:
Hypertension; Family function; Happiness index; Social function
Depression
Dysfunctional family
Affection
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Objective To explore the effect of family-centered nursing on family function and family burden of schizophrenic patients.Methods A total of 108 schizophrenic patients with the whole course less than 5 years were randomly divided into study group(n =53)and control group(n =55).The two groups received the routine antipsychotic drugs maintenance therapy and the general psychological education.In addition,the study group received the family-centered nursing intervention,and the total following-up course was 1 year.To evaluate the family situation and psychotic symptoms of patients,all the participants were assessed by using Family Assessment Device (FAD),Family Burden Scale of Disease (FBS) and Brief Psychiatric Rating Scale (BPRS) at entry and 1 year after discharged.Results There was no statistically significant difference between the two groups in scores of BPRS,FAD and FBS at baseline (P ＞ 0.05).After 1 year,the scores of BPRS (24.60 ± 7.87),total function of FAD (26.8 ± 3.7) and FBS (20.60 ± 9.91) in the study group were lower than those in the control group:BPRS (28.91 ± 8.72),FAD (30.1 ± 3.4) and FBS (30.76 ± 12.27),and the difference was statistically significant (t =2.61,4.67,4.57,respectively; P ＜0.05).The scores of each factor of FAD and four domains of FBS (such as family economic burden,family daily activities,familyent ertainment and mental health of family member) of the study group were lower than those of the control group (P ＜ 0.05).Conclusions The family-centered nursing model is helpful to improve family function,the prognosis of the disease and to decrease family burden of schizophrenia.
Key words:
Schizophrenia; Family centered care ; Nursing intervention; Family function; Family burden
Family health
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Objective:To investigate factors related to quality of life of family members of depression patients.Methods:101 family members of depression patients were investigated by outcomes study short-form 36(SF-36) and basic state quetionnaire.Result:The score of physical function(PF),vitality(VT),mental health(MH)、body pain(BP)were significantly higher in male than in female.The score of PF,VT,MH,social function(SF),BP,general health(GH)were significantly higher in people at the age of below 50 than the people above 50,while the score of RP was reserved.Age,income,education degree,and number of life events,were closely related to the score of quality of life.Conclusion:It is suggested that female and elder people have poor quality of life.Age,income,education degree,and number of life events may be the important factors that influence the quality of life of family members of depression patients.
Vitality
Depression
Family income
Social function
Life quality
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Objective:To evaluate the family function in patients with chronic alcoholism and the quality of life in family caregivers.Methods:A survey was conducted among 145 patients with chronic alcoholism and the family caregivers with Family APGAR Index(APGAR)and The MOS 36-item Short-form Health Survey(SF-36)to assess the patients' functions and the caregivers' quality of life,the results of which were compared with those of 132 cases of control.Results:There were more families having obstacles in family function in patients with chronic alcoholism compared with the control group(P0.001).The total and factor scores of APGAR in patients were significantly lower than those in the control group(P0.01).Direct caregivers' quality of life,SF-36 factors,physiological function,general health,social function,emotional function and mental health factor scores were significantly lower than those of the control group(P0.05 or P0.01);physiological function and somatic pain factor scores of female caregivers were significantly lower than those of the male caregivers(P0.05).Conclusion:Chronic alcoholism can induce serious and multi-level effects on the family function in patients and quality of life in family caregivers,which needs a corresponding intervention.
Social function
Dysfunctional family
Life quality
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to explain comparatively how economic and family caregiver burden in families with bipolar disorder patients change overtime.one year follow-up of economic and family caregiver burden was carried out on family caregivers of 190 bipolar, 55 diabetes, hypertension and asthma patients and 659 sick controls in the community. Population average generalized estimating equation was used to make longitudinal comparative analysis.bipolar patient family caregivers were found to be more burdened, for about 8 to 10 months of the year of study, than family caregivers of diabetes, hypertension and asthma and sick controls in the community. The average difference in family caregiver burden score between bipolar and diabetes, hypertension and asthma patient family caregivers was 4.36 (z = -8.75, P>|z|= 0.001); while the difference due to time between the two groups was 3.42 (z= -4.27, P>|z|= 0.001). Similarly, the average difference in family caregiver burden score between family caregivers of bipolar patient and sick controls in the community was 3.7 (z= -4.88, P>|z| 0.001). In terms of longitudinal caregiver burden difference, bipolar patients family caregivers were found to be more burdened than family caregivers of sick controls in the community with a burden score difference of 2.97 (z= -5.17, P>|z|= 0.001).more should be done to lessen the economic and family caregiver burden due to bipolar disorder.
Longitudinal Study
Caregiver Burden
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Objective To examine the family function and family burden of post-operative patients in order to provide information for improving the quality of nursing service. Methods Family APGAR Index (APGAR) and Family Burden Scale of Disease (FBS) were applied in this descriptive study. One hundred and two family members of the post-operative patients were investigated. Results Eighteen (17.64%) of the patients experienced slight or serious deficiency of family function. The total score of APGAR was 8.49±1.92, the score of intimacy was the highest (1.81±0.44) and the cooperation had the lowest score (1.61±0.57). The total score of FBS in the surgical patients was 1.20±0.63, the family burden had the highest scroe (1.72±0.96) and the physical health of their family member had the lowest score (0.63±0.83). There were significant differences in FBS score among different operations, durations of operation time and ways of payment (P0.05,P0.01). A negative correlation was found between family function and total score of family burden, family relationship, prysical health and mental health of family member in the surgical patients (P0.05,P0.01). Conclusion Operations will not only substantially affect the patients physically and mentally but also influence their family function in many ways, leading to increased family burden. Nurses should provide holistic care to post-operative patients and their family members, in order to improve their family function and reduce their family burden.
Family member
Affect
Family health
Family Environment Scale
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The purpose of this study was to provide basic information for developing family-focused nursing interventions for families with chronic illness. The subjects were 68 families of chronically ill patients in hospitalization and 68 families, as a comparison group, who didn't have chronically ill family members. The results of this study were as follows. 1. families with chronic illness showed higher anxiety scores (t=2.28, P=.024) and lower family functioning scores than normal families(the performance of family functioning : t=2.83, P=.005, the satisfaction of family functioning : t=5.76, P=.000) 2. In family caregiver systems, spouses of chronically ill patients showed higher anxiety scores (t=2.72, P=.008) and lower family functioning scores than those of normal families(the performance of family functioning : t=2.28, P=.026, the satisfaction of family functioning : t=4.41, P=.000) : however, the anxiety scores between children of chronically ill patients and those of normal families were no statistically significant differences. with regard to satisfaction of family functioning, children of chronically ill patients showed lower scores than those of normal family(t=3.85, P=.000). 3. In families with chronic illness, there were significantly positive correlations between the perceived importance of family functioning and anxiety(r=.415, P=.001) and between the performance and satisfaction of family functioning(r=.727, P=.001) ; however, there was a negative correlation between satisfaction of family functioning and anxiety(r=-.334, P=.01). In normal families, there was no significant correlation between family functioning and anxiety. Findings of this study suggest that families with chronic illness need family-focused nursing interventions for relieving their anxiety and for improving family functioning. in conclusion, the investigation of family functioning and anxiety provides useful information in family-focused nursing care, especially for spouses of chronically ill patients. This information will contribute to developing the support systems for family caregivers and education programs for managing chronically ill patients.
Family member
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Objectives: To search the method of evaluation of patients with injuries about their family burdens. Methods: 155 patients with injury were selected, and their family burden status was measured by Family APGAR index and Family Burden Scale of Diseases. Results: The reliability and validity of two tools is satisfied for evaluating family function and family burdens of patients with injuries. There is significant difference between scores of APGAR after and before onset of disease. Also there is significant difference between scores of .FBS after and before onset of disease. Conclusion: Family APGAR index and Family Burden Scale of Diseases can evaluate family function and family burdens of patients with injuries.
Family member
Family health
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Objective To study the family function and family burden of operative patients,so as to provide information for improving the quality of nursing service.Methods Family APGAR Index(APGAR) and Family Burden Scale of Disease(FBS) were applied in this descriptive study.One hundred and twenty family members of the postoperative patients were investigated.Results Twenty-one(17.5%) of the patients experienced slight or serious deficiency of family function.The total score of APGAR was(8.68±1.72),the score of intimacy was the highest(1.91±0.44) and the cooperation had the lowest score(1.67±0.56).The total score of FBS in the surgical patients was(1.20±0.65),the family burden had the highest score(1.76±0.96) and the physical health of their family member had the lowest score(0.66±0.81).There were significant differences in FBS score among different operations,durations of operation time and ways of payment(P0.05,P0.01).A negative correlation was found between family function and total score of family burden,family relationship,physical health and mental health of family member in the surgical patients(P0.05,P0.01).Conclusions Operations will not only substantially affect the patients physically and mentally,but also influence their family function in many ways,leading to increased family burden.
Affect
Family Environment Scale
Family health
Family member
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Objective To investigate the psychological state and its correlation factors of family members of elderly cancer patients. Methods A total of 76 family members of elderly cancer patients were investigated with questionnaires with Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Their psychological state and its correlation factors were analyzed. Results Incidence rate of anxiety of elderly cancer patients' family members was 52.63%, and incidence rate of depression was 46.05%. The mean standard score of SAS and SDS of elderly cancer patients' family members were both significantly higher than domestic norm. Difference of family member's gender, ways to pay health care fee, pain degree and disease condition led to different SAS and SDS score. Conclusions Family members of elderly cancer patients possessed different degree of psychological obstacle which related with multiple factors. Medical staff should not only think highly of patients' psychological state, but also their family members'. And meanwhile they should take corresponding strategy to reduce the incidence rate of anxiety and depression state in those family members.
Key words:
Elderly; Cancer; Family membor; Psychological state
Depression
Family member
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