Objective

The purpose of this study was to investigate the prevalence and risk factors associated with caregiver burden in familial caregivers and foreign domestic workers of patients with severe traumatic brain injury.

Methods

A total of 77 caregivers were consecutively recruited, who were either familial caregivers or foreign domestic workers. All caregivers were evaluated with the Zarit Burden Index (ZBI), Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder 7-item (GAD-7) scale. Logistic regression analysis was conducted to determine factors associated with caregiver burden.

Results

The majority of participants were familial caregivers (N = 60), of which 70% experienced significant caregiver burden. In this group, 10.0% caregivers had clinically significant depression and 16.7% caregivers who had clinically significant anxiety. On multivariate analysis, factors found to be associated with caregiver burden were Glasgow Outcome Scale Extended (GOSE) of <7, presence of neuropsychiatric complications, and presence of anxiety. There was also a high prevalence of caregiver burden in foreign domestic workers (29.4%).

Conclusion

There is a high rate of caregiver burden in both familial caregivers and foreign domestic workers who care for patients with severe traumatic brain injury. Caregivers experiencing stress should also be monitored for the presence of anxiety or depression.

中文翻译：

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亚洲多民族人群的颅脑外伤患者的家庭护理人员和外籍家庭佣工的护理人员负担

目的

这项研究的目的是调查严重颅脑外伤患者的家庭护理人员和外籍家庭佣工与护理人员负担相关的患病率和危险因素。

方法

连续招募了77名照料者，这些照料者是家庭照料者或外籍家庭佣工。所有护理人员均采用Zarit负担指数（ZBI），患者健康问卷9（PHQ-9）和普通焦虑症7项（GAD-7）量表进行评估。进行逻辑回归分析以确定与照顾者负担相关的因素。

结果

大多数参与者是家庭照料者（N = 60），其中70％经历了重大的照料者负担。在这一组中，有10.0％的护理人员具有临床上的严重抑郁症，有16.7％的护理人员具有临床上的严重焦虑。在多变量分析中，发现与护理人员负担相关的因素是格拉斯哥结果扩展量表（GOSE）<7，神经精神科并发症的存在和焦虑的存在。外籍家庭佣工的照料者负担率也很高（29.4％）。

结论

在照顾严重颅脑外伤患者的家庭护理人员和外籍家庭佣工中，护理人员的负担率很高。照顾者如有压力，也应监测是否存在焦虑或抑郁。